CDX2 Is a Prognostic Biomarker for Unresectable Metastatic Colorectal Cancer

Copyright © 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved..

BACKGROUND/AIM: Colorectal cancer (CRC) with reduced expression of the homeobox transcription factor CDX2, a master gene essential for the development and maintenance of the intestinal tract, is known as a poor prognosis subtype of CRC. The recurrence rate is high in patients with CDX2low CRC. However, the prognostic significance of CDX2 in advanced CRC is unclear. This study aimed to elucidate the prognostic significance of CDX2 in unresectable metastatic CRC (mCRC).

PATIENTS AND METHODS: Twenty-nine patients with unresectable mCRC who underwent primary site resection at the Kobe University Hospital during a 6-year period from January 2008 to January 2015 were included. The tissues from those patients were immunohistochemically stained with anti-CDX2 antibody (clone: CDX2-88). The patients were divided into CDX2high CRC group and CDX2low CRC group and their prognoses were analyzed.

RESULTS: There were no clear differences in background between the two groups. A low CDX2 expression was associated with reduced overall survival (37.67 months vs. 25.32 months, p=0.03) and tended to associate with reduced progression-free survival (17.4 months vs. 12.9 months, p=0.37). Two patients received chemotherapy after resection of the primary lesion and obtained pathological complete response.

CONCLUSION: CDX2 expression might be a possible prognostic biomarker for unresectable mCRC.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Anticancer research - 43(2023), 8 vom: 27. Aug., Seite 3763-3767

Sprache:

Englisch

Beteiligte Personen:

Mukohyama, Junko [VerfasserIn]
Agawa, Kyosuke [VerfasserIn]
Yamashita, Kimihiro [VerfasserIn]
Matsuda, Takeru [VerfasserIn]
Shinoda, Masahiro [VerfasserIn]
Itano, Osamu [VerfasserIn]
Kakeji, Yoshihiro [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
CDX2
CDX2 Transcription Factor
Journal Article
Primary tumor resection
Unresectable colon cancer

Anmerkungen:

Date Completed 04.08.2023

Date Revised 04.08.2023

published: Print

Citation Status MEDLINE

doi:

10.21873/anticanres.16561

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360001467