Tissue Microarray Analysis of β-Catenin in Colorectal Cancer Shows Nuclear Phospho-β-catenin Is Associated with a Better Prognosis

Purpose : β-Catenin is involved in homotypic cell-cell adhesion and the wnt signaling pathway. Deregulation of β-catenin levels, caused in part by mutations of the adenomatous polyposis coli gene, is thought to play a role in the development of colorectal and other cancers. To further elucidate thei...

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Veröffentlicht in:Clinical cancer research 2001-12, Vol.7 (12), p.4013-4020
Hauptverfasser: CHUNG, Gina G, PROVOST, Elayne, KIELHORN, Eric P, CHARETTE, Lori A, SMITH, Bradley L, RIMM, David L
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container_end_page 4020
container_issue 12
container_start_page 4013
container_title Clinical cancer research
container_volume 7
creator CHUNG, Gina G
PROVOST, Elayne
KIELHORN, Eric P
CHARETTE, Lori A
SMITH, Bradley L
RIMM, David L
description Purpose : β-Catenin is involved in homotypic cell-cell adhesion and the wnt signaling pathway. Deregulation of β-catenin levels, caused in part by mutations of the adenomatous polyposis coli gene, is thought to play a role in the development of colorectal and other cancers. To further elucidate their roles, the expression pattern of β-catenin and phosphospecific β-catenin was correlated with clinical outcome in a series of patients with colorectal cancer. Experimental Design: Immunohistochemical analysis of a tissue microarray with 650 colorectal cancer specimens was performed to study the expression and subcellular localization of β-catenin and phosphospecific β-catenin. These results were correlated with other clinicopathological factors and with overall survival. Results: The majority of cancers retained some degree of β-catenin membranous staining, whereas cytoplasmic or nuclear expression was seen in 42.5% and 20.4% of specimens, respectively. Phospho-β-catenin showed nuclear staining in 9.5% of specimens, and there was no apparent membranous or cytoplasmic staining. There was no significant association between β-catenin or phospho-β-catenin and grade or stage. However, there was a positive correlation between β-catenin and phospho-β-catenin ( P = 0.039), with phospho-β-catenin representing a subset of nuclear β-catenin. Patients with nuclear expression of β-catenin did not have an altered survival compared with those that did not ( P = 0.5611). Nuclear expression of phospho-β-catenin, however, was associated with an improved survival ( P = 0.0006). In multivariate analysis, only stage and phospho-β-catenin were independently predictive of overall survival ( P < 0.001 and P = 0.0034, respectively). Conclusions: These findings support a role for β-catenin overexpression in colorectal tumorigenesis and provide initial evidence that phospho-β-catenin may be a marker for improved overall survival independent of stage and grade.
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Deregulation of β-catenin levels, caused in part by mutations of the adenomatous polyposis coli gene, is thought to play a role in the development of colorectal and other cancers. To further elucidate their roles, the expression pattern of β-catenin and phosphospecific β-catenin was correlated with clinical outcome in a series of patients with colorectal cancer. Experimental Design: Immunohistochemical analysis of a tissue microarray with 650 colorectal cancer specimens was performed to study the expression and subcellular localization of β-catenin and phosphospecific β-catenin. These results were correlated with other clinicopathological factors and with overall survival. Results: The majority of cancers retained some degree of β-catenin membranous staining, whereas cytoplasmic or nuclear expression was seen in 42.5% and 20.4% of specimens, respectively. Phospho-β-catenin showed nuclear staining in 9.5% of specimens, and there was no apparent membranous or cytoplasmic staining. There was no significant association between β-catenin or phospho-β-catenin and grade or stage. However, there was a positive correlation between β-catenin and phospho-β-catenin ( P = 0.039), with phospho-β-catenin representing a subset of nuclear β-catenin. Patients with nuclear expression of β-catenin did not have an altered survival compared with those that did not ( P = 0.5611). Nuclear expression of phospho-β-catenin, however, was associated with an improved survival ( P = 0.0006). In multivariate analysis, only stage and phospho-β-catenin were independently predictive of overall survival ( P &lt; 0.001 and P = 0.0034, respectively). Conclusions: These findings support a role for β-catenin overexpression in colorectal tumorigenesis and provide initial evidence that phospho-β-catenin may be a marker for improved overall survival independent of stage and grade.</description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>PMID: 11751495</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Animals ; beta Catenin ; Biological and medical sciences ; Cadherins - analysis ; Cell Line ; Cell Nucleus - pathology ; Colorectal Neoplasms - genetics ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - pathology ; Cytoplasm - pathology ; Cytoskeletal Proteins - analysis ; Cytoskeletal Proteins - genetics ; Dogs ; Gastroenterology. Liver. Pancreas. Abdomen ; Gene Expression Regulation, Neoplastic ; Humans ; Immunohistochemistry ; Medical sciences ; Neoplasm Staging ; Oligonucleotide Array Sequence Analysis ; Phosphoproteins - analysis ; Prognosis ; Proportional Hazards Models ; Recombinant Proteins - analysis ; Reproducibility of Results ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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Deregulation of β-catenin levels, caused in part by mutations of the adenomatous polyposis coli gene, is thought to play a role in the development of colorectal and other cancers. To further elucidate their roles, the expression pattern of β-catenin and phosphospecific β-catenin was correlated with clinical outcome in a series of patients with colorectal cancer. Experimental Design: Immunohistochemical analysis of a tissue microarray with 650 colorectal cancer specimens was performed to study the expression and subcellular localization of β-catenin and phosphospecific β-catenin. These results were correlated with other clinicopathological factors and with overall survival. Results: The majority of cancers retained some degree of β-catenin membranous staining, whereas cytoplasmic or nuclear expression was seen in 42.5% and 20.4% of specimens, respectively. Phospho-β-catenin showed nuclear staining in 9.5% of specimens, and there was no apparent membranous or cytoplasmic staining. There was no significant association between β-catenin or phospho-β-catenin and grade or stage. However, there was a positive correlation between β-catenin and phospho-β-catenin ( P = 0.039), with phospho-β-catenin representing a subset of nuclear β-catenin. Patients with nuclear expression of β-catenin did not have an altered survival compared with those that did not ( P = 0.5611). Nuclear expression of phospho-β-catenin, however, was associated with an improved survival ( P = 0.0006). In multivariate analysis, only stage and phospho-β-catenin were independently predictive of overall survival ( P &lt; 0.001 and P = 0.0034, respectively). Conclusions: These findings support a role for β-catenin overexpression in colorectal tumorigenesis and provide initial evidence that phospho-β-catenin may be a marker for improved overall survival independent of stage and grade.</description><subject>Animals</subject><subject>beta Catenin</subject><subject>Biological and medical sciences</subject><subject>Cadherins - analysis</subject><subject>Cell Line</subject><subject>Cell Nucleus - pathology</subject><subject>Colorectal Neoplasms - genetics</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Cytoplasm - pathology</subject><subject>Cytoskeletal Proteins - analysis</subject><subject>Cytoskeletal Proteins - genetics</subject><subject>Dogs</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Medical sciences</subject><subject>Neoplasm Staging</subject><subject>Oligonucleotide Array Sequence Analysis</subject><subject>Phosphoproteins - analysis</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Recombinant Proteins - analysis</subject><subject>Reproducibility of Results</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Survival Rate</subject><subject>Trans-Activators</subject><subject>Transfection</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKw0AQhoMotlZfQfZG8Sawx25zWYOHQtWC9TpsNptmZZutOwml9z6RD-IzudSKMDAz8P0z8B0lQyKETBkdi-M4YzlJMWd0kJwBvGNMOMH8NBkQIgXhmRgmn0sL0Bv0ZHXwKgS1Q9NWuR1YQL5G319prjrT2hbFyr3zwehOOZSrVpuAXhu_BfTca2dUQIvGw6bxaUzpQ2oGaArgtY17hba2a5BCt6brYngR_Kr18dN5clIrB-bi0EfJ2_3dMn9M5y8Ps3w6TxsqcZfyjFKuRS1KTCUnY04ySQzVouKSSl3iDHMseDXhrKrrmqiKVaUxHFOtGas4GyXXv3c3wX_0BrpibUEb51RrfA-FpGwsRYYjeHkA-3JtqmIT7FqFXfHnLQJXB0CBVq4OUYeFf45xItj-0M0v19hVs7XBFHovLhiIwnRTyILQgmPC2A8-kody</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>CHUNG, Gina G</creator><creator>PROVOST, Elayne</creator><creator>KIELHORN, Eric P</creator><creator>CHARETTE, Lori A</creator><creator>SMITH, Bradley L</creator><creator>RIMM, David L</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Tissue Microarray Analysis of β-Catenin in Colorectal Cancer Shows Nuclear Phospho-β-catenin Is Associated with a Better Prognosis</title><author>CHUNG, Gina G ; PROVOST, Elayne ; KIELHORN, Eric P ; CHARETTE, Lori A ; SMITH, Bradley L ; RIMM, David L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h270t-49224c5f5b02741641971e2c5d4727cb0904054d843dfff1ad3dbee402cc33d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Animals</topic><topic>beta Catenin</topic><topic>Biological and medical sciences</topic><topic>Cadherins - analysis</topic><topic>Cell Line</topic><topic>Cell Nucleus - pathology</topic><topic>Colorectal Neoplasms - genetics</topic><topic>Colorectal Neoplasms - mortality</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Cytoplasm - pathology</topic><topic>Cytoskeletal Proteins - analysis</topic><topic>Cytoskeletal Proteins - genetics</topic><topic>Dogs</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Medical sciences</topic><topic>Neoplasm Staging</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>Phosphoproteins - analysis</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Recombinant Proteins - analysis</topic><topic>Reproducibility of Results</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Survival Rate</topic><topic>Trans-Activators</topic><topic>Transfection</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHUNG, Gina G</creatorcontrib><creatorcontrib>PROVOST, Elayne</creatorcontrib><creatorcontrib>KIELHORN, Eric P</creatorcontrib><creatorcontrib>CHARETTE, Lori A</creatorcontrib><creatorcontrib>SMITH, Bradley L</creatorcontrib><creatorcontrib>RIMM, David L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHUNG, Gina G</au><au>PROVOST, Elayne</au><au>KIELHORN, Eric P</au><au>CHARETTE, Lori A</au><au>SMITH, Bradley L</au><au>RIMM, David L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tissue Microarray Analysis of β-Catenin in Colorectal Cancer Shows Nuclear Phospho-β-catenin Is Associated with a Better Prognosis</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>7</volume><issue>12</issue><spage>4013</spage><epage>4020</epage><pages>4013-4020</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><abstract>Purpose : β-Catenin is involved in homotypic cell-cell adhesion and the wnt signaling pathway. Deregulation of β-catenin levels, caused in part by mutations of the adenomatous polyposis coli gene, is thought to play a role in the development of colorectal and other cancers. To further elucidate their roles, the expression pattern of β-catenin and phosphospecific β-catenin was correlated with clinical outcome in a series of patients with colorectal cancer. Experimental Design: Immunohistochemical analysis of a tissue microarray with 650 colorectal cancer specimens was performed to study the expression and subcellular localization of β-catenin and phosphospecific β-catenin. These results were correlated with other clinicopathological factors and with overall survival. Results: The majority of cancers retained some degree of β-catenin membranous staining, whereas cytoplasmic or nuclear expression was seen in 42.5% and 20.4% of specimens, respectively. Phospho-β-catenin showed nuclear staining in 9.5% of specimens, and there was no apparent membranous or cytoplasmic staining. There was no significant association between β-catenin or phospho-β-catenin and grade or stage. However, there was a positive correlation between β-catenin and phospho-β-catenin ( P = 0.039), with phospho-β-catenin representing a subset of nuclear β-catenin. Patients with nuclear expression of β-catenin did not have an altered survival compared with those that did not ( P = 0.5611). Nuclear expression of phospho-β-catenin, however, was associated with an improved survival ( P = 0.0006). In multivariate analysis, only stage and phospho-β-catenin were independently predictive of overall survival ( P &lt; 0.001 and P = 0.0034, respectively). Conclusions: These findings support a role for β-catenin overexpression in colorectal tumorigenesis and provide initial evidence that phospho-β-catenin may be a marker for improved overall survival independent of stage and grade.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>11751495</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Animals
beta Catenin
Biological and medical sciences
Cadherins - analysis
Cell Line
Cell Nucleus - pathology
Colorectal Neoplasms - genetics
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
Cytoplasm - pathology
Cytoskeletal Proteins - analysis
Cytoskeletal Proteins - genetics
Dogs
Gastroenterology. Liver. Pancreas. Abdomen
Gene Expression Regulation, Neoplastic
Humans
Immunohistochemistry
Medical sciences
Neoplasm Staging
Oligonucleotide Array Sequence Analysis
Phosphoproteins - analysis
Prognosis
Proportional Hazards Models
Recombinant Proteins - analysis
Reproducibility of Results
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Rate
Trans-Activators
Transfection
Treatment Outcome
Tumors
title Tissue Microarray Analysis of β-Catenin in Colorectal Cancer Shows Nuclear Phospho-β-catenin Is Associated with a Better Prognosis
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