Sucrase-isomaltase is an independent prognostic marker for colorectal carcinoma

Expression of disaccharidase sucrase-isomaltase (SI) is significantly enhanced during neoplastic transformation of colonic epithelium. Our study was designed to determine whether expression of SI within primary tumors was significantly associated with survival in patients with colorectal carcinoma (...

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Veröffentlicht in:Diseases of the colon & rectum 1995-12, Vol.38 (12), p.1257-1264
Hauptverfasser: JESSUP, J. M, LAVIN, P. T, ANDREWS, C. W, LODA, M, MERCURIO, A, MINSKY, B. D, MIES, C, CUKOR, B, BLEDAY, R, STEELE, G. JR
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container_end_page 1264
container_issue 12
container_start_page 1257
container_title Diseases of the colon & rectum
container_volume 38
creator JESSUP, J. M
LAVIN, P. T
ANDREWS, C. W
LODA, M
MERCURIO, A
MINSKY, B. D
MIES, C
CUKOR, B
BLEDAY, R
STEELE, G. JR
description Expression of disaccharidase sucrase-isomaltase (SI) is significantly enhanced during neoplastic transformation of colonic epithelium. Our study was designed to determine whether expression of SI within primary tumors was significantly associated with survival in patients with colorectal carcinoma (CRC). SI expression was analyzed by immunohistochemistry in paraffin sections from 182 Stage I to III CRC that had been resected for cure at the New England Deaconess Hospital between 1965 and 1977. Expression was scored as absent or present in 1 to 50 percent or more than 50 percent of tumor cells. Associations were explored among SI expression, other clinical or pathologic variables, and overall survival. The data set is mature, with 91 (56 percent) patients who had died of CRC at a median follow-up of 96 months. Fifty-five percent of primary CRC expressed SI. When the multivariate Cox analysis was performed, nodal status, T stage, primary site, grade, and SI expression were independent covariates. SI expression was not associated with the expression of other clinicopathologic variables but increased the risk of death from colorectal carcinoma by 1.83-fold. These results indicate that SI is a prognostic marker for CRC that is independent of stage-related variables in patients who have undergone potentially curative resections.
doi_str_mv 10.1007/bf02049149
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subjects Aged
Biological and medical sciences
Biomarkers, Tumor - analysis
Biomarkers, Tumor - genetics
Carcinoma - enzymology
Carcinoma - genetics
Carcinoma - pathology
Carcinoma - surgery
Cell Transformation, Neoplastic - genetics
Cell Transformation, Neoplastic - metabolism
Cell Transformation, Neoplastic - pathology
Colon - enzymology
Colon - pathology
Colonic Neoplasms - enzymology
Colonic Neoplasms - genetics
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Gene Expression Regulation, Enzymologic
Gene Expression Regulation, Neoplastic
Humans
Immunohistochemistry
Male
Medical sciences
Multivariate Analysis
Neoplasm Staging
Oligo-1,6-Glucosidase - analysis
Oligo-1,6-Glucosidase - genetics
Prognosis
Proportional Hazards Models
Rectal Neoplasms - enzymology
Rectal Neoplasms - genetics
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
Retrospective Studies
Risk Factors
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Sucrase - analysis
Sucrase - genetics
Survival Rate
Tumors
title Sucrase-isomaltase is an independent prognostic marker for colorectal carcinoma
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