Brachyury expression predicts poor prognosis at early stages of colorectal cancer

Abstract Although survival rates of colon cancer patients diagnosed at an early stage (T1-2N0M0; Dukes A) vary considerably according to the studies cited, several studies indicate development of distant metastases already occurring in a considerable percentage of these patients leading to the death...

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Veröffentlicht in:European journal of cancer (1990) 2011-05, Vol.47 (7), p.1080-1085
Hauptverfasser: Kilic, Nerbil, Feldhaus, Susanne, Kilic, Ergin, Tennstedt, Pierre, Wicklein, Daniel, Wasielewski, Reinhard von, Viebahn, Christoph, Kreipe, Hans, Schumacher, Udo
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container_end_page 1085
container_issue 7
container_start_page 1080
container_title European journal of cancer (1990)
container_volume 47
creator Kilic, Nerbil
Feldhaus, Susanne
Kilic, Ergin
Tennstedt, Pierre
Wicklein, Daniel
Wasielewski, Reinhard von
Viebahn, Christoph
Kreipe, Hans
Schumacher, Udo
description Abstract Although survival rates of colon cancer patients diagnosed at an early stage (T1-2N0M0; Dukes A) vary considerably according to the studies cited, several studies indicate development of distant metastases already occurring in a considerable percentage of these patients leading to the death of the patients. This particular high risk group cannot be identified properly as no marker exists to identify these patients. As the Wnt/Win pathway plays a crucial role in metastasis formation in colorectal carcinoma, we analysed whether the transcription factor brachyury critically involved in this pathway may predict metastasis formation in these patients. The expression of brachyury-homologous (T) was immunohistochemically analysed in 748 patients and the data were correlated with classical and newer prognostic markers in colorectal cancer. Early stages colorectal cancer patients (T1-2N0M0, Dukes A) showed a significantly decreased survival when brachyury was expressed in the tumour tissue while no correlation was observed in later tumour stages. Hence a subset of colorectal cancers exists in which the ability to metastasise is already present at early stages of tumour growth and this high risk group can now be detected by immunohistochemistry.
doi_str_mv 10.1016/j.ejca.2010.11.015
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ispartof European journal of cancer (1990), 2011-05, Vol.47 (7), p.1080-1085
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Brachyury transcription factor
Cell Separation
Colorectal adenocarcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - genetics
Female
Fetal Proteins - genetics
Flow Cytometry
Gene Expression Regulation, Neoplastic
Hematology, Oncology and Palliative Medicine
Humans
Immunohistochemistry - methods
Male
Medical sciences
Middle Aged
Oligonucleotide Array Sequence Analysis
Pharmacology. Drug treatments
Prognosis
Prognostic marker
Survival analysis
T gene-box
T-Box Domain Proteins - genetics
Tissue micro array
Transcription Factors - metabolism
Treatment Outcome
Tumors
title Brachyury expression predicts poor prognosis at early stages of colorectal cancer
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