High expression of the Notch ligand Jagged‐1 is associated with poor prognosis after surgery for colorectal cancer

The importance of Notch signaling in colorectal cancer (CRC) carcinogenesis and progression has previously been presented. Increased expression of Jagged‐1 (JAG1), a Notch ligand, in CRC has been revealed, but the detailed prognostic significance of JAG1 in CRC has not been determined. Protein expre...

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Veröffentlicht in:Cancer science 2016-11, Vol.107 (11), p.1705-1716
Hauptverfasser: Sugiyama, Masakazu, Oki, Eiji, Nakaji, Yu, Tsutsumi, Satoshi, Ono, Naomi, Nakanishi, Ryota, Sugiyama, Masahiko, Nakashima, Yuichiro, Sonoda, Hideto, Ohgaki, Kippei, Yamashita, Nami, Saeki, Hiroshi, Okano, Shinji, Kitao, Hiroyuki, Morita, Masaru, Oda, Yoshinao, Maehara, Yoshihiko
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container_end_page 1716
container_issue 11
container_start_page 1705
container_title Cancer science
container_volume 107
creator Sugiyama, Masakazu
Oki, Eiji
Nakaji, Yu
Tsutsumi, Satoshi
Ono, Naomi
Nakanishi, Ryota
Sugiyama, Masahiko
Nakashima, Yuichiro
Sonoda, Hideto
Ohgaki, Kippei
Yamashita, Nami
Saeki, Hiroshi
Okano, Shinji
Kitao, Hiroyuki
Morita, Masaru
Oda, Yoshinao
Maehara, Yoshihiko
description The importance of Notch signaling in colorectal cancer (CRC) carcinogenesis and progression has previously been presented. Increased expression of Jagged‐1 (JAG1), a Notch ligand, in CRC has been revealed, but the detailed prognostic significance of JAG1 in CRC has not been determined. Protein expression of JAG1 was examined using immunohistochemistry in 158 CRC specimens. Expression of JAG1 and E‐cadherin and their associations with clinicopathologic characteristics, overall survival (OS) and relapse‐free survival (RFS) were evaluated. In vitro studies using compounds to regulate intracellular signaling and small interfering RNA to silence JAG1 were performed in a colon cancer cell line. JAG1 expression in cancerous tissues was weak, moderate or strong in 32%, 36% and 32% of specimens, respectively, and correlated with histologic type and T stage. In multivariate analysis, JAG1 expression, histologic type and lymphatic invasion independently correlated with OS and RFS. The combination of high JAG1 expression and low E‐cadherin expression had an additive effect toward poorer OS and RFS compared with the low JAG1/high E‐cadherin expression subtype. A significant correlation between JAG1 expression and KRAS status was detected in groups stratified as high E‐cadherin expression. In vitro studies suggested that RAS‐MEK‐MAP kinase and the Wnt pathways positively regulated JAG1 expression. Gene silencing with siJAG1 indicated that JAG1 promotes the transition from epithelial to mesenchymal characteristics and cell growth. High expression of JAG1 is regulated by various pathways and is associated with poor prognosis through promoting the epithelial to mesenchymal transition and cell proliferation or maintaining cell survival in CRC. This is the first report demonstrating the poor prognostic significance of JAG1 expression in CRC. Combination of high JAG1 expression with low E‐cadherin expression leads to severely poor outcome. Novel insight into the correlation between KRAS status and JAG1 expression in CRC patients.
doi_str_mv 10.1111/cas.13075
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Increased expression of Jagged‐1 (JAG1), a Notch ligand, in CRC has been revealed, but the detailed prognostic significance of JAG1 in CRC has not been determined. Protein expression of JAG1 was examined using immunohistochemistry in 158 CRC specimens. Expression of JAG1 and E‐cadherin and their associations with clinicopathologic characteristics, overall survival (OS) and relapse‐free survival (RFS) were evaluated. In vitro studies using compounds to regulate intracellular signaling and small interfering RNA to silence JAG1 were performed in a colon cancer cell line. JAG1 expression in cancerous tissues was weak, moderate or strong in 32%, 36% and 32% of specimens, respectively, and correlated with histologic type and T stage. In multivariate analysis, JAG1 expression, histologic type and lymphatic invasion independently correlated with OS and RFS. The combination of high JAG1 expression and low E‐cadherin expression had an additive effect toward poorer OS and RFS compared with the low JAG1/high E‐cadherin expression subtype. A significant correlation between JAG1 expression and KRAS status was detected in groups stratified as high E‐cadherin expression. In vitro studies suggested that RAS‐MEK‐MAP kinase and the Wnt pathways positively regulated JAG1 expression. Gene silencing with siJAG1 indicated that JAG1 promotes the transition from epithelial to mesenchymal characteristics and cell growth. High expression of JAG1 is regulated by various pathways and is associated with poor prognosis through promoting the epithelial to mesenchymal transition and cell proliferation or maintaining cell survival in CRC. This is the first report demonstrating the poor prognostic significance of JAG1 expression in CRC. Combination of high JAG1 expression with low E‐cadherin expression leads to severely poor outcome. 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Increased expression of Jagged‐1 (JAG1), a Notch ligand, in CRC has been revealed, but the detailed prognostic significance of JAG1 in CRC has not been determined. Protein expression of JAG1 was examined using immunohistochemistry in 158 CRC specimens. Expression of JAG1 and E‐cadherin and their associations with clinicopathologic characteristics, overall survival (OS) and relapse‐free survival (RFS) were evaluated. In vitro studies using compounds to regulate intracellular signaling and small interfering RNA to silence JAG1 were performed in a colon cancer cell line. JAG1 expression in cancerous tissues was weak, moderate or strong in 32%, 36% and 32% of specimens, respectively, and correlated with histologic type and T stage. In multivariate analysis, JAG1 expression, histologic type and lymphatic invasion independently correlated with OS and RFS. The combination of high JAG1 expression and low E‐cadherin expression had an additive effect toward poorer OS and RFS compared with the low JAG1/high E‐cadherin expression subtype. A significant correlation between JAG1 expression and KRAS status was detected in groups stratified as high E‐cadherin expression. In vitro studies suggested that RAS‐MEK‐MAP kinase and the Wnt pathways positively regulated JAG1 expression. Gene silencing with siJAG1 indicated that JAG1 promotes the transition from epithelial to mesenchymal characteristics and cell growth. High expression of JAG1 is regulated by various pathways and is associated with poor prognosis through promoting the epithelial to mesenchymal transition and cell proliferation or maintaining cell survival in CRC. This is the first report demonstrating the poor prognostic significance of JAG1 expression in CRC. Combination of high JAG1 expression with low E‐cadherin expression leads to severely poor outcome. 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Increased expression of Jagged‐1 (JAG1), a Notch ligand, in CRC has been revealed, but the detailed prognostic significance of JAG1 in CRC has not been determined. Protein expression of JAG1 was examined using immunohistochemistry in 158 CRC specimens. Expression of JAG1 and E‐cadherin and their associations with clinicopathologic characteristics, overall survival (OS) and relapse‐free survival (RFS) were evaluated. In vitro studies using compounds to regulate intracellular signaling and small interfering RNA to silence JAG1 were performed in a colon cancer cell line. JAG1 expression in cancerous tissues was weak, moderate or strong in 32%, 36% and 32% of specimens, respectively, and correlated with histologic type and T stage. In multivariate analysis, JAG1 expression, histologic type and lymphatic invasion independently correlated with OS and RFS. The combination of high JAG1 expression and low E‐cadherin expression had an additive effect toward poorer OS and RFS compared with the low JAG1/high E‐cadherin expression subtype. A significant correlation between JAG1 expression and KRAS status was detected in groups stratified as high E‐cadherin expression. In vitro studies suggested that RAS‐MEK‐MAP kinase and the Wnt pathways positively regulated JAG1 expression. Gene silencing with siJAG1 indicated that JAG1 promotes the transition from epithelial to mesenchymal characteristics and cell growth. High expression of JAG1 is regulated by various pathways and is associated with poor prognosis through promoting the epithelial to mesenchymal transition and cell proliferation or maintaining cell survival in CRC. This is the first report demonstrating the poor prognostic significance of JAG1 expression in CRC. Combination of high JAG1 expression with low E‐cadherin expression leads to severely poor outcome. Novel insight into the correlation between KRAS status and JAG1 expression in CRC patients.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>27589478</pmid><doi>10.1111/cas.13075</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Cadherins - metabolism
Carcinogenesis
Cell adhesion & migration
Cell Line, Tumor
Cell Proliferation
Cell Survival
Colon cancer
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Endothelium
Endothelium - metabolism
Epithelial-Mesenchymal Transition
Gene silencing
Humans
Immunohistochemistry
Intracellular signalling
Investigations
JAG1
Jagged-1 Protein - metabolism
Kaplan-Meier Estimate
Kinases
Ligands
MAP kinase
Medical prognosis
Mesenchyme
Multivariate analysis
Mutation
Notch
Original
Pharmaceuticals
Prognosis
Receptors, Notch - metabolism
Signal transduction
siRNA
Surgery
survival rate
Wnt protein
title High expression of the Notch ligand Jagged‐1 is associated with poor prognosis after surgery for colorectal cancer
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