Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression

Aim – to analyze immunohistochemical expression levels of epithelial and mesenchymal phenotype markers in colorectal adenocarcinoma on I–IV stages (pTNM). Materials and methods. Pathohistological and immunohistochemical studies of surgical material from 30 patients that had undergone surgical tre...

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Main Authors: M. A. Shyshkin, S. V. Fen
Format: Article
Language:English
Published: Zaporozhye State Medical University 2020-10-01
Series:Zaporožskij Medicinskij Žurnal
Subjects:
Online Access:http://zmj.zsmu.edu.ua/article/view/214747/214898
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author M. A. Shyshkin
S. V. Fen
author_facet M. A. Shyshkin
S. V. Fen
author_sort M. A. Shyshkin
collection DOAJ
description Aim – to analyze immunohistochemical expression levels of epithelial and mesenchymal phenotype markers in colorectal adenocarcinoma on I–IV stages (pTNM). Materials and methods. Pathohistological and immunohistochemical studies of surgical material from 30 patients that had undergone surgical treatment of colorectal adenocarcinoma (I–IV stages) were carried out. Results. Colorectal adenocarcinoma is characterized by the low E-cadherin expression level is 45.94 (32.04; 58.26) CUOD. A statistically significant decrease in the marker expression level in sequence from stages I to IV was revealed. Carcinoma is characterized by the medium CK-20 expression level is 54.28 (41.55; 70.27) CUOD. A statistically significant decrease in the marker expression level in the studied sequence was revealed as well. Furthermore, CK-20 expression is revealed not only in cancer cells clusters, but also in cells which are located separately in tumor stroma. Colorectal adenocarcinoma is characterized by the medium vimentin expression level in the stroma is 95.23 (80.22; 110.21) CUOD. A statistically significant increase in the marker expression level in sequence from stages I to IV was revealed. Besides, there is a tendency to vimentin-immunopositive cells accumulation near cancer cells clusters. Carcinoma is characterized by the medium α-SMA expression level: the median of its expression is 75.71 (60.22; 90.34) CUOD. There is also a tendency to α-SMA-immunopositive cells accumulation near cancer cells clusters. Correlation analysis revealed direct connections between E-cadherin and CK-20 expression levels (r = 0.74, P ˂ 0.05), vimentin and α-SMA expression levels (r = 0.53, P ˂ 0.05). Moreover, reverse connections between E-cadherin and vimentin expression levels (r = -0.43, P ˂ 0.05), E-cadherin and α-SMA expression levels (r = -0.53, P ˂ 0.05), CK-20 and vimentin expression levels (r = -0.65, P ˂ 0.05), CK-20 and α-SMA expression levels (r = -0.69, P ˂ 0.05) were revealed. Conclusions. Parallel loss of epithelial phenotype and an increase of mesenchymal phenotype cells number occur during colorectal adenocarcinoma progression from stages I to IV (pTNM).
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spelling doaj.art-3d2dde06775a4ec5b4310657acb6f41d2022-12-21T19:12:24ZengZaporozhye State Medical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102020-10-0122569470010.14739/2310-1210.2020.5.214747Epithelial-mesenchymal transition in сolorectal adenocarcinoma progressionM. A. Shyshkin 0S. V. Fen1Zaporizhzhіa State Medical University, UkraineZaporizhzhіa State Medical University, UkraineAim – to analyze immunohistochemical expression levels of epithelial and mesenchymal phenotype markers in colorectal adenocarcinoma on I–IV stages (pTNM). Materials and methods. Pathohistological and immunohistochemical studies of surgical material from 30 patients that had undergone surgical treatment of colorectal adenocarcinoma (I–IV stages) were carried out. Results. Colorectal adenocarcinoma is characterized by the low E-cadherin expression level is 45.94 (32.04; 58.26) CUOD. A statistically significant decrease in the marker expression level in sequence from stages I to IV was revealed. Carcinoma is characterized by the medium CK-20 expression level is 54.28 (41.55; 70.27) CUOD. A statistically significant decrease in the marker expression level in the studied sequence was revealed as well. Furthermore, CK-20 expression is revealed not only in cancer cells clusters, but also in cells which are located separately in tumor stroma. Colorectal adenocarcinoma is characterized by the medium vimentin expression level in the stroma is 95.23 (80.22; 110.21) CUOD. A statistically significant increase in the marker expression level in sequence from stages I to IV was revealed. Besides, there is a tendency to vimentin-immunopositive cells accumulation near cancer cells clusters. Carcinoma is characterized by the medium α-SMA expression level: the median of its expression is 75.71 (60.22; 90.34) CUOD. There is also a tendency to α-SMA-immunopositive cells accumulation near cancer cells clusters. Correlation analysis revealed direct connections between E-cadherin and CK-20 expression levels (r = 0.74, P ˂ 0.05), vimentin and α-SMA expression levels (r = 0.53, P ˂ 0.05). Moreover, reverse connections between E-cadherin and vimentin expression levels (r = -0.43, P ˂ 0.05), E-cadherin and α-SMA expression levels (r = -0.53, P ˂ 0.05), CK-20 and vimentin expression levels (r = -0.65, P ˂ 0.05), CK-20 and α-SMA expression levels (r = -0.69, P ˂ 0.05) were revealed. Conclusions. Parallel loss of epithelial phenotype and an increase of mesenchymal phenotype cells number occur during colorectal adenocarcinoma progression from stages I to IV (pTNM).http://zmj.zsmu.edu.ua/article/view/214747/214898сolorectal сancere-cadherincytokeratin 20alpha-sma proteinvimentinepithelial-mesenchymal transition
spellingShingle M. A. Shyshkin
S. V. Fen
Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
Zaporožskij Medicinskij Žurnal
сolorectal сancer
e-cadherin
cytokeratin 20
alpha-sma protein
vimentin
epithelial-mesenchymal transition
title Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
title_full Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
title_fullStr Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
title_full_unstemmed Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
title_short Epithelial-mesenchymal transition in сolorectal adenocarcinoma progression
title_sort epithelial mesenchymal transition in сolorectal adenocarcinoma progression
topic сolorectal сancer
e-cadherin
cytokeratin 20
alpha-sma protein
vimentin
epithelial-mesenchymal transition
url http://zmj.zsmu.edu.ua/article/view/214747/214898
work_keys_str_mv AT mashyshkin epithelialmesenchymaltransitioninsolorectaladenocarcinomaprogression
AT svfen epithelialmesenchymaltransitioninsolorectaladenocarcinomaprogression