IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases

Background: IDO1 and COX2 have emerged as promising immunotherapy targets. It is unclear whether IDO1 and COX2 expression levels in colorectal cancer (CRC) patients with liver oligometastases could be independent predictors of overall survival (OS) and progression-free survival (PFS). The purpose of...

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Main Authors: Miaoqing Wu, Xiaoliang Wu, Xing Wang, Xiangchan Hong, Yifan Liu, Guangzhao Lv, Cong Li, Zhizhong Pan, Rongxin Zhang, Gong Chen
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/3/496
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author Miaoqing Wu
Xiaoliang Wu
Xing Wang
Xiangchan Hong
Yifan Liu
Guangzhao Lv
Cong Li
Zhizhong Pan
Rongxin Zhang
Gong Chen
author_facet Miaoqing Wu
Xiaoliang Wu
Xing Wang
Xiangchan Hong
Yifan Liu
Guangzhao Lv
Cong Li
Zhizhong Pan
Rongxin Zhang
Gong Chen
author_sort Miaoqing Wu
collection DOAJ
description Background: IDO1 and COX2 have emerged as promising immunotherapy targets. It is unclear whether IDO1 and COX2 expression levels in colorectal cancer (CRC) patients with liver oligometastases could be independent predictors of overall survival (OS) and progression-free survival (PFS). The purpose of this study was to investigate the correlation of IDO1 and COX2 expression levels with OS and PFS in CRC patients with liver oligometastases. Methods: The expression levels of IDO1 and COX2 were assessed by immunohistochemistry in 107 specimens from patients with liver oligometastases. The correlation between the expression of IDO1 and COX2 and the clinicopathological parameters and OS/PFS in patients was examined. Results: The expression level of IDO1/COX2 was significantly correlated with age and was not associated with gender, BMI, T stage, N stage, primary tumor size, liver metastasis size, CEA, CA19-9, CD3 TILs or CD8 TILs. In univariate analysis, we found that IDO1/COX2 expression, CEA and N stage all yielded significantly poor OS and PFS outcomes. In our multivariate Cox model, IDO1/COX2 coexpression, CEA and N stage were found to be significantly correlated with OS; IDO1/COX2 coexpression and CEA were significantly correlated with PFS. Conclusions: IDO1/COX2 coexpression plays a pivotal role and may act as a potential prognostic biomarker for survival in CRC patients with liver oligometastases.
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spelling doaj.art-59d1ab82063446e2b84ebbb17376665b2023-11-17T12:03:09ZengMDPI AGJournal of Personalized Medicine2075-44262023-03-0113349610.3390/jpm13030496IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver OligometastasesMiaoqing Wu0Xiaoliang Wu1Xing Wang2Xiangchan Hong3Yifan Liu4Guangzhao Lv5Cong Li6Zhizhong Pan7Rongxin Zhang8Gong Chen9Department of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Oncology, Shenzhen Hospital of Southern Medical University, Shenzhen 518000, ChinaFirst Affiliated Hospital of Jiangxi Medical College, Nanchang 330000, ChinaDepartment of Oncology, Shenzhen Hospital of Southern Medical University, Shenzhen 518000, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaDepartment of Colorectal Surgery, Cancer Centre, Sun Yat-sen University, Guangzhou 510060, ChinaBackground: IDO1 and COX2 have emerged as promising immunotherapy targets. It is unclear whether IDO1 and COX2 expression levels in colorectal cancer (CRC) patients with liver oligometastases could be independent predictors of overall survival (OS) and progression-free survival (PFS). The purpose of this study was to investigate the correlation of IDO1 and COX2 expression levels with OS and PFS in CRC patients with liver oligometastases. Methods: The expression levels of IDO1 and COX2 were assessed by immunohistochemistry in 107 specimens from patients with liver oligometastases. The correlation between the expression of IDO1 and COX2 and the clinicopathological parameters and OS/PFS in patients was examined. Results: The expression level of IDO1/COX2 was significantly correlated with age and was not associated with gender, BMI, T stage, N stage, primary tumor size, liver metastasis size, CEA, CA19-9, CD3 TILs or CD8 TILs. In univariate analysis, we found that IDO1/COX2 expression, CEA and N stage all yielded significantly poor OS and PFS outcomes. In our multivariate Cox model, IDO1/COX2 coexpression, CEA and N stage were found to be significantly correlated with OS; IDO1/COX2 coexpression and CEA were significantly correlated with PFS. Conclusions: IDO1/COX2 coexpression plays a pivotal role and may act as a potential prognostic biomarker for survival in CRC patients with liver oligometastases.https://www.mdpi.com/2075-4426/13/3/496colorectal canceroligometastasesIDO1COX2prognosis
spellingShingle Miaoqing Wu
Xiaoliang Wu
Xing Wang
Xiangchan Hong
Yifan Liu
Guangzhao Lv
Cong Li
Zhizhong Pan
Rongxin Zhang
Gong Chen
IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
Journal of Personalized Medicine
colorectal cancer
oligometastases
IDO1
COX2
prognosis
title IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
title_full IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
title_fullStr IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
title_full_unstemmed IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
title_short IDO1/COX2 Expression Is Associated with Poor Prognosis in Colorectal Cancer Liver Oligometastases
title_sort ido1 cox2 expression is associated with poor prognosis in colorectal cancer liver oligometastases
topic colorectal cancer
oligometastases
IDO1
COX2
prognosis
url https://www.mdpi.com/2075-4426/13/3/496
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