Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance

Background: Colorectal cancer (CRC) represents the third leading cause of cancer-related death in the United States. Lack of reliable biomarkers remains a critical issue for early detection of CRC. In this study, we investigated the potential predictive values of circulating prostaglandin (PG) biosy...

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Main Authors: Haitao Li, Kangdong Liu, Lisa A. Boardman, Yuzhou Zhao, Lei Wang, Yuqiao Sheng, Naomi Oi, Paul J. Limburg, Ann M. Bode, Zigang Dong
Format: Article
Language:English
Published: Elsevier 2015-02-01
Series:EBioMedicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352396414000504
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author Haitao Li
Kangdong Liu
Lisa A. Boardman
Yuzhou Zhao
Lei Wang
Yuqiao Sheng
Naomi Oi
Paul J. Limburg
Ann M. Bode
Zigang Dong
author_facet Haitao Li
Kangdong Liu
Lisa A. Boardman
Yuzhou Zhao
Lei Wang
Yuqiao Sheng
Naomi Oi
Paul J. Limburg
Ann M. Bode
Zigang Dong
author_sort Haitao Li
collection DOAJ
description Background: Colorectal cancer (CRC) represents the third leading cause of cancer-related death in the United States. Lack of reliable biomarkers remains a critical issue for early detection of CRC. In this study, we investigated the potential predictive values of circulating prostaglandin (PG) biosynthesis in CRC risk. Methods: Profiles of circulating PG biosynthesis and platelet counts were determined in healthy subjects (n = 16), familial adenomatous polyposis (FAP) patients who were classified as regular aspirin users (n = 14) or nonusers (n = 24), and CRC patients with (n = 18) or without FAP history (n = 20). Immunohistochemistry staining was performed on biopsy samples. Results: Analysis of circulating PG biosynthesis unexpectedly revealed that CRC progression is accompanied by a pronounced elevation of circulating thromboxane A2 (TXA2) levels. When a circulating TXA2 level of 1000 pg/mL was selected as a practical cutoff point, 95% of CRC patients were successfully identified. Further study suggested that the TXA2 pathway is constitutively activated during colorectal tumorigenesis and required for anchorage-independent growth of colon cancer cells. Conclusions: This study established the importance of the TXA2 pathway in CRC pathophysiology, and laid the groundwork for introducing a TXA2-targeting strategy to CRC prevention, early detection and management.
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spelling doaj.art-6e73a4e95a3c412c95c8e73e312559842022-12-21T23:55:24ZengElsevierEBioMedicine2352-39642015-02-012216517110.1016/j.ebiom.2014.12.004Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical SignificanceHaitao Li0Kangdong Liu1Lisa A. Boardman2Yuzhou Zhao3Lei Wang4Yuqiao Sheng5Naomi Oi6Paul J. Limburg7Ann M. Bode8Zigang Dong9The Hormel Institute, University of Minnesota, Austin, MN, USAThe China–US (Henan) Hormel Cancer Institute, Zhengzhou, Henan, ChinaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USAThe Affiliated Cancer Hospital, Zhengzhou University, Zhengzhou, ChinaThe Hormel Institute, University of Minnesota, Austin, MN, USAThe Hormel Institute, University of Minnesota, Austin, MN, USAThe Hormel Institute, University of Minnesota, Austin, MN, USADepartment of Medicine, Mayo Clinic, Rochester, MN, USAThe Hormel Institute, University of Minnesota, Austin, MN, USAThe Hormel Institute, University of Minnesota, Austin, MN, USABackground: Colorectal cancer (CRC) represents the third leading cause of cancer-related death in the United States. Lack of reliable biomarkers remains a critical issue for early detection of CRC. In this study, we investigated the potential predictive values of circulating prostaglandin (PG) biosynthesis in CRC risk. Methods: Profiles of circulating PG biosynthesis and platelet counts were determined in healthy subjects (n = 16), familial adenomatous polyposis (FAP) patients who were classified as regular aspirin users (n = 14) or nonusers (n = 24), and CRC patients with (n = 18) or without FAP history (n = 20). Immunohistochemistry staining was performed on biopsy samples. Results: Analysis of circulating PG biosynthesis unexpectedly revealed that CRC progression is accompanied by a pronounced elevation of circulating thromboxane A2 (TXA2) levels. When a circulating TXA2 level of 1000 pg/mL was selected as a practical cutoff point, 95% of CRC patients were successfully identified. Further study suggested that the TXA2 pathway is constitutively activated during colorectal tumorigenesis and required for anchorage-independent growth of colon cancer cells. Conclusions: This study established the importance of the TXA2 pathway in CRC pathophysiology, and laid the groundwork for introducing a TXA2-targeting strategy to CRC prevention, early detection and management.http://www.sciencedirect.com/science/article/pii/S2352396414000504Colorectal cancerFamilial adenomatous polyposisThromboxane A2
spellingShingle Haitao Li
Kangdong Liu
Lisa A. Boardman
Yuzhou Zhao
Lei Wang
Yuqiao Sheng
Naomi Oi
Paul J. Limburg
Ann M. Bode
Zigang Dong
Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
EBioMedicine
Colorectal cancer
Familial adenomatous polyposis
Thromboxane A2
title Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
title_full Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
title_fullStr Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
title_full_unstemmed Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
title_short Circulating Prostaglandin Biosynthesis in Colorectal Cancer and Potential Clinical Significance
title_sort circulating prostaglandin biosynthesis in colorectal cancer and potential clinical significance
topic Colorectal cancer
Familial adenomatous polyposis
Thromboxane A2
url http://www.sciencedirect.com/science/article/pii/S2352396414000504
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