Perez Rodrigo, Wu Nancy, Klipfel Adam A, Beart Robert W
Division of Coloproctology, University of Sao Paulo School of Medicine, Sao Paolo, Brazil.
J Gastrointest Surg. 2003 Nov;7(7):884-9. doi: 10.1007/s11605-003-0034-8.
The purpose of this study was to evaluate the overexpression of cyclin G in colorectal neoplasia, which may be a more frequent event than cyclin D1 during the cell cycle and thus may have a more enhanced therapeutic potential in treating colorectal cancer. Ninety formalin-fixed, paraffin-embedded human colon and rectal specimens were obtained from the Pathology Department of Norris Cancer Center/University of Southern California. The tissues had been obtained after surgical resection between 1995 and 2001, and had been processed by routine clinical histopathologic methods. Ninety-one percent of colorectal tumors had cyclin G overexpression. These cyclin-positive patients were evenly distributed between men and women, and between tumor locations, that is, 36% rectal tumors and 34% right-sided tumors. Thirty-two percent were well differentiated, and 66% were moderately differentiated. Thirty patients (38%) had stage I disease, 16 (20%) had stage II disease, 25 (32%) had stage III, and seven (9%) had stage IV disease. Eight patients (10%) in this group had recurrent disease during follow-up. There was no correlation between cyclin G overexpression and clinical and pathologic characteristics. Cyclin D1 overexpression was found to be present in only 42% of colorectal adenocarcinomas. There was no correlation between cyclin D1 overexpression and clinical and pathologic characteristics. The present study demonstrates that cyclin G overexpression is a frequent event in colorectal cancer. This frequent event in colorectal carcinogenesis may facilitate new therapeutic approaches acting as a target for gene therapy, possibly directed at downregulating cyclin G in colorectal cancer.
本研究的目的是评估细胞周期蛋白G在结直肠肿瘤中的过表达情况,其在细胞周期中可能比细胞周期蛋白D1更为常见,因此在治疗结直肠癌方面可能具有更大的治疗潜力。从南加州大学诺里斯癌症中心病理科获取了90份福尔马林固定、石蜡包埋的人类结肠和直肠标本。这些组织是在1995年至2001年期间手术切除后获得的,并采用常规临床组织病理学方法进行处理。91%的结直肠肿瘤有细胞周期蛋白G过表达。这些细胞周期蛋白阳性的患者在男性和女性之间以及肿瘤部位之间分布均匀,即36%为直肠肿瘤,34%为右侧肿瘤。32%为高分化,66%为中分化。30例(38%)患者为I期疾病,16例(20%)为II期疾病,25例(32%)为III期,7例(9%)为IV期疾病。该组中有8例(10%)患者在随访期间出现复发疾病。细胞周期蛋白G过表达与临床和病理特征之间无相关性。发现仅42%的结直肠腺癌存在细胞周期蛋白D1过表达。细胞周期蛋白D1过表达与临床和病理特征之间无相关性。本研究表明,细胞周期蛋白G过表达在结直肠癌中是一种常见现象。这种在结直肠癌发生过程中的常见现象可能有助于开发新的治疗方法,作为基因治疗的靶点,可能旨在下调结直肠癌中的细胞周期蛋白G。