Yoo Young Sun, Lim Sung Chul, Kim Kyung Jong
Department of Surgery, Chosun University College of Medicine, Gwangju, Korea.
J Korean Surg Soc. 2011 Jun;80(6):397-403. doi: 10.4174/jkss.2011.80.6.397. Epub 2011 Jun 9.
Cyclooxygenase-2 is believed to be an important enzyme in the pathogenesis of colorectal cancer (CRC). Cytosolic phospholipase A2 (cPLA2), also, have been suggested to be related to the carcinogenesis of CRC. The aim of this study was to investigate cPLA2 expression and its relationship with prognostic significance in CRC.
Eighty-eight patients with colorectal cancer who underwent curative surgery were enrolled in this study. cPLA2 was examined in 88 primary CRCs by immunohistochemistry and we compared their expression with clinicopathologic findings, recurrence and survival in patients with CRC.
The expression of cPLA2 was positive in 54.5% (48/88). The expression of cPLA2 was not correlated with clinicopathologic parameters. However, cPLA2 expression was significantly related with vascular endothelial growth factor expression. Kaplan-Meier analysis didn't show any clinical significance in disease-free survival and overall survival according to cPLA2 expression.
These results suggest that cPLA2 expression was not associated with the prognosis of CRC. However, further large-scale studies are needed to clarify the prognostic effect of cPLA2 in CRC.
环氧合酶-2被认为是结直肠癌(CRC)发病机制中的一种重要酶。胞质型磷脂酶A2(cPLA2)也被认为与CRC的致癌作用有关。本研究的目的是调查cPLA2在CRC中的表达及其与预后意义的关系。
本研究纳入了88例行根治性手术的结直肠癌患者。通过免疫组织化学检测88例原发性CRC中的cPLA2,并将其表达与CRC患者的临床病理特征、复发和生存情况进行比较。
cPLA2的表达在54.5%(48/88)的病例中呈阳性。cPLA2的表达与临床病理参数无关。然而,cPLA2表达与血管内皮生长因子表达显著相关。根据cPLA2表达情况进行的Kaplan-Meier分析在无病生存期和总生存期方面未显示出任何临床意义。
这些结果表明,cPLA2表达与CRC的预后无关。然而,需要进一步的大规模研究来阐明cPLA2在CRC中的预后作用。