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结直肠癌中癌胚抗原相关细胞黏附分子 6 的过表达及其临床意义。

Overexpression and clinical significance of carcinoembryonic antigen-related cell adhesion molecule 6 in colorectal cancer.

机构信息

Medical Genomics Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 305-806, Republic of Korea.

出版信息

Clin Chim Acta. 2013 Jan 16;415:12-9. doi: 10.1016/j.cca.2012.09.003. Epub 2012 Sep 10.

DOI:10.1016/j.cca.2012.09.003
PMID:22975528
Abstract

BACKGROUND

Carcinoembryonic antigen-related cell adhesion molecule 6 (CEACAM6) inhibits anoikis and affects the malignant phenotype of cancer cells. In this study, we analyzed CEACAM6 as a gene that is highly upregulated in colon cancer tissues, and examined the assertion that CEACAM6 might be a suitable candidate tumor marker for the diagnosis of colon cancer.

METHODS

CEACAM6 gene expression in human colon tissues was performed by tissue microarray and analyzed using RT-PCR (each of normal and tumor tissue, n=40) and immunohistochemical and clinicopathological (colon cancer patients, n=143) analyses.

RESULTS

CEACAM6 transcriptional and translational levels were significantly upregulated in human tumor tissues compared to non-tumor regions, and clinicopathological analysis revealed a significant correlation between CEACAM6 protein expression and Dukes' stage (p<0.001). High expression levels of CEACAM6 were significantly associated with lower overall survival (p<0.001) and shorter recurrence-free survival (p<0.001). We demonstrated that knockdown of CEACAM6 with CEACAM6-specific small interfering RNA in colorectal cancer cells attenuated invasivity (35%); conversely, the overexpression of CEACAM6 increased invasiveness.

CONCLUSIONS

CEACAM6 is significantly upregulated in colon cancer tissues and is closely associated with poor prognosis, indicating that CEACAM6 might be used as a tumor biomarker and a potential therapeutic target for colon cancer.

摘要

背景

癌胚抗原相关细胞黏附分子 6(CEACAM6)抑制失巢凋亡,影响癌细胞的恶性表型。本研究分析了 CEACAM6 在结肠癌组织中高表达的基因,并验证了 CEACAM6 可能是结肠癌诊断的合适候选肿瘤标志物的观点。

方法

采用组织微阵列分析人结肠癌组织中 CEACAM6 基因的表达,并用 RT-PCR(每组正常和肿瘤组织,n=40)和免疫组织化学及临床病理(结肠癌患者,n=143)分析进行分析。

结果

CEACAM6 的转录和翻译水平在人肿瘤组织中明显高于非肿瘤区域,临床病理分析显示 CEACAM6 蛋白表达与 Dukes 分期之间存在显著相关性(p<0.001)。CEACAM6 高表达水平与总生存期(p<0.001)和无复发生存期(p<0.001)显著缩短相关。我们证明,用针对 CEACAM6 的特异性小干扰 RNA 敲低结直肠癌细胞中的 CEACAM6 可减弱侵袭性(35%);相反,CEACAM6 的过表达则增加了侵袭性。

结论

CEACAM6 在结肠癌组织中显著上调,并与不良预后密切相关,表明 CEACAM6 可能用作结肠癌的肿瘤标志物和潜在的治疗靶点。

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