State Key Laboratory of Cancer Biology, Department of Gastroenterology, Xijing Hospital, The Fourth Military Medical University, 127 Changle Western Road, Xi'an, Shaanxi, 710032, China.
Int J Clin Oncol. 2014 Feb;19(1):106-12. doi: 10.1007/s10147-012-0506-5. Epub 2013 Jan 9.
Deleted in breast cancer 1 (DBC1) was initially cloned from a region homozygously deleted in breast cancers, but its role in colorectal cancer remains unknown. The present study aims to examine the expression level of DBC1 and assess its prognostic value in human colorectal cancer.
Immunohistochemical staining was performed to detect the expression level of DBC1 in a series of 186 colorectal cancer patients. Immunohistochemical staining results were analyzed and compared statistically with various clinicopathological characters and overall survival.
Compared with the corresponding non-tumor tissues, a higher expression level of DBC1 was detected in colorectal cancer (P < 0.01). Tissue microarray analysis revealed that DBC1 expression is significantly associated with tumor histological grade, TNM stage and metastatic status (P < 0.01). Importantly, Kaplan-Meier analysis showed that DBC1 expression is associated with shorter overall survival (P < 0.01). Univariate Cox regression suggested that DBC1 expression, poorly differentiation status and the presence of lymph node metastasis predict shorter overall survival in colorectal cancer (P < 0.05). Multivariate Cox regression analysis indicated that DBC1 acts as an independent prognostic factor in colorectal cancer (P < 0.01).
These results suggest that DBC1 is over-expressed in colorectal cancer and that it might serve as a predictor for selecting patients at high risk of poor prognosis.
乳腺癌缺失基因 1(DBC1)最初是从乳腺癌中纯合缺失的区域克隆得到的,但它在结直肠癌中的作用尚不清楚。本研究旨在检测 DBC1 在人结直肠癌中的表达水平,并评估其预后价值。
采用免疫组织化学染色法检测 186 例结直肠癌患者中 DBC1 的表达水平。对免疫组织化学染色结果进行分析,并与各种临床病理特征和总生存进行统计学比较。
与相应的非肿瘤组织相比,结直肠癌中 DBC1 的表达水平较高(P<0.01)。组织微阵列分析表明,DBC1 表达与肿瘤组织学分级、TNM 分期和转移状态显著相关(P<0.01)。重要的是,Kaplan-Meier 分析表明,DBC1 表达与总生存时间较短相关(P<0.01)。单因素 Cox 回归提示,DBC1 表达、低分化状态和淋巴结转移是结直肠癌总生存时间较短的预测因素(P<0.05)。多因素 Cox 回归分析表明,DBC1 是结直肠癌的独立预后因素(P<0.01)。
这些结果表明,DBC1 在结直肠癌中过表达,可能作为预测预后不良高危患者的标志物。