Montalbán-Hernández Karla, Cantero-Cid Ramón, Lozano-Rodríguez Roberto, Pascual-Iglesias Alejandro, Avendaño-Ortiz José, Casalvilla-Dueñas José Carlos, Bonel Pérez Gloria Cristina, Guevara Jenny, Marcano Cristóbal, Barragán Cristina, Valentín Jaime, Del Fresno Carlos, Aguirre Luis Augusto, López Collazo Eduardo
The Innate Immune Response Group, IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.
Tumor Immunology Lab, IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.
Cancers (Basel). 2021 Aug 2;13(15):3896. doi: 10.3390/cancers13153896.
Colorectal cancer (CRC) is the second most deadly and third most commonly diagnosed cancer worldwide. There is significant heterogeneity among patients with CRC, which hinders the search for a standard approach for the detection of this disease. Therefore, the identification of robust prognostic markers for patients with CRC represents an urgent clinical need. In search of such biomarkers, a total of 114 patients with colorectal cancer and 67 healthy participants were studied. Soluble SIGLEC5 (sSIGLEC5) levels were higher in plasma from patients with CRC compared with healthy volunteers. Additionally, sSIGLEC5 levels were higher in exitus than in survivors, and the receiver operating characteristic curve analysis revealed sSIGLEC5 to be an exitus predictor (area under the curve 0.853; cut-off > 412.6 ng/mL) in these patients. A Kaplan-Meier analysis showed that patients with high levels of sSIGLEC5 had significantly shorter overall survival (hazard ratio 15.68; 95% CI 4.571-53.81; ≤ 0.0001) than those with lower sSIGLEC5 levels. Our study suggests that sSIGLEC5 is a soluble prognosis marker and exitus predictor in CRC.
结直肠癌(CRC)是全球第二大致死性癌症和第三大常见诊断癌症。CRC患者之间存在显著异质性,这阻碍了寻找检测该疾病的标准方法。因此,确定CRC患者可靠的预后标志物是一项紧迫的临床需求。为了寻找此类生物标志物,共对114例结直肠癌患者和67名健康参与者进行了研究。与健康志愿者相比,CRC患者血浆中的可溶性唾液酸结合免疫球蛋白样凝集素5(sSIGLEC5)水平更高。此外,sSIGLEC5水平在死亡患者中高于存活患者,受试者工作特征曲线分析显示sSIGLEC5是这些患者的死亡预测指标(曲线下面积为0.853;临界值>412.6 ng/mL)。Kaplan-Meier分析表明,sSIGLEC5水平高的患者总生存期显著短于sSIGLEC5水平低的患者(风险比15.68;95%置信区间4.571-53.81;P≤0.0001)。我们的研究表明,sSIGLEC5是CRC的可溶性预后标志物和死亡预测指标。