Aydin Mehmet, Kızıltan Remzi, Algul Sermin, Kemik Ozgur
General Surgery, Medical Park Bahçelievler Hospital, Istanbul, TUR.
General Surgery, Van Yuzuncu Yil University School of Medicine, Van, TUR.
Cureus. 2022 Jan 26;14(1):e21653. doi: 10.7759/cureus.21653. eCollection 2022 Jan.
Objective The objective of this study was to investigate the utility of vasorin, a newly discovered transmembrane protein, as a novel biomarker in the early detection of colon cancer. Methods A total of 80 patients aged 55-70 years, diagnosed with colon cancer and followed up in our clinics, and 50 healthy volunteer blood donors were included in the study. Participants' demographics such as age, gender, and vasorin levels were recorded and compared between the patient and control groups. In addition, primary tumor status (pT) values N and T stages of the tumors were studied in the patient group. All patients included in the study were pathologically confirmed by colonoscopy plus biopsy and postoperative histopathologic examination. Results The mean age was found as 64.59±3.70 (min-max: 55-70) years old in the patient group and 63.56±3.07 (min-max: 57-70) years. There was no statistically significant difference between both groups regarding demographics (p>0.05). Serum Vasorin levels were higher in patients with colon cancer than in the control group (p<0.001). Serum Vasorin levels were higher among patients with advanced disease and related to the clinical stage of the locally advanced tumor. Conclusion Our findings revealed that serum vasorin levels are upregulated in patients with colon cancer. Raised vasorin levels may be a non-invasive biomarker beneficial for early detection and prediction of colon cancer prognosis. In addition, vasorin levels further rose as the disease advanced to higher TNM (tumor (T), nodes (N), and metastases (M)) stages. Further comprehensive studies are needed to draw more evident conclusions and generalize our results.
目的 本研究的目的是探讨新发现的跨膜蛋白血管紧张素(vasorin)作为结肠癌早期检测新型生物标志物的效用。方法 本研究纳入了80例年龄在55 - 70岁之间、在我们诊所被诊断为结肠癌并接受随访的患者,以及50名健康的志愿献血者。记录并比较患者组和对照组参与者的年龄、性别等人口统计学数据以及血管紧张素水平。此外,在患者组中研究了肿瘤的原发肿瘤状态(pT)值、N和T分期。本研究纳入的所有患者均通过结肠镜检查加活检及术后组织病理学检查进行病理确诊。结果 患者组的平均年龄为64.59±3.70(最小值 - 最大值:55 - 70)岁,对照组为63.56±3.07(最小值 - 最大值:57 - 70)岁。两组在人口统计学方面无统计学显著差异(p>0.05)。结肠癌患者的血清血管紧张素水平高于对照组(p<0.001)。晚期疾病患者的血清血管紧张素水平较高,且与局部晚期肿瘤的临床分期相关。结论 我们的研究结果显示,结肠癌患者的血清血管紧张素水平上调。血管紧张素水平升高可能是一种有利于结肠癌早期检测和预后预测的非侵入性生物标志物。此外,随着疾病进展到更高的TNM(肿瘤(T)、淋巴结(N)和转移(M))分期,血管紧张素水平进一步升高。需要进一步进行全面研究以得出更明确的结论并推广我们的结果。