University Hospital Medical Center Bežanijska Kosa, Faculty of Medicine, University of Belgrade, Dr. Žorža Matea bb, 11080 Belgrade, Serbia.
University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Pasterova 2, 11000 Belgrade, Serbia.
Int J Mol Sci. 2024 Sep 19;25(18):10062. doi: 10.3390/ijms251810062.
Cancer-promoting proinflammatory microenvironment influences colorectal cancer (CRC) development. We examined the biomarkers of inflammation, intestinal differentiation, and DNA activity correlated with the clinical parameters to observe progression and prognosis in the adenocarcinoma subtype of CRC. Their immunohistology, immunoblotting, and RT-PCR analyses were performed in the adenocarcinoma and neighboring healthy tissues of 64 patients with CRC after routine colorectal surgery. Proinflammatory nuclear factor kappa B (NFκB) signaling as well as interleukin 6 (IL-6) and S100 protein levels were upregulated in adenocarcinoma compared with nearby healthy colon tissue. In contrast to nitrotyrosine expression, the oxidative stress marker 8-Hydroxy-2'-deoxyguanosine (8-OHdG) was increased in adenocarcinoma tissue. Biomarkers of intestinal differentiation β-catenin and mucin 2 (MUC2) were inversely regulated, with the former upregulated in adenocarcinoma tissue and positively correlated with tumor marker CA19-9. Downregulation of MUC2 expression correlated with the increased 2-year survival rate of patients with CRC. Proliferation-related mammalian target of rapamycin (mTOR) signaling was activated, and Ki67 frequency was three-fold augmented in positive correlation with metastasis and cancer stage, respectively. Conclusion: We demonstrated a parallel induction of oxidative stress and inflammation biomarkers in adenocarcinoma tissue that was not reflected in the neighboring healthy colon tissue of CRC. The expansiveness of colorectal adenocarcinoma was confirmed by irregular intestinal differentiation and elevated proliferation biomarkers, predominantly Ki67. The origin of the linked inflammatory factors was in adenocarcinoma tissue, with an accompanying systemic immune response.
促癌炎症微环境影响结直肠癌(CRC)的发展。我们检查了与临床参数相关的炎症、肠道分化和 DNA 活性的生物标志物,以观察 CRC 腺癌亚型的进展和预后。对 64 例行常规结直肠手术后的 CRC 患者的腺癌及其邻近健康组织进行了免疫组织化学、免疫印迹和 RT-PCR 分析。与邻近健康结肠组织相比,腺癌中促炎核因子 kappa B(NFκB)信号以及白细胞介素 6(IL-6)和 S100 蛋白水平上调。与硝基酪氨酸表达相反,氧化应激标志物 8-羟基-2'-脱氧鸟苷(8-OHdG)在腺癌组织中增加。肠道分化标志物β-连环蛋白和粘蛋白 2(MUC2)呈相反调节,前者在腺癌组织中上调,并与肿瘤标志物 CA19-9 呈正相关。MUC2 表达下调与 CRC 患者 2 年生存率的增加相关。增殖相关哺乳动物雷帕霉素靶蛋白(mTOR)信号被激活,Ki67 频率增加三倍,分别与转移和癌症分期呈正相关。结论:我们证明了在 CRC 腺癌组织中平行诱导氧化应激和炎症生物标志物,而在邻近的健康结肠组织中没有反映。结直肠腺癌的扩张性通过不规则的肠道分化和升高的增殖生物标志物得到证实,主要是 Ki67。相关炎症因子的来源是在腺癌组织中,伴有伴随的全身免疫反应。
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