Expression of CD10 and CD15 in colorectal mucinous and signet ring adenocarcinomas and its relation to clinicopathological features and prognosis.

IF 1.9
Abd AlRahman Mohammad Foda, Haitham Abdulkarem Alamer, Nadeem Ikram, Hadi Abdulhadi Helali, Fayza Sami Fayad, Sara Waleed Hussian, Khaled Abdelwahab, Tamer Akl, Ziad Emarah, Ahmed M Ramez
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Abstract

Background: CD10 and CD15 expression has been reported in several tumors. Whether CD10 and CD15 have a role in colorectal mucinous and signet ring adenocarcinoma (MSA) tumorigenesis is not yet known.

Objective: We aimed to investigate the role of CD10 and CD15 expression in mucinous colorectal adenoma-carcinoma sequence (ACS) and determine if there is any clinical and prognostic significance associated with their expression.

Methods: Seventy-five cases of colorectal MSA, and 9 cases of adenoma samples were collected. Manual TMA blocks were constructed and immunohistochemistry for CD10 and CD15 was done.

Results: Compared to adenomas, CD15 expression was significantly higher in MSA (p= 0.002), in contrast to CD10 expression. CD15 positivity was significantly associated with microsatellite stable (MSS) tumors (p= 0.018). The association between CD10 positivity and fungating tumor growth showed marginal significance. Unlike CD10, CD15 positivity showed significant association with overall survival of colorectal MSA patients.

Conclusions: CD15 expression seems to have a role in mucinous colorectal ACS, with significant impact on the survival of MSA patients. Further studies are suggested to identify any genetic alterations that may underlie a potential association with disease progression.

CD10和CD15在结直肠黏液腺癌和印戒腺癌中的表达及其与临床病理特征和预后的关系
背景:CD10和CD15在多种肿瘤中表达。CD10和CD15是否在结直肠黏液和印戒腺癌(MSA)的发生中起作用尚不清楚。目的:探讨CD10和CD15表达在结直肠粘液腺瘤-癌序列(ACS)中的作用,并确定其表达是否具有临床和预后意义。方法:收集结肠MSA 75例,腺瘤9例。手工构建TMA块,对CD10和CD15进行免疫组化。结果:与腺瘤相比,MSA中CD15的表达明显高于CD10 (p= 0.002)。CD15阳性与微卫星稳定(MSS)肿瘤有显著相关性(p= 0.018)。CD10阳性与真菌瘤生长之间的相关性呈边缘显著性。与CD10不同,CD15阳性与结直肠MSA患者的总生存率有显著相关性。结论:CD15表达似乎在黏液性结直肠ACS中发挥作用,对MSA患者的生存有显著影响。建议进一步研究以确定任何可能与疾病进展潜在关联的遗传改变。
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