Identification of ANXA1 as a diagnostic and lymphatic metastasis factor in colorectal cancer

Qing-hua Liu, M. Ding, Jinmin Sun, Zu’an Zhu
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Abstract

Objective: To determine whether ANXA1 can be served as biomarker for diagnosis in colorectal cancer (CRC) and analyse the correlation of ANXA1 and clinicopathological parameters of CRC patients. Methods: Tissue array (n=95) CRC specimens were utilised in this study. ANXA1 in cancer and non-cancerous tissues were detected immunohistochemically. The correlations between ANXA1 and clinicopathological parameters of CRC were evaluated. Concentrations of ANXA1 in peripheral blood were detected by enzymelinked immunosorbent assay (ELISA). Results: ANXA1 was upregulated in CRC tissues than that in non-cancerous tissues (P <0.05). The mean value for ANXA1 level in peripheral blood of CRC patients was significantly higher than that of healthy individuals (P <0.05). Increased ANXA1 was observed in deeper tumor invasion, lymphatic metastasis and late TNM stage of CRC patients. Conclusions: ANXA1 increased in CRC tissues and in peripheral blood of CRC patients. In addition, increased ANXA1 was correlated with deeper tumor invasion, lymph node metastasis and late TNM stage of CRC patients. Our findings would provide new insights into significant of ANXA1 in diagnosis and lymphatic metastasis of CRC. The underlying mechanism of ANXA1 in CRC progress will be further explored. *Correspondence to: Zu-An Zhu, Department of Gastroenterology, Affiliated Hospital of Xuzhou Medical University, 84 Huai-Hai Western Road, Xuzhou, 221000, Jiangsu Province, China, Tel: +86 15852162813; E-mail: zhuzuanliu@126.com
ANXA1作为结直肠癌诊断和淋巴转移因子的鉴定
目的:探讨ANXA1是否可作为结直肠癌(CRC)诊断的生物标志物,并分析其与结直肠癌患者临床病理参数的相关性。方法:本研究采用组织阵列(n=95) CRC标本。免疫组织化学检测癌组织和非癌组织中的ANXA1。评价ANXA1与结直肠癌临床病理参数的相关性。采用酶联免疫吸附试验(ELISA)检测外周血ANXA1的浓度。结果:结直肠癌组织中ANXA1表达明显高于非癌组织(P <0.05)。结直肠癌患者外周血ANXA1水平均值显著高于健康人(P <0.05)。在结直肠癌患者的深部肿瘤侵袭、淋巴转移及TNM晚期均可见ANXA1的升高。结论:结直肠癌患者外周血及结直肠癌组织中ANXA1表达升高。此外,ANXA1的升高与CRC患者肿瘤侵袭程度加深、淋巴结转移及TNM晚期相关。我们的研究结果将为ANXA1在结直肠癌的诊断和淋巴转移中的意义提供新的见解。我们将进一步探讨ANXA1在CRC进展中的潜在机制。*通信对象:江苏徐州市淮海西路84号,徐州医科大学附属医院消化内科朱祖安,电话:+86 15852162813;电子邮件:zhuzuanliu@126.com
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