Abstract
Purpose
Multiple studies have attempted to demonstrate the interest of the cell adhesion marker, E cadherin, as a diagnostic and prognosis marker in colorectal cancer (CRC). However, it was considered non specific.
Materials and methods
Studies were carried out with CRC cell lines and patients’ cohort operated for CRC. The expression of E cadherin was studied after 5 fluorouracil (5FU) treatment and correlated to CRC relapse, chemo-resistance and survival.
Results
In CRC cell lines derived from high tumor stages, extracellular domain of E cadherin expression decreased after 5FU treatment whereas it increased in supernatants. Interestingly, only specific cleaved forms at 55 kDa of E cadherin were detected in supernatants. In CRC surgical patients, more importantly concerning extracellular E cadherin domain, a decreased expression was observed in tissues in function of CRC stages whereas an increased expression was found in sera. Moreover, there is an increasing trend of survival with weak serum E cadherin secretion, reinforcing the implication of this protein in CRC evolution.
Discussion
The extracellular domain can be defined as a 5FU resistance marker and allow CRC monitoring.
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Acknowledgements
We are thankful to the Anatomo-pathology department who made the immunohistochemical experiments. All this work was supported by a grant from CHU de Limoges [CORC Comité d’Orientation Recherche en Cancer Limousin, 2013], sponsored by Conseil Régional and ARS Limousin.
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This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Christou, N., Perraud, A., Blondy, S. et al. The extracellular domain of E cadherin linked to invasiveness in colorectal cancer: a new resistance and relapses monitoring serum-bio marker?. J Cancer Res Clin Oncol 143, 1177–1190 (2017). https://doi.org/10.1007/s00432-017-2382-x
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DOI: https://doi.org/10.1007/s00432-017-2382-x