Journal of Gastrointestinal Surgery

, Volume 11, Issue 11, pp 1521–1528 | Cite as

Underexpression of Mineralocorticoid Receptor in Colorectal Carcinomas and Association with VEGFR-2 Overexpression

  • Francesco Di FabioEmail author
  • Carlos Alvarado
  • Agnieszka Majdan
  • Adrian Gologan
  • Linda Voda
  • Elliot Mitmaker
  • Lenore K. Beitel
  • Philip H. Gordon
  • Mark Trifiro



The human mineralocorticoid receptor (MR) is a steroid receptor widely expressed in colorectal mucosa. A significant role for the MR in the reduction of vascular endothelial growth factor receptor-2 (VEGFR-2) mRNA levels has been demonstrated in vitro. To evaluate a potential contribution of MR to colorectal carcinoma progression, we analyzed the expression of MR in relation to VEGFR-2.


Fresh human colorectal cancer tissue and adjacent normal mucosa were harvested from 48 consecutive patients. MR and VEGFR-2 mRNA expression levels were determined by real-time reverse transcriptase–polymerase chain reaction and correlated with clinicopathological parameters.


A decline of MR expression was observed in all carcinomas compared to normal mucosa. Expression of MR was a median of 11-fold lower in carcinoma compared to the normal mucosa, irrespective of the location, size, stage, and differentiation. MR was a median of 20-fold underexpressed in carcinomas with VEGFR-2 overexpression vs only 9-fold in carcinomas with VEGFR-2 underexpression (p = 0.035, Mann–Whitney test).


These findings support the hypothesis that reduction of MR expression may be one of the early events involved in colorectal carcinoma progression. The inverse association between MR and VEGFR-2 expression in carcinoma suggests a potential tumor-suppressive function for MR.


Colorectal cancer Mineralocorticoid receptor Vascular endothelial growth factor receptor-2 Angiogenesis 



The authors wish to thank Carmela Masella, Lianna Mantley, and Rita Notte for their valuable secretarial assistance in the course of this study.


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Copyright information

© The Society for Surgery of the Alimentary Tract 2007

Authors and Affiliations

  • Francesco Di Fabio
    • 1
    • 4
    • 7
    Email author
  • Carlos Alvarado
    • 4
  • Agnieszka Majdan
    • 2
    • 4
  • Adrian Gologan
    • 3
  • Linda Voda
    • 2
    • 4
  • Elliot Mitmaker
    • 4
  • Lenore K. Beitel
    • 2
    • 4
    • 5
    • 6
  • Philip H. Gordon
    • 1
  • Mark Trifiro
    • 2
    • 4
    • 5
    • 6
  1. 1.Department of Colon and Rectal SurgerySir Mortimer B. Davis Jewish General HospitalMontrealCanada
  2. 2.Department of EndocrinologySir Mortimer B. Davis Jewish General HospitalMontrealCanada
  3. 3.Department of PathologySir Mortimer B. Davis Jewish General HospitalMontrealCanada
  4. 4.Lady Davis Institute for Medical ResearchSir Mortimer B. Davis Jewish General HospitalMontrealCanada
  5. 5.Department of Human GeneticsMcGill UniversityMontrealCanada
  6. 6.Department of MedicineMcGill UniversityMontrealCanada
  7. 7.Cattedra di Chirurgia GeneraleUniversity of Brescia School of MedicineBresciaItaly

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