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Prognostic Significance of Receptor-Binding Cancer Antigen Expressed on SiSo Cells (RCAS1) Expression in Relation to Cadherin Expression in Patients with Colorectal Carcinoma

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Diseases of the Colon & Rectum

Purpose

This study was designed to assess the prognostic value of receptor-binding cancer antigen expressed on SiSo cells expression and its relationship with cadherin expression in patients with colorectal cancer.

Methods

The expressions of receptor-binding cancer antigen expressed on SiSo cells and E-cadherin were analyzed with special reference to prognosis in 105 patients with colorectal cancer.

Results

Receptor-binding cancer antigen expressed on SiSo cells immunoreactivity was detected in the membrane and cytoplasm of tumor cells and considered to be positive in 48 patients (45.7 percent). The expression of receptor-binding cancer antigen expressed on SiSo cells was significantly correlated with lymph node metastasis (P = 0.0004), venous invasion (P = 0.0062), Dukes stages (P < 0.0001), and serum levels of carcinoembryonic antigen (P = 0.014). Furthermore, receptor-binding cancer antigen expressed on SiSo cells expression was significantly correlated with a poor prognosis (P < 0.001), and multivariate analysis indicated that it was an independent prognostic indicator. The expression of receptor-binding cancer antigen expressed on SiSo cells was more frequently found in tumors with reduced or abnormal expression of E-cadherin. The survival time of patients with reduced/abnormal E-cadherin expression was significantly shorter than that of patients with normal E-cadherin expression among patients with receptor-binding cancer antigen expressed on SiSo cells expression (P = 0.0043) but did not differ for those without receptor-binding cancer antigen expressed on SiSo cells expression (P = 0.17). Furthermore, multivariate analysis revealed that reduced/abnormal expression of E-cadherin was an independent prognostic factor in patients with receptor-binding cancer antigen expressed on SiSo cells expression but not in those without receptor-binding cancer antigen expressed on SiSo cells expression.

Conclusions

Receptor-binding cancer antigen expressed on SiSo cells expression is significantly correlated with tumor progression and poor prognosis in patients with colorectal cancer. Both reduced E-cadherin and enhanced receptor-binding cancer antigen expressed on SiSo cells expression may be critical for the mechanism of metastasis and recurrence in human colorectal cancer.

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Authors and Affiliations

  1. Department of Surgery, Division of Surgical Oncology, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, 683-8504, Japan

    Shunichi Tsujitani M.D., Hiroaki Saito M.D., Takuya Honboh M.D., Masayuki Ataka M.D., Takashi Tanida M.D., Masato Makino M.D. & Masahide Ikeguchi M.D.

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  1. Shunichi Tsujitani M.D.
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  2. Hiroaki Saito M.D.
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  3. Takuya Honboh M.D.
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  4. Masayuki Ataka M.D.
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  5. Takashi Tanida M.D.
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  6. Masato Makino M.D.
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  7. Masahide Ikeguchi M.D.
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Correspondence to Hiroaki Saito M.D..

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Tsujitani, S., Saito, H., Honboh, T. et al. Prognostic Significance of Receptor-Binding Cancer Antigen Expressed on SiSo Cells (RCAS1) Expression in Relation to Cadherin Expression in Patients with Colorectal Carcinoma. Dis Colon Rectum 50, 1241–1249 (2007). https://doi.org/10.1007/s10350-007-0223-8

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  • DOI: https://doi.org/10.1007/s10350-007-0223-8

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