Significance of differential expression of thymidylate synthase in normal and primary tumor tissues from patients with colorectal cancer
2011

Thymidylate Synthase Expression in Colorectal Cancer

Sample size: 76 publication Evidence: moderate

Author Information

Author(s): Liu Yanyan, Xia Qingxin, Jia Yanzhao, Guo Hongqiang, Wei Bing, Hua Yawei, Yang Shujun

Primary Institution: Henan Provincial Cancer Hospital, Henan Provincial Institute of Cancer

Hypothesis

Higher thymidylate synthase expression in primary tumors correlates with better outcomes in colorectal cancer patients.

Conclusion

Patients with higher thymidylate synthase expression in primary tumors had better outcomes after adjuvant chemotherapy.

Supporting Evidence

  • 39.47% of patients had higher TS expression in primary tumors.
  • 42.11% of patients showed differential TS expression between normal mucosa and primary tumor cells.
  • High frequency of microsatellite instability was found in 32.89% of patients.
  • Patients with higher TS expression had longer median relapse-free survival.

Takeaway

This study found that patients with more thymidylate synthase in their tumors tend to do better after treatment for colorectal cancer.

Methodology

Laser capture microdissection and polymerase chain reaction were used to examine TS gene expression.

Participant Demographics

{"median_age":58,"male_percentage":55.26,"tumor_site":{"colon":27.63,"rectum":72.37},"staging":{"high_risk_II":65.79,"III":34.21}}

Statistical Information

P-Value

{"higher_TS_expression":{"stage":0.018,"histological_grade":0.001,"MSI":0.0},"RFS":0.03,"OS":0.029}

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1756-8722-4-33

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