Cyclooxygenase-2 overexpression is common in serrated and non-serrated colorectal adenoma, but uncommon in hyperplastic polyp and sessile serrated polyp/adenoma
2008

COX-2 Overexpression in Colorectal Neoplasias

Sample size: 611 publication Evidence: moderate

Author Information

Author(s): Kawasaki Takako, Nosho Katsuhiko, Ohnishi Mutsuko, Suemoto Yuko, Glickman Jonathan N, Chan Andrew T, Kirkner Gregory J, Mino-Kenudson Mari, Fuchs Charles S, Ogino Shuji

Primary Institution: Dana-Farber Cancer Institute

Hypothesis

COX-2 may play a less important role in the serrated pathway of colorectal cancer.

Conclusion

COX-2 overexpression is infrequent in hyperplastic polyps and serrated polyps compared to non-serrated adenomas.

Supporting Evidence

  • COX-2 overexpression was found in 28% of non-serrated adenomas.
  • Only 4.2% of hyperplastic polyps showed strong COX-2 overexpression.
  • COX-2 overexpression was not correlated with tumor location.

Takeaway

This study found that a protein called COX-2 is not very common in certain types of colorectal polyps, but it is more common in other types as they become more serious.

Methodology

Immunohistochemistry was used to assess COX-2 expression in various colorectal neoplasias.

Potential Biases

Potential bias in the selection of tissue samples and interpretation of results.

Limitations

The study may not account for all potential confounding factors related to COX-2 expression.

Participant Demographics

Mean age of participants was 60.8 years, with a mix of men and women from two large cohort studies.

Statistical Information

P-Value

p < 0.0001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-8-33

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