Prognostic significance of dysadherin expression in advanced colorectal carcinoma
2003

Dysadherin and Colorectal Cancer Prognosis

Sample size: 82 publication Evidence: high

Author Information

Author(s): S Aoki, T Shimamura, T Shibata, Y Nakanishi, Y Moriya, Y Sato, M Kitajima, M Sakamoto, S Hirohashi

Primary Institution: National Cancer Center Research Institute, Tokyo, Japan

Hypothesis

Dysadherin expression may play a significant role in the aggressiveness of colorectal carcinoma.

Conclusion

Increased dysadherin expression is significantly correlated with poor survival in patients with advanced colorectal carcinoma.

Supporting Evidence

  • Patients with dysadherin immunopositivity in over 50% of tumour cells survived significantly shorter than those with fewer than 50%.
  • Reduced E-cadherin immunopositivity was correlated with poor survival.
  • Patients with both increased dysadherin and reduced E-cadherin expression had the worst prognosis.

Takeaway

Dysadherin is a protein that can help doctors understand how aggressive a colorectal cancer is, and higher levels of it mean a worse outcome for patients.

Methodology

Immunohistochemical staining was performed on formalin-fixed, paraffin-embedded colorectal carcinoma tissues to evaluate dysadherin and E-cadherin expression.

Limitations

The study was limited to patients who underwent curative resection and did not receive preoperative chemotherapy or radiation therapy.

Participant Demographics

44 men and 38 women, ages 37 to 93 years, mean age 62.6 years.

Statistical Information

P-Value

P=0.0099

Confidence Interval

95% CI: 1.032–11.851

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600778

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