Abstract
AIM: To investigate the relationship between the expression of DR-nm23 protein and the carcinogenesis, progression and metastasis of colorectal carcinoma.
METHODS: Ninety-eight colorectal carcinoma specimens, 57 adenoma specimens and 42 normal colorectal tissue specimens were examined by immunohistochemistry using the streptavidin-peroxidase method. The correlation of DR-nm23 protein expression with the carcinogenesis, progression, lymph node metastasis, histological type and differentiation grade of colorectal carcinoma was then analyzed.
RESULTS: The positive rate of DR-nm23 protein expression was significantly higher in normal colorectal tissue than in adenoma and colorectal carcinoma (71.4% vs 38.6% and 35.7%, respectively; both P < 0.01). The positive rate of DR-nm23 protein expression was significantly lower in high-grade intraepithelial tumors than in low-grade intraepithelial tumors in the adenoma group (25.7% vs 59.1%, P < 0.05), and in metastatic colorectal carcinoma than in non-metastatic colorectal carcinoma (23.1% vs 44.1%, P < 0.05). The expression of DR-nm23 is negatively related to lymph node metastasis (P < 0.05). DR-nm23 expression is also closely related to histological type (χ2 = 13.731, P < 0.01) and differentiation grade (χ2 = 12.198, P < 0.01). The positive rate of DR-nm23 protein was higher in secondary tumors than in primary tumors in the metastatic colorectal carcinoma group though no significant difference was noted between them (P > 0.05).
CONCLUSION: Decreased DR-nm23 protein expression is closely related to tumor differentiation, carcinogenesis, progression and metastasis in colorectal carcinoma. DR-nm23 is an important parameter for evaluation of the biological behavior and prognosis of colorectal carcinoma.
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