title: Elevated osteopontin expression and proliferative/apoptotic ratio in the colorectal adenoma-dysplasia-carcinoma sequence.
abstract: Colorectal cancer progression is characterized by altered epithelial proliferation and apoptosis and by changed expression of tumor development regulators. Our aims were to determine the proliferative/apoptotic epithelial cell ratio (PAR) in the adenoma-dysplasia-carcinoma sequence (ADCS), and to examine its association with osteopontin (OPN), a previously identified protein product related to cancer development. One mm diameter cores from 13 healthy colons, 13 adenomas and 13 colon carcinoma samples were included into a tissue microarray (TMA) block. TUNEL reaction and Ki-67 immunohistochemistry were applied to determine the PAR. The osteopontin protein was also immunodetected. Stained slides were semiquantitatively evaluated using digital microscope and statistically analyzed with logistic regression and Fisher's exact test. The PAR continuously increased along the ADCS. It was significantly (p < 0.001) higher in cancer epithelium (8.84 ± 7.01) than in adenomas (1.40 ± 0.78) and in normal controls (0.89 ± 0.21) (p < 0.001). Also, significant positive correlation was observed between elevated PAR and the expression of osteopontin. Cytoplasmic OPN expression was weak in healthy samples. In contrast, cytoplasmic immunoreaction was moderately intensive in adenomas, while in colon cancer strong, diffuse cytoplasmic immune staining was detected. Increasing PAR and OPN expression along ADCS may help monitoring colorectal cancer progression. The significantly elevated OPN protein levels we found during normal epithelium to carcinoma progression may contribute to the increased fibroblast-myofibroblast transition determining stem cell niche in colorectal cancer.
authors.affiliation: 2nd Department of Internal Medicine, Semmelweis University, Cell Analysis Laboratory, Szentkirályi Street 46, 1088 Budapest, Hungary. valczg@yahoo.com
authors.forename: Gábor
authors.initials: G
authors.lastname: Valcz
authors.forename: Ferenc
authors.initials: F
authors.lastname: Sipos
authors.forename: Tibor
authors.initials: T
authors.lastname: Krenács
authors.forename: Jeannette
authors.initials: J
authors.lastname: Molnár
authors.forename: Arpád V
authors.initials: AV
authors.lastname: Patai
authors.forename: Katalin
authors.initials: K
authors.lastname: Leiszter
authors.forename: Kinga
authors.initials: K
authors.lastname: Tóth
authors.forename: Norbert
authors.initials: N
authors.lastname: Solymosi
authors.forename: Orsolya
authors.initials: O
authors.lastname: Galamb
authors.forename: Béla
authors.initials: B
authors.lastname: Molnár
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Tulassay
mesh_terms: D000236:Adenoma / Q000235:genetics / Q000378:metabolism* / Q000473:pathology*; D017209:Apoptosis / Q000502:physiology; D016022:Case-Control Studies; D048708:Cell Growth Processes / Q000502:physiology; D015179:Colorectal Neoplasms / Q000235:genetics / Q000378:metabolism* / Q000473:pathology*; D003593:Cytoplasm / Q000378:metabolism; D018450:Disease Progression; D004847:Epithelial Cells / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D008856:Microscopy, Fluorescence; D053495:Osteopontin / Q000096:biosynthesis* / Q000235:genetics; D012333:RNA, Messenger / Q000096:biosynthesis / Q000235:genetics; D046888:Tissue Array Analysis
chemical_list: D012333:RNA, Messenger; D053495:Osteopontin