title: Establishment of new predictive markers for distant recurrence of colorectal cancer using lectin microarray analysis.
abstract: We evaluated the clinical benefits of novel predictive markers for distant recurrence with colorectal cancer using lectin microarray analysis of cell surface glycan modifications. Glycoproteins were extracted from formalin-fixed, paraffin-embedded tumor specimens and normal epithelium from 53 consecutive curatively resected stage I-III colorectal cancer cases and then subjected to lectin microarray to obtain lectin-glycan interaction (LGI) values. In addition, clinicopathological factors associated with distant recurrence were identified. LGI values that were associated with distant recurrence were validated with an additional 55 curatively resected stage II colorectal cancer cases. LGI values for Agaricus bisporus (ABA) lectin, prominent in cancer tissues, were statistically associated with distant recurrence. ABA lectin staining exhibited strikingly intense signals in the cytoplasm and apical surfaces of cancer cells, while weak staining was observed in the supranuclear regions of normal epithelium. This ABA tumor/normal LGI ratio may be a new predictive biomarker for distant recurrence of curatively resected colorectal cancer.
authors.affiliation: Department of Gastrointestinal and Pediatric Surgery, Oita University Faculty of Medicine, Hasama-machi, Oita, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Nakajima
authors.forename: Masafumi
authors.initials: M
authors.lastname: Inomata
authors.forename: Hidekatsu
authors.initials: H
authors.lastname: Iha
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hiratsuka
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Etoh
authors.forename: Norio
authors.initials: N
authors.lastname: Shiraishi
authors.forename: Kenji
authors.initials: K
authors.lastname: Kashima
authors.forename: Seigo
authors.initials: S
authors.lastname: Kitano
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000378:metabolism*; D015179:Colorectal Neoplasms / Q000378:metabolism / Q000473:pathology*; D003593:Cytoplasm / Q000378:metabolism; D005260:Female; D006023:Glycoproteins / Q000378:metabolism*; D006801:Humans; D037102:Lectins / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D016609:Neoplasms, Second Primary / Q000378:metabolism / Q000473:pathology; D040081:Protein Array Analysis / Q000379:methods*
chemical_list: D014408:Biomarkers, Tumor; D006023:Glycoproteins; D037102:Lectins
keywords: Colorectal cancer; glycoprotein; lectin; prediction; recurrence