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Clinical Significance of Osteoprotegerin Expression in Human Colorectal Cancer


ABSTRACT: Purpose: This study aimed to identify a novel biomarker or a target of treatment for colorectal cancer (CRC). Experimental Design: The expression profiles of cancer cells in 104 patients with CRC were examined using laser microdissection and oligonucleotide microarray analysis. Overexpression in CRC cells especially in patients with distant metastasis was a prerequisite to select candidate genes. The mRNA expression of candidate gene was investigated by quantitative reversetranscription polymerase chain reaction (RT-PCR) in 77 patients as a validation study. We analyzed the protein expression and localization of the candidate gene by immunohistochemical study, and investigated the relationship between the expression and the clinicopathological feature in 274 CRC patients. Results: We identified 6 genes as candidates related to distant metastasis in CRC patients by microarray analysis. Among these genes, Osteoprotegerin (OPG) is known to have an association with aggressiveness in several cancers through inhibiting apoptosis by neutralizing the function of tumor necrosis factor related apoptosis inducing ligand (TRAIL). The mRNA expression of OPG in cancer tissues was significantly higher in patients with distant metastasis than those without metastasis. The overexpression of OPG protein was significantly associated with worse overall survival and relapse free survival (RFS). Moreover, the overexpression of OPG protein was an independent risk factor for recurrence of CRC. Conclusion: The overexpression of OPG would be a predictive biomarker of recurrence and a target of the treatment for CRC. Total of 148 microarray datasets obtained from LCM and homogenized tissues of colorectal cancer patients were normalized using robust multi-array average (RMA) method under R 2.6.2 statistical software with affy package from BioConductor. Normalization was separately performed for LCM dataset and homogenized tissue dataset. The normalized gene expression levels were presented as log2-transformed values by RMA.

ORGANISM(S): Homo sapiens

DISEASE(S): none

SUBMITTER: Kaoru Mogushi 

PROVIDER: E-GEOD-21510 | biostudies-arrayexpress |

REPOSITORIES: biostudies-arrayexpress

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Clinical significance of osteoprotegerin expression in human colorectal cancer.

Tsukamoto Shunsuke S   Ishikawa Toshiaki T   Iida Satoru S   Ishiguro Megumi M   Mogushi Kaoru K   Mizushima Hiroshi H   Uetake Hiroyuki H   Tanaka Hiroshi H   Sugihara Kenichi K  

Clinical cancer research : an official journal of the American Association for Cancer Research 20110126 8


<h4>Purpose</h4>This study aimed to identify a novel biomarker or a target of treatment for colorectal cancer (CRC).<h4>Experimental design</h4>The expression profiles of cancer cells in 104 patients with CRC were examined using laser microdissection and oligonucleotide microarray analysis. Overexpression in CRC cells, especially in patients with distant metastases, was a prerequisite to select candidate genes. The mRNA expression of candidate genes was investigated by quantitative reverse trans  ...[more]

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