Cyclooxygenase-2 and ?-Catenin as Potential Diagnostic and Prognostic Markers in Endometrial Cancer.
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ABSTRACT: Objectives: Explore the diagnostic and prognostic value of cyclooxygenase-2 and wnt3a/?-catenin pathway in endometrial cancer. Methods: A prospective cohort study of 93 women underwent hysterectomy at the China-Japan Friendship Hospital (61 patients with primary endometrial carcinoma, and 32 control patients with uterine prolapse or leiomyoma of uterus). Cox2 and ?-catenin expression were determined by immunohistochemistry. The serum levels of cox2 and wnt3a were detected via ELISA assays. Results: Patients with endometrial cancer showed overexpression of cox2 and ?-catenin, as well as significantly higher serum levels of cox2 and wnt3a. The serum cox2 level, which is highly significant in predicting the risk of disease progression (RR, 9.617, 95% confidence interval, 1.162-79.622, P = 0.036), showed good diagnostic and prognostic potential, with cut-off of 55 U/L, but alongside ?-catenin expression in tissues, were related to poor prognosis (RR, 12.426; 95% confidence interval, 1.618-95.450; P = 0.015). Conclusion: Serum levels of cox2 and wnt3a exhibited diagnostic value for endometrial cancer. Cox2 serum levels and ?-catenin expression also showed potential value of prognostic prediction. Cox2 serum levels might be a potential marker for early diagnosis and prognosis prediction in endometrial cancer.
SUBMITTER: Deng L
PROVIDER: S-EPMC7046792 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
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