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High stromal nicotinamide N-methyltransferase (NNMT) indicates poor prognosis in colorectal cancer.


ABSTRACT: PURPOSE:Nicotinamide n-methyltransferase (NNMT) has good biochemical activity and epigenetic regulation, and has been reported as a major metabolic regulator of cancer. The goal of this study was to investigate the significance of stromal NNMT expression in colorectal cancer (CRC). PATIENTS AND METHODS:Stromal expression of NNMT in primary CRC, metastasis CRC, and their non-cancerous tissues from 1088 CRC patients was examined by immunohistochemistry. The associations between stromal NNMT expression and survival outcomes in 967 patients with stage I-III CRC were further evaluated with Kaplan-Meier curve and Cox model analyses. RESULTS:NNMT expression was mainly sourced from stromal compartments and also elevated in CRC. Patients with high stromal NNMT (IHC-score ? 106) have a worse survival than those patients with low stromal NNMT. In multiple Cox analyses, high expression of stromal NNMT remained as an independent risk factor in CRC for disease-free survival with a hazard ratio (HR) of 1.415 (95% confidence interval [CI], 1.015-1.972) and disease-specific survival with a HR of 5.004 (95% CI, 2.301-10.883). In addition, high stromal NNMT expression in CRC also indicates the poor survival outcomes in patients with early stage CRC (stage I and II) and in patients who undergo chemotherapy. CONCLUSION:NNMT is mainly located in CRC stromal compartment. High stromal NNMT expression predicts an unfavorable postoperative prognosis.

SUBMITTER: Song M 

PROVIDER: S-EPMC7064029 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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High stromal nicotinamide N-methyltransferase (NNMT) indicates poor prognosis in colorectal cancer.

Song Mengmeng M   Li Ye Y   Miao Mingyong M   Zhang Fan F   Yuan Hao H   Cao Fuao F   Chang Wenjun W   Shi Hanping H   Song Chunhua C  

Cancer medicine 20200127 6


<h4>Purpose</h4>Nicotinamide n-methyltransferase (NNMT) has good biochemical activity and epigenetic regulation, and has been reported as a major metabolic regulator of cancer. The goal of this study was to investigate the significance of stromal NNMT expression in colorectal cancer (CRC).<h4>Patients and methods</h4>Stromal expression of NNMT in primary CRC, metastasis CRC, and their non-cancerous tissues from 1088 CRC patients was examined by immunohistochemistry. The associations between stro  ...[more]

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