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Published in: International Journal of Colorectal Disease 6/2008

01-06-2008 | Original Article

hTERT expression in colorectal adenocarcinoma: correlations with p21, p53 expressions and clinicopathological features

Authors: Alfred King-Yin Lam, Kate Ong, Yik-Hong Ho

Published in: International Journal of Colorectal Disease | Issue 6/2008

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Abstract

Background

The clinicopathological roles and relationships of hTERT, p21 and p53 proteins have not been studied in depth in colorectal cancer. The aim of the present study is to investigate the clinicopathological roles of expression of hTERT protein expression and its relationship with the expression of p21 and p53 proteins in a large cohort of patients with colorectal adenocarcinoma.

Materials and methods

Expressions of hTERT, p21 and p53 proteins were investigated in 188 patients with colorectal adenocarcinomas by immunohistochemistry. The findings were correlated with the clinicopathological features and survival data of colorectal adenocarcinomas.

Results

hTERT, p53 and p21 proteins were detected in 63%, 100% and 62% of the patients with colorectal carcinoma. High level of hTERT protein expression was noted in patients with metastases (p = 0.038) and in patients with rectal cancer (p = 0.046). Loss or low level of p21 protein was often noted in non-mucinous colorectal adenocarcinoma when compared with mucinous adenocarcinoma (p = 0.001). Furthermore, p53 expression was more frequently noted in non-mucinous adenocarcinoma (p = 0.001). The level of expression of p21 protein was positively correlated with expression of level of hTERT protein (p = 0.00001). The survival of the patients was related to staging (p = 0.001) and p53 protein expression (p = 0.038) of the tumours.

Conclusions

hTERT protein expression is an indicator of the biological aggressiveness of the cancer. The level of expression of the protein was also related to the distal location and level of p21 expression of the tumours.
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Metadata
Title
hTERT expression in colorectal adenocarcinoma: correlations with p21, p53 expressions and clinicopathological features
Authors
Alfred King-Yin Lam
Kate Ong
Yik-Hong Ho
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 6/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-008-0455-7

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