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Published in: International Journal of Colorectal Disease 4/2008

01-04-2008 | Original Article

Serum sulfatase activity is more elevated in colonic adenomas than cancers

Authors: Malgorzata Matusiewicz, Malgorzata Krzystek-Korpacka, Dorota Diakowska, Krzysztof Grabowski, Katarzyna Augoff, Katarzyna Blachut, Leszek Paradowski, Irena Kustrzeba-Wojcicka, Michal Piast, Teresa Banas

Published in: International Journal of Colorectal Disease | Issue 4/2008

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Abstract

Background and aims

Elucidation of molecular basis of the adenomatous polyps (AP) and colorectal cancer (CRC) development is crucial for their prevention, early detection, and treatment. According to the recent discoveries, sulfatases are implied in extracellular matrix remodeling and degradation and also in the regulation of certain signaling pathways. However, their exact role in carcinogenesis remains unclear. Because the majority of CRCs arise from AP, the aim of our studies was the investigation of sulfatase activity in adenomas and adenocarcinomas and verification of possible usefulness of sulfatase activity determination as an indicator of the presence and discrimination between adenomas and carcinomas.

Patient–methods

One hundred twenty individuals were enrolled in the study. We assayed serum sulfatase activity in 79 patients with colorectal neoplasms (38 CRC and 41 AP) and 41 controls. Enzyme activity was determined colorimetrically.

Results

We found statistically higher serum sulfatase activity in patients with colonic neoplasms than in controls (124; 112–139 vs. 79.5; 73–87 U). The activity was more elevated in adenomas (149; 128–173 U) than in cancers (103; 90–112 U). Sulfatase activity exceeded the cutoff value in 71% of AP and 47% of CRC patients. It increased with number of adenomas and tended to decrease with tumor progression.

Conclusions

Sulfatases seem to be involved in the early stages of colonic neoplastic transformation which is reflected in their serum activity. The likelihood of elevated sulfatase activity is almost ten times higher in subjects with than without polyps. Sulfatase upregulation in majority of adenomas and their correlation tendencies warrants reconsideration of sulfatase determination as a possible diagnostic tool.
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Metadata
Title
Serum sulfatase activity is more elevated in colonic adenomas than cancers
Authors
Malgorzata Matusiewicz
Malgorzata Krzystek-Korpacka
Dorota Diakowska
Krzysztof Grabowski
Katarzyna Augoff
Katarzyna Blachut
Leszek Paradowski
Irena Kustrzeba-Wojcicka
Michal Piast
Teresa Banas
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 4/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-007-0434-4

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