Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases

Abstract Objective Tumor blood vessels are tortuous and dilated, contributing to the aberrant tumor microenvironment. CD93 is a newly reported transmembrane receptor, mainly expressed in tumor endothelial cells, that has demonstrated prognostic value in some cancer types. However, the role of CD93 i...

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Main Authors: Shuzhe Yang, Zhongyuan Bai, Fei Zhang, Wei Cui, Peng Bu, Wenqi Bai, Yanfeng Xi
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-025-03643-2
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author Shuzhe Yang
Zhongyuan Bai
Fei Zhang
Wei Cui
Peng Bu
Wenqi Bai
Yanfeng Xi
author_facet Shuzhe Yang
Zhongyuan Bai
Fei Zhang
Wei Cui
Peng Bu
Wenqi Bai
Yanfeng Xi
author_sort Shuzhe Yang
collection DOAJ
description Abstract Objective Tumor blood vessels are tortuous and dilated, contributing to the aberrant tumor microenvironment. CD93 is a newly reported transmembrane receptor, mainly expressed in tumor endothelial cells, that has demonstrated prognostic value in some cancer types. However, the role of CD93 in the vasculature of colorectal cancer (CRC) tissues and its prognostic significance remain unknown. It is therefore necessary to explore the effect of CD93 in patients with CRC. Method We detected the expression of CD93 in human CRC tissues using immunohistochemistry. We then examined the correlation between CD93 expression and clinicopathological factors in cancer tissues from 134 patients with CRC. Result CD93 expression levels were higher in CRC vessels than in vessels in adjacent normal tissues. Upregulation of CD93 was associated with tumor site and microsatellite instability. CD93 protein expression was positively related to macrophage infiltration in CRC. High expression of CD93 may indicate normalization of the tumor vasculature and was associated with better overall survival. Conclusion CD93 was highly expressed in CRC vessels and correlated with infiltration of immune cells. Our findings reveal that vascular normalization and patient prognosis can be predicted by detecting CD93 expression in CRC tumor tissues.
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publisher BMC
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series BMC Gastroenterology
spelling doaj-art-9a1ecc99b19946af818c3a77ba43ceb32025-08-20T02:15:11ZengBMCBMC Gastroenterology1471-230X2025-02-0125111210.1186/s12876-025-03643-2Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 casesShuzhe Yang0Zhongyuan Bai1Fei Zhang2Wei Cui3Peng Bu4Wenqi Bai5Yanfeng Xi6Second Clinical Medical School, Shanxi Medical UniversityFirst Clinical Medical School, Shanxi Medical UniversityDepartment of Pathology, Shanxi Province Cancer Hospital/ Shanxi Hospital Affiliated to Cancer Hosipital, Chinese Academy of Medical Sciences/ Cancer Hospital Affiliated to Shanxi Medical UniversityDepartment of Pathology, Shanxi Province Cancer Hospital/ Shanxi Hospital Affiliated to Cancer Hosipital, Chinese Academy of Medical Sciences/ Cancer Hospital Affiliated to Shanxi Medical UniversityDepartment of Pathology, Shanxi Province Cancer Hospital/ Shanxi Hospital Affiliated to Cancer Hosipital, Chinese Academy of Medical Sciences/ Cancer Hospital Affiliated to Shanxi Medical UniversityDepartment of General Surgery Sciences, Cancer Hospital, Shanxi Province Cancer Hospital/ShanxiHospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to ShanxiMedical UniversityDepartment of Pathology, Shanxi Province Cancer Hospital/ Shanxi Hospital Affiliated to Cancer Hosipital, Chinese Academy of Medical Sciences/ Cancer Hospital Affiliated to Shanxi Medical UniversityAbstract Objective Tumor blood vessels are tortuous and dilated, contributing to the aberrant tumor microenvironment. CD93 is a newly reported transmembrane receptor, mainly expressed in tumor endothelial cells, that has demonstrated prognostic value in some cancer types. However, the role of CD93 in the vasculature of colorectal cancer (CRC) tissues and its prognostic significance remain unknown. It is therefore necessary to explore the effect of CD93 in patients with CRC. Method We detected the expression of CD93 in human CRC tissues using immunohistochemistry. We then examined the correlation between CD93 expression and clinicopathological factors in cancer tissues from 134 patients with CRC. Result CD93 expression levels were higher in CRC vessels than in vessels in adjacent normal tissues. Upregulation of CD93 was associated with tumor site and microsatellite instability. CD93 protein expression was positively related to macrophage infiltration in CRC. High expression of CD93 may indicate normalization of the tumor vasculature and was associated with better overall survival. Conclusion CD93 was highly expressed in CRC vessels and correlated with infiltration of immune cells. Our findings reveal that vascular normalization and patient prognosis can be predicted by detecting CD93 expression in CRC tumor tissues.https://doi.org/10.1186/s12876-025-03643-2Colorectal cancerCD93Tumor vascular normalizationTumor microenvironment
spellingShingle Shuzhe Yang
Zhongyuan Bai
Fei Zhang
Wei Cui
Peng Bu
Wenqi Bai
Yanfeng Xi
Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
BMC Gastroenterology
Colorectal cancer
CD93
Tumor vascular normalization
Tumor microenvironment
title Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
title_full Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
title_fullStr Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
title_full_unstemmed Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
title_short Expression and prognostic significance of CD93 in blood vessels in colorectal cancer: an immunohistochemical analysis of 134 cases
title_sort expression and prognostic significance of cd93 in blood vessels in colorectal cancer an immunohistochemical analysis of 134 cases
topic Colorectal cancer
CD93
Tumor vascular normalization
Tumor microenvironment
url https://doi.org/10.1186/s12876-025-03643-2
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