Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma

Background/Aim. Autophagy, a cellular degradation process, has paradoxical roles in tumorigenesis and the progression of human cancers. The aim of this study was to investigate the expression levels of autophagy-related proteins in colorectal cancer (CRC) and to evaluate their prognostic significanc...

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Main Authors: Ji Hye Choi, Young-Seok Cho, Yoon Ho Ko, Soon Uk Hong, Jin Hee Park, Myung Ah Lee
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/179586
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author Ji Hye Choi
Young-Seok Cho
Yoon Ho Ko
Soon Uk Hong
Jin Hee Park
Myung Ah Lee
author_facet Ji Hye Choi
Young-Seok Cho
Yoon Ho Ko
Soon Uk Hong
Jin Hee Park
Myung Ah Lee
author_sort Ji Hye Choi
collection DOAJ
description Background/Aim. Autophagy, a cellular degradation process, has paradoxical roles in tumorigenesis and the progression of human cancers. The aim of this study was to investigate the expression levels of autophagy-related proteins in colorectal cancer (CRC) and to evaluate their prognostic significance. Methods. This study is a retrospective review of immunohistochemical and clinicopathological data. All specimens evaluated were obtained from 263 patients with colorectal cancer who had undergone surgery between November 1996 and August 2007. The primary outcomes measured were the expression levels of three autophagy-related proteins (ATG5, BECN1/Beclin 1, and Microtubule-associated protein 1 light chain 3B (LC3B)) by immunohistochemistry and its association in clinicopathological parameters and patient survival. Results. The autophagy-related protein expression frequencies were 65.1% (151/232) for ATG5, 71.3% (174/244) for BECN1, and 74.7% (186/249) for LC3B for the 263 patients. Correlation between the expression of autophagy-related proteins was significant for all protein pairs. Multivariate analysis showed that negative LC3B expression and absence of autophagy-related proteins expression were independently associated with poor prognosis. Conclusion. Absence of autophagy-related proteins expression is associated with poor clinical outcome in CRC, suggesting that these proteins have potential uses as novel prognostic markers.
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spelling doaj-art-b63c13c1166e4d78a6fbcfa80ce8dd8e2025-08-20T02:23:20ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/179586179586Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal AdenocarcinomaJi Hye Choi0Young-Seok Cho1Yoon Ho Ko2Soon Uk Hong3Jin Hee Park4Myung Ah Lee5Department of Biomedical Science, The Catholic University of Korea College of Medicine, Seoul 137-701, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Uijeongbu 480-717, Republic of KoreaDepartment of Internal Medicine, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Uijeongbu 480-717, Republic of KoreaDepartment of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Republic of KoreaDepartment of Biomedical Science, The Catholic University of Korea College of Medicine, Seoul 137-701, Republic of KoreaDepartment of Internal Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul 137-701, Republic of KoreaBackground/Aim. Autophagy, a cellular degradation process, has paradoxical roles in tumorigenesis and the progression of human cancers. The aim of this study was to investigate the expression levels of autophagy-related proteins in colorectal cancer (CRC) and to evaluate their prognostic significance. Methods. This study is a retrospective review of immunohistochemical and clinicopathological data. All specimens evaluated were obtained from 263 patients with colorectal cancer who had undergone surgery between November 1996 and August 2007. The primary outcomes measured were the expression levels of three autophagy-related proteins (ATG5, BECN1/Beclin 1, and Microtubule-associated protein 1 light chain 3B (LC3B)) by immunohistochemistry and its association in clinicopathological parameters and patient survival. Results. The autophagy-related protein expression frequencies were 65.1% (151/232) for ATG5, 71.3% (174/244) for BECN1, and 74.7% (186/249) for LC3B for the 263 patients. Correlation between the expression of autophagy-related proteins was significant for all protein pairs. Multivariate analysis showed that negative LC3B expression and absence of autophagy-related proteins expression were independently associated with poor prognosis. Conclusion. Absence of autophagy-related proteins expression is associated with poor clinical outcome in CRC, suggesting that these proteins have potential uses as novel prognostic markers.http://dx.doi.org/10.1155/2014/179586
spellingShingle Ji Hye Choi
Young-Seok Cho
Yoon Ho Ko
Soon Uk Hong
Jin Hee Park
Myung Ah Lee
Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
Gastroenterology Research and Practice
title Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
title_full Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
title_fullStr Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
title_full_unstemmed Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
title_short Absence of Autophagy-Related Proteins Expression Is Associated with Poor Prognosis in Patients with Colorectal Adenocarcinoma
title_sort absence of autophagy related proteins expression is associated with poor prognosis in patients with colorectal adenocarcinoma
url http://dx.doi.org/10.1155/2014/179586
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