β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC

Background. The wnt/APC/β-catenin pathway is a critical initiator in colorectal carcinogenesis in both hereditary and sporadic colorectal cancer (CRC). The progression of this process remains incompletely understood, although inflammation is pivotal. Drivers of inflammation are elevated in malignant...

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Main Authors: Ernst Fredericks, Gill Dealtry, Saartjie Roux
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2018/4379673
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author Ernst Fredericks
Gill Dealtry
Saartjie Roux
author_facet Ernst Fredericks
Gill Dealtry
Saartjie Roux
author_sort Ernst Fredericks
collection DOAJ
description Background. The wnt/APC/β-catenin pathway is a critical initiator in colorectal carcinogenesis in both hereditary and sporadic colorectal cancer (CRC). The progression of this process remains incompletely understood, although inflammation is pivotal. Drivers of inflammation are elevated in malignant tissue and have been shown to regulate β-catenin expression. Interleukin-17A (IL-17A) is protumorigenic at elevated levels via COX-2 stimulation. Elevated peroxisome proliferator-activated receptor γ (PPARγ) expression has reduced risk of carcinogenesis and good overall prognosis in established CRC. Activation of PPARγ has inhibitory effect on β-catenin. Methods. Using qPCR and IHC, we compared β-catenin, PPARγ, COX-2, and IL-17A in the colonic mucosa of patients with sporadic CRC, inflammatory bowel disease (IBD), and irritable bowel syndrome (IBS), against a normal control population. Results. β-catenin mRNA and protein expression progressively increased from the Normal group, through IBS and IBD reaching statistical significance in CRC. COX-2 mRNA levels increased similarly with statistical significance in IBD and CRC. However, COX-2 protein expression was inverted with significant expression in the Normal and IBS groups and reduced levels in IBD and CRC. PPARγ mRNA expression was unchanged in IBD and CRC but was significantly elevated in the IBS. IL-17A mRNA was significantly reduced in IBS and CRC but unchanged in IBD. There were no differences in all parameters tested in the Normal and IBS groups. Conclusion. β-catenin is confirmed as a major driver of colorectal carcinogenesis but is controlled by many more players other than APC. Elevated levels of PPARγ may have an anticarcinogenic effect. The role of COX-2 expression, especially its posttranscriptional regulation in colorectal cancer, needs further elucidation.
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spelling doaj-art-e4b3b1aa5039468f845a9a8a7235347e2025-02-03T05:57:32ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972018-01-01201810.1155/2018/43796734379673β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APCErnst Fredericks0Gill Dealtry1Saartjie Roux2Department of Biochemistry and Microbiology, Nelson Mandela Metropolitan University, Port Elizabeth, South AfricaDepartment of Biochemistry and Microbiology, Nelson Mandela Metropolitan University, Port Elizabeth, South AfricaDepartment of Biochemistry and Microbiology, Nelson Mandela Metropolitan University, Port Elizabeth, South AfricaBackground. The wnt/APC/β-catenin pathway is a critical initiator in colorectal carcinogenesis in both hereditary and sporadic colorectal cancer (CRC). The progression of this process remains incompletely understood, although inflammation is pivotal. Drivers of inflammation are elevated in malignant tissue and have been shown to regulate β-catenin expression. Interleukin-17A (IL-17A) is protumorigenic at elevated levels via COX-2 stimulation. Elevated peroxisome proliferator-activated receptor γ (PPARγ) expression has reduced risk of carcinogenesis and good overall prognosis in established CRC. Activation of PPARγ has inhibitory effect on β-catenin. Methods. Using qPCR and IHC, we compared β-catenin, PPARγ, COX-2, and IL-17A in the colonic mucosa of patients with sporadic CRC, inflammatory bowel disease (IBD), and irritable bowel syndrome (IBS), against a normal control population. Results. β-catenin mRNA and protein expression progressively increased from the Normal group, through IBS and IBD reaching statistical significance in CRC. COX-2 mRNA levels increased similarly with statistical significance in IBD and CRC. However, COX-2 protein expression was inverted with significant expression in the Normal and IBS groups and reduced levels in IBD and CRC. PPARγ mRNA expression was unchanged in IBD and CRC but was significantly elevated in the IBS. IL-17A mRNA was significantly reduced in IBS and CRC but unchanged in IBD. There were no differences in all parameters tested in the Normal and IBS groups. Conclusion. β-catenin is confirmed as a major driver of colorectal carcinogenesis but is controlled by many more players other than APC. Elevated levels of PPARγ may have an anticarcinogenic effect. The role of COX-2 expression, especially its posttranscriptional regulation in colorectal cancer, needs further elucidation.http://dx.doi.org/10.1155/2018/4379673
spellingShingle Ernst Fredericks
Gill Dealtry
Saartjie Roux
β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
Canadian Journal of Gastroenterology and Hepatology
title β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
title_full β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
title_fullStr β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
title_full_unstemmed β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
title_short β-Catenin Regulation in Sporadic Colorectal Carcinogenesis: Not as Simple as APC
title_sort β catenin regulation in sporadic colorectal carcinogenesis not as simple as apc
url http://dx.doi.org/10.1155/2018/4379673
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