J Korean Surg Soc.  2011 Jun;80(6):397-403. 10.4174/jkss.2011.80.6.397.

Prognostic significance of cytosolic phospholipase A2 expression in patients with colorectal cancer

Affiliations
  • 1Department of Surgery, Chosun University College of Medicine, Gwangju, Korea. kjkim@chosun.ac.kr
  • 2Department of Pathology, Chosun University College of Medicine, Gwangju, Korea.

Abstract

PURPOSE
Cyclooxygenase-2 is believed to be an important enzyme in the pathogenesis of colorectal cancer (CRC). Cytosolic phospholipase A2 (cPLA2), also, have been suggested to be related to the carcinogenesis of CRC. The aim of this study was to investigate cPLA2 expression and its relationship with prognostic significance in CRC.
METHODS
Eighty-eight patients with colorectal cancer who underwent curative surgery were enrolled in this study. cPLA2 was examined in 88 primary CRCs by immunohistochemistry and we compared their expression with clinicopathologic findings, recurrence and survival in patients with CRC.
RESULTS
The expression of cPLA2 was positive in 54.5% (48/88). The expression of cPLA2 was not correlated with clinicopathologic parameters. However, cPLA2 expression was significantly related with vascular endothelial growth factor expression. Kaplan-Meier analysis didn't show any clinical significance in disease-free survival and overall survival according to cPLA2 expression.
CONCLUSION
These results suggest that cPLA2 expression was not associated with the prognosis of CRC. However, further large-scale studies are needed to clarify the prognostic effect of cPLA2 in CRC.

Keyword

Cytosolic phospholipase A2; Prognosis; Colorectal cancer

MeSH Terms

Calcium Hydroxide
Colorectal Neoplasms
Cyclooxygenase 2
Cytosol
Disease-Free Survival
Humans
Immunohistochemistry
Kaplan-Meier Estimate
Phospholipases
Phospholipases A2
Prognosis
Recurrence
Vascular Endothelial Growth Factor A
Zinc Oxide
Calcium Hydroxide
Cyclooxygenase 2
Phospholipases
Phospholipases A2
Vascular Endothelial Growth Factor A
Zinc Oxide

Figure

  • Fig. 1 Immunohistochemical staining. (A) Negative cytosolic phospholipase A2 (cPLA2) in normal tissue. (B) Positive cPLA2 in cancer tissue.

  • Fig. 2 Overall survival (A) and the disease-free survival (B) curves of patients according to the status of cytosolic phospholipase A2 (cPLA2) expression.


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