J Korean Med Sci.  2010 Mar;25(3):353-360. 10.3346/jkms.2010.25.3.353.

Growth and Invasion of Sporadic Colorectal Adenocarcinomas in Terms of Genetic Change

Affiliations
  • 1Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Laboratory of Cancer Biology and Genetics, Asan Institute for Life Sciences, Seoul, Korea. jckim@amc.seoul.kr
  • 2Department of Pathology, University of Ulsan College of Medicine and Asan Medical Center, Laboratory of Cancer Biology and Genetics, Asan Institute for Life Sciences, Seoul, Korea.
  • 3Division of Medical Genetics, Korea Research Institute of Bioscience & Biotechnology, Daejeon, Korea.

Abstract

Integrative genetic changes were examined in relation to tumor growth and progression of sporadic colorectal cancers. Ninety-two sporadic colorectal cancer patients and 12 human colorectal cancer cell lines were evaluated. Genetic changes in representative steps of colorectal tumorigenesis were determined. Biological characteristics, i.e., clinicopathologic parameters, expression of invasion-associated molecules, and in vitro invasion and migration, in association with these changes were further analyzed. Adenomatous polyposis coli (APC) and/or Wnt-activated alterations occurred in 66% patients, whereas mismatch repair (MMR) defects and/or RAF-mediated alterations were identified in 47% patients. The crossover rate between these two alterations was 26%. Differential mRNA expression of ARK5 was closely associated with that of MMP2, MMP9, and S100A4 (P< or =0.044-0.001). Additionally, enhanced ARK5 mRNA expression was more frequent in tumors displaying RAF-mediated alterations and crossover pathways (P=0.01 and 0.03, respectively). Upregulation of CEA mRNA was more common in the advanced stages (P=0.034), while VEGF expression was greater in poorly differentiated or mucinous tumors (P=0.042). The high expressions of MMP2 and MMP9 were closely associated with invasion and migration of colorectal tumors and cell lines. Our results conclusively show that specific pathways of colorectal tumorigenesis are closely associated with characteristic tumor growth and invasion.

Keyword

Colorectal Neoplasms; Sporadic; Tumorigenesis; Molecular; Growth; Invasion

MeSH Terms

*Adenocarcinoma/genetics/metabolism/pathology
Animals
Carcinoembryonic Antigen/genetics/metabolism
Cell Line, Tumor
Cell Movement
*Colorectal Neoplasms/genetics/metabolism/pathology
*Gene Expression Regulation, Neoplastic
Humans
Matrix Metalloproteinase 2/genetics/metabolism
Matrix Metalloproteinase 9/genetics/metabolism
Neoplasm Invasiveness
Protein Kinases/genetics/metabolism
Repressor Proteins/genetics/metabolism
S100 Proteins/genetics/metabolism
Vascular Endothelial Growth Factor A/genetics/metabolism
Carcinoembryonic Antigen
Repressor Proteins
S100 Proteins
Vascular Endothelial Growth Factor A
Protein Kinases
Matrix Metalloproteinase 2
Matrix Metalloproteinase 9
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