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Park SJ, Cho JG, Han SH, Kim YM, Pak MG, Roh MS, Park JI. Dickkopf 4 Alone and in Combination with Leucyl-tRNA Synthetase as a Good Prognostic Biomarker for Human Colorectal Cancer. BIOMED RESEARCH INTERNATIONAL 2023; 2023:9057735. [PMID: 37096225 PMCID: PMC10122595 DOI: 10.1155/2023/9057735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 03/28/2023] [Accepted: 03/31/2023] [Indexed: 04/26/2023]
Abstract
The prognosis of patients with colorectal cancer (CRC) is affected by invasion and metastasis. Leucyl-tRNA synthetase (LARS) was shown to be related to the growth and migration of lung cancer cells. Dickkopf 4 (DKK4) is known as a Wnt/β-catenin pathway inhibitor, and its upregulation was reported in several cancers. However, the clinical significance of LARS and DKK4 in human CRC has not been clearly defined. We investigated the expression of LARS and DKK4 by immunohistochemical staining in tissue microarrays from 642 primary CRC patients and analyzed the relationship between their expression and the clinicopathological characteristics of CRC patients. LARS and DKK4 expressions were not related to gender, age at surgery, histologic grade, size, tumor location, tumor invasion, or metastasis, but LARS expression was significantly correlated with TNM stage, N stage, and lymph node metastasis. DKK4 expression was inversely related to the TNM stage and N stage. Survival analysis demonstrated that the OS and DFS in the LARS high expression group were not different compared to the LARS low expression group. OS and DFS in the DKK4 high expression group were significantly higher than in the DKK4 low expression group. In addition, OS and DFS in the group with the combination of the LARS high/DKK4 low expression were significantly lower than in the LARS high/DKK4 high expression group. The low expression of DKK4 alone can be used as a predictor of relapse in CRC patients. In addition, DKK4 low expression in the case of LARS high expression can be used as a poor prognostic factor in CRC patients. Thus, our findings suggest that DKK4 alone or in combination with LARS at diagnosis may be a useful prognostic factor for CRC.
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Affiliation(s)
- Su-Jeong Park
- Department of Biochemistry, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Department of Translational Biomedical Sciences, Graduate School, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Peripheral Neuropathy Center, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Jun Gi Cho
- Department of Biochemistry, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Department of Translational Biomedical Sciences, Graduate School, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Peripheral Neuropathy Center, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Sang-Heum Han
- Department of Biochemistry, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Department of Translational Biomedical Sciences, Graduate School, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Peripheral Neuropathy Center, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Yu-Mi Kim
- Department of Preventive Medicine, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Min-Gyoung Pak
- Department of Pathology, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Mee-Sook Roh
- Department of Pathology, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
| | - Joo-In Park
- Department of Biochemistry, Dong-A University College of Medicine, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Department of Translational Biomedical Sciences, Graduate School, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
- Peripheral Neuropathy Center, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea
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