Clinical implications of cancer stem cell markers and ABC transporters as a predictor of prognosis in colorectal cancer patients

Bo Hyung Kim, Heung Kwon Oh, Duck Woo Kim, Sung Bum Kang, Younghee Choi, Eun Shin

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Background/Aim: Cancer stem cells (CSCs) and ABC transporters are associated with treatment resistance and outcomes of cancer patients. We aimed to investigate the prognostic implications of CSC markers and ABC transporters in colorectal cancer (CRC) patients. Materials and Methods: We collected 331 CRC samples and evaluated 3 CSC markers (SOX2, LGR5, and ALDH1) and 3 ABC transporters (ABCC2, ABCC3, and ABCG2) by immunohistochemistry. The association between the expression of these protein and patients' prognoses was statistically analyzed. Results: SOX2 was associated with longer overall survival (OS) (p<0.001). ABCG2 was associated with favorable overall survival (OS) p=0.001) and SOX2, and ABCC2 were associated with longer diseasefree survival (DFS) (p=0.005 and 0.029, respectively). Multivariate analyses revealed that SOX2 was an independent prognostic factor for DFS [hazard ratio (HR)=2.701, p=0.044]. Conclusion: SOX2 and ABCC2 may be promising prognostic markers for CRC patients.

Original languageEnglish
Pages (from-to)4481-4489
Number of pages9
JournalAnticancer Research
Volume40
Issue number8
DOIs
Publication statusPublished - Aug 2020

Bibliographical note

Publisher Copyright:
© 2020 International Institute of Anticancer Research. All rights reserved.

Keywords

  • ABC transporter
  • Cancer stem cell
  • Colorectal cancer
  • Prognosis

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