Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.

Clinical data indicate that prognostic stratification of radically resected colorectal cancer based on disease stage only may not be always be adequate. Preclinical findings suggest that cancer stem cells may influence the biological behaviour of colorectal cancer independently from stage: objective...

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Autores principales: Riccardo Giampieri, Mario Scartozzi, Cristian Loretelli, Francesco Piva, Alessandra Mandolesi, Giovanni Lezoche, Michela Del Prete, Alessandro Bittoni, Luca Faloppi, Maristella Bianconi, Luca Cecchini, Mario Guerrieri, Italo Bearzi, Stefano Cascinu
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/d77f787decfb4d558ac2bee5360ddb17
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spelling oai:doaj.org-article:d77f787decfb4d558ac2bee5360ddb172021-11-18T08:57:00ZCancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.1932-620310.1371/journal.pone.0072843https://doaj.org/article/d77f787decfb4d558ac2bee5360ddb172013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24023782/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Clinical data indicate that prognostic stratification of radically resected colorectal cancer based on disease stage only may not be always be adequate. Preclinical findings suggest that cancer stem cells may influence the biological behaviour of colorectal cancer independently from stage: objective of the study was to assess whether a panel of stemness markers were correlated with clinical outcome in resected stage II and III colon cancer patients. A panel of 66 markers of stemness were analysed and thus patients were divided into two groups (A and B) with most patients clustering in a manner consistent with different time to relapse by using a statistical algorithm. A total of 62 patients were analysed. Thirty-six (58%) relapsed during the follow-up period (range 1.63-86.5 months). Twelve (19%) and 50 (81%) patients were allocated into group A and B, respectively. A significantly different median relapse-free survival was observed between the 2 groups (22.18 vs 42.85 months, p=0.0296). Among of all genes tested, those with the higher "weight" in determining different prognosis were CD44, ALCAM, DTX2, HSPA9, CCNA2, PDX1, MYST1, COL1A1 and ABCG2. This analysis supports the idea that, other than stage, biological variables, such as expression levels of colon cancer stem cell genes, may be relevant in determining an increased risk of relapse in resected colorectal cancer patients.Riccardo GiampieriMario ScartozziCristian LoretelliFrancesco PivaAlessandra MandolesiGiovanni LezocheMichela Del PreteAlessandro BittoniLuca FaloppiMaristella BianconiLuca CecchiniMario GuerrieriItalo BearziStefano CascinuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e72843 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Riccardo Giampieri
Mario Scartozzi
Cristian Loretelli
Francesco Piva
Alessandra Mandolesi
Giovanni Lezoche
Michela Del Prete
Alessandro Bittoni
Luca Faloppi
Maristella Bianconi
Luca Cecchini
Mario Guerrieri
Italo Bearzi
Stefano Cascinu
Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
description Clinical data indicate that prognostic stratification of radically resected colorectal cancer based on disease stage only may not be always be adequate. Preclinical findings suggest that cancer stem cells may influence the biological behaviour of colorectal cancer independently from stage: objective of the study was to assess whether a panel of stemness markers were correlated with clinical outcome in resected stage II and III colon cancer patients. A panel of 66 markers of stemness were analysed and thus patients were divided into two groups (A and B) with most patients clustering in a manner consistent with different time to relapse by using a statistical algorithm. A total of 62 patients were analysed. Thirty-six (58%) relapsed during the follow-up period (range 1.63-86.5 months). Twelve (19%) and 50 (81%) patients were allocated into group A and B, respectively. A significantly different median relapse-free survival was observed between the 2 groups (22.18 vs 42.85 months, p=0.0296). Among of all genes tested, those with the higher "weight" in determining different prognosis were CD44, ALCAM, DTX2, HSPA9, CCNA2, PDX1, MYST1, COL1A1 and ABCG2. This analysis supports the idea that, other than stage, biological variables, such as expression levels of colon cancer stem cell genes, may be relevant in determining an increased risk of relapse in resected colorectal cancer patients.
format article
author Riccardo Giampieri
Mario Scartozzi
Cristian Loretelli
Francesco Piva
Alessandra Mandolesi
Giovanni Lezoche
Michela Del Prete
Alessandro Bittoni
Luca Faloppi
Maristella Bianconi
Luca Cecchini
Mario Guerrieri
Italo Bearzi
Stefano Cascinu
author_facet Riccardo Giampieri
Mario Scartozzi
Cristian Loretelli
Francesco Piva
Alessandra Mandolesi
Giovanni Lezoche
Michela Del Prete
Alessandro Bittoni
Luca Faloppi
Maristella Bianconi
Luca Cecchini
Mario Guerrieri
Italo Bearzi
Stefano Cascinu
author_sort Riccardo Giampieri
title Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
title_short Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
title_full Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
title_fullStr Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
title_full_unstemmed Cancer stem cell gene profile as predictor of relapse in high risk stage II and stage III, radically resected colon cancer patients.
title_sort cancer stem cell gene profile as predictor of relapse in high risk stage ii and stage iii, radically resected colon cancer patients.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/d77f787decfb4d558ac2bee5360ddb17
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