1. Reduced hTERT protein levels are associated with DNA aneuploidy in the colonic mucosa of patients suffering from longstanding ulcerative colitis
- Author
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Mariann Friis-Ottessen, Aasa R. Schjølberg, Paula M. De Angelis, Solveig Norheim Andersen, and Ole Petter F. Clausen
- Subjects
Adult ,Male ,Colectomies ,Pathology ,medicine.medical_specialty ,Adolescent ,Colorectal cancer ,Colon ,Biology ,telomerase ,Gastroenterology ,Young Adult ,Intestinal mucosa ,dysplasia ,Internal medicine ,Genetics ,medicine ,Humans ,Telomerase reverse transcriptase ,Colitis ,Intestinal Mucosa ,Child ,ulcerative colitis ,Cancer ,General Medicine ,Articles ,Middle Aged ,medicine.disease ,Aneuploidy ,Ulcerative colitis ,Immunohistochemistry ,Dysplasia ,Colonic Neoplasms ,Colitis, Ulcerative ,Female - Abstract
Longstanding ulcerative colitis (UC) is a disease of chronic inflammation of the colon. It is associated with the development of colorectal cancer through a multistep process including increasing degrees of dysplasia and DNA-ploidy changes. However, not all UC patients will develop these characteristics even during lifelong disease, and patients may therefore be divided into progressors who develop dysplasia or cancer, and non-progressors who do not exhibit such changes. In the present study, the amount of hTERT, the catalytic subunit of the enzyme telomerase, was estimated by using peroxidase immunohistochemistry (IHC) in a set of progressor and non-progressor UC colectomies. The protein levels in the colonic mucosa of the progressors and non-progressors were compared, and further comparisons between different categories of dysplastic development and to DNA-ploidy status within the progressors were made. Levels of hTERT were elevated in the colonic mucosa of the progressors and non-progressors when compared to non-UC control samples, but no difference was observed between the hTERT levels in the mucosa of progressors and non-progressors. The levels of hTERT associated with levels of Ki67 to a significant degree within the non-progressors. hTERT expression in lesions with DNA-aneuploidy were decreased as compared to diploid lesions, when stratified for different classes of colonic morphology. Our results indicate an association between hTERT protein expression and aneuploidy in UC-progressor colons, and also a possible protective mechanism in the association between hTERT and Ki67, against development of malignant features within the mucosa of a UC-colon.
- Published
- 2014