1. A chemokine/chemokine receptor signature potentially predicts clinical outcome in colorectal cancer patients
- Author
-
Daley S. Morera, Jiaojiao Wang, Rohitha Baskar, Rahil Khan, Andrew Mitchell, Sarrah L. Hasanali, Charles S. Li, Asif Talukder, Daniel Albo, Roni J. Bollag, Meenakkshy Manoharan, Andre R. Jordan, Nagendra Singh, Santu Ghosh, Xin Wang, and Vinata B. Lokeshwar
- Subjects
Male ,Oncology ,Receptors, CXCR4 ,Cancer Research ,medicine.medical_specialty ,Chemokine ,Clinical cohort ,Colon ,Colorectal cancer ,Datasets as Topic ,Kaplan-Meier Estimate ,Real-Time Polymerase Chain Reaction ,Article ,Metastasis ,Chemokine receptor ,Internal medicine ,Biomarkers, Tumor ,Genetics ,medicine ,Humans ,0501 psychology and cognitive sciences ,In patient ,RNA-Seq ,Differential expression ,Aged ,0505 law ,Receptors, CXCR ,biology ,business.industry ,05 social sciences ,General Medicine ,Middle Aged ,Prognosis ,medicine.disease ,Chemokine CXCL12 ,Cohort ,050501 criminology ,biology.protein ,Female ,Colorectal Neoplasms ,business ,Follow-Up Studies ,050104 developmental & child psychology - Abstract
BACKGROUND Differential expression of chemokines/chemokine receptors in colorectal cancer (CRC) may enable molecular characterization of patients' tumors for predicting clinical outcome. OBJECTIVE To evaluate the prognostic ability of these molecules in a CRC cohort and the CRC TCGA-dataset. METHODS Chemokine (CXCL-12α, CXCL-12β, IL-17A, CXCL-8, GM-CSF) and chemokine receptor (CXCR-4, CXCR-7) transcripts were analyzed by RT-qPCR in 76 CRC specimens (normal: 27, tumor: 49; clinical cohort). RNA-Seq data was analyzed from the TCGA-dataset (n= 375). Transcript levels were correlated with outcome; analyses: univariate, multivariable, Kaplan-Meier. RESULTS In the clinical cohort, chemokine/chemokine receptor levels were elevated 3-10-fold in CRC specimens (P⩽ 0.004) and were higher in patients who developed metastasis (P= 0.03 - < 0.0001). CXCR-4, CXCR-7, CXCL-12α, CXCL-8, IL-17 and GM-CSF levels predicted metastasis (P⩽ 0.0421) and/or overall survival (OS; P⩽ 0.0373). The CXCR-4+CXCR-7+CXCL-12 marker (CXCR-4/7+CXCL-12 (α/b) signature) stratified patients into risk for metastasis (P= 0.0014; OR, 2.72) and OS (P= 0.0442; OR, 2.7); sensitivity: 86.67%, specificity: 97.06%. In the TCGA-dataset, the CXCR-4/7+CXCL-12 signature predicted metastasis (P= 0.011; OR, 2.72) and OS (P= 0.0006; OR: 4.04). In both datasets, the signature was an independent predictor of clinical outcome. CONCLUSIONS Results of 451 specimens from both cohorts reveal that the CXCR-4/7+CXCL-12 signature potentially predicts outcome in CRC patients and may allow earlier intervention.
- Published
- 2019
- Full Text
- View/download PDF