×
Home Current Archive Editorial board
News Contact
Review paper

Association between CD133 expression and clinicopathological profile in colorectal cancer

By
Imelda Rey Orcid logo ,
Imelda Rey
Contact Imelda Rey

Department of Internal Medicine, School of Medicine, Universitas Sumatera Utara , Medan , Indonesia

Agung Putra ,
Agung Putra

Stem Cell And Cancer Research (SCCR), School of Medicine, Sultan Agung Islamic University (UNISSULA) , Semarang , Indonesia

Doctoral Department of Medical Science, School of Medicine, Universitas Sumatera Utara , Medan , Indonesia

Pathology Anatomy Department, School of Medicine, Sultan Agung Islamic University (UNISSULA) , Semerang , Indonesia

Dharma Lindarto ,
Dharma Lindarto

Department of Internal Medicine, School of Medicine, Universitas Sumatera Utara , Medan , Indonesia

Doctoral Department of Medical Science, School of Medicine, Universitas Sumatera Utara , Medan , Indonesia

Fauzi Yusuf
Fauzi Yusuf

Doctoral Department of Medical Science, School of Medicine, Universitas Sumatera Utara , Medan , Indonesia

Internal Medicine Department, School of Medicine, Syiah Kuala Univeristy , Banda Aceh; , Indonesia

Abstract

Aim
To investigate CD133 expression and its relationship to clinicopathological profile in colorectal cancer (CRC) patients.
Methods
This cross-sectional study was performed at the Internal Medicine Department, School of Medicine, Adam Malik General
Hospital. The colorectal cancer tissue was taken from surgical resection and colonoscopy biopsy from CRC patients. Clinical profile was obtained by a questionnaire. Histopathology examination was done using hematoxylin and eosin staining. Immunohistochemistry (distribution score and intensity score) combined with ROC analysis were conducted to determine CD133 expression. An association between CD133 expression and clinicopathological profile
was then analyzed.
Results
Out of 118 patients, 690 (58.5%) were male. The high and low level of CD133 expression were found in 44 (37.3%) and
74 (62.7%) patients, respectively. No difference between gender, age, body mass index, hemoglobin, leucocytes, platelets, and histopathology with CD133 expression was found. There was a significant difference between CD133 and different CRC locations (p=0.002). CD133 expression was higher in the proximal colon than the rectum (p=0.002), and it was higher in the distal colon than the rectum (p=0.008), especially in terms of percentages of stained cancer cells (distribution score).
Conclusion
CD133 expression was associated with the tumour location, but not with other clinicopathological factors.

References

1
Cook M, Dawsey S, Freedman N, Inskip P, Wichner S, Quraishi S, et al. Sex disparities in cancer incidence by period and age. Cancer Epidemiol Biomarkers Prev 2009:1174–82.
2
Matsumoto K, Arao T, Tanaka K, Kaneda H, Kudo K, Fujita Y, et al. mTOR signal and hypoxia-inducible factor-1α regulate CD133 expression in cancer cells. Cancer Res 2009:7160–4.
3
Seidel S, Garvalov B, Wirta V, Stechow V, Schänzer L, Meletis A, et al. A hypoxic niche regulates glioblastoma stem cells through hypoxia inducible factor 2α. Brain 2010:983–95.
4
Soeda A, Park M, Lee D, Mintz A, Androutsellis-Theotokis A, Mckay R, et al. Hypoxia promotes expansion of the CD133-positive glioma stem cells through activation of HIF-1α. Oncogene 2009:3949–59.
5
Tampellini M, Saini A, Alabiso I, Bitossi R, Brizzi M, Sculli C, et al. The role of haemoglobin level in predicting the response to first-line chemotherapy in advanced colorectal cancer patients. Brit J Cancer 2006:13–20.
6
Chen S, Song X, Chen Z, Li X, Li M, Liu H, et al. CD133 expression and the prognosis of colorectal cancer: a systematic review and meta-analysis. PloS One 2013:5638.
7
Jafarabadi M, Mohammadi S, Hajizadeh E, Kazemnejad A, Fatemi S. Does the prognosis of colorectal cancer vary with tumor site? Gastroenterol Hepatol Bed Bench 2011:199–199.
8
Aoyama T, Kashiwabara K, Oba K, Honda M, Sadahiro S, Hamada C, et al. Clinical impact of tumor location on the colon cancer survival and recurrence: analyses of pooled data from three large phase III randomized clinical trials. Cancer Med 2017:2523–30.
9
Chew M, Teoh K, Cheah P. CD133 marks for colorectal adenocarcinoma. Malay J Pathol 2012:25–8.
10
Kojima M, Ishii G, Atsumi N, Fujii S, Saito N, Ochiai A. Immunohistochemical detection of CD133 expression in colorectal cancer: a clinicopathological study. Cancer Sci 2008:1578–83.
11
Huang R, Mo D, Wu J, Ai H, Lu Y. CD133 expression correlates with clinicopathologic features and poor prognosis of colorectal cancer patients: An updated meta-analysis of 37 studies. Medicine 2018:e10446.
12
Minoo P, Zlobec I, Peterson M, Terracciano L, Lugli A. Characterization of rectal, proximal and distal colon cancers based on clinicopathological, molecular and protein profiles. Int J Oncol 2010:707–18.
13
Hongo K, Kazama S, Sunami E, Tsuno N, Takahashi K, Nagawa H, et al. Immunohistochemical detection of CD133 is associated with tumor regression grade after chemoradiotherapy in rectal cancer. Med Oncol 2012:2849–57.
14
Bollati V, Baccarelli A. Environmental epigenetics. Heredity 2010:105–12.
15
Brait M, Ford J, Papaiahgari S, Garza M, Lee J, Loyo M, et al. Association between lifestyle factors and CpG island methylation in a cancer-free population. Cancer Epidemiol Biomarkers Prev 2009:2984–91.
16
Gabory A, Attig L, Junien C. Sexual dimorphism in environmental epigenetic programming. Mol Cell Endocrinol 2009:8–18.
17
Torre L, Bray F, Siegel R, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics. CA Cancer J Clin 2012:87–108.
18
Nosrati A, Naghshvar F, Maleki I, Salehi F. Cancer stem cells CD133 and CD24 in colorectal cancers in Northern Iran. Gastroenterol Hepatol Bed Bench 2016:132–9.
19
Hong I, Hong S, Chang Y, Lee W, Lee B, Kang Y, et al. Expression of the cancer stem cell markers CD44 and CD133 in colorectal cancer: an immunohistochemical staining analysis. Ann Coloproctol 2015:84–91.
20
Horst D, Kriegl L, Engel J, Kirchner T, Jung. Prognostic significance of the cancer stem cell markers CD133, CD44, and CD166 in colorectal cancer. Cancer Invest 2009:844–50.
21
Kato Y, Nishihara H, Mohri H, Kanno H, Kobayashi H, Kimura T, et al. Clinicopathological evaluation of cyclooxygenase-2 expression in meningioma: immunohistochemical analysis of 76 cases of low and high-grade meningioma. Brain Tumor Pathol 2014:23–30.
22
Fleming M, Ravula S, Tatishchev S, Wang H. Colorectal carcinoma: pathologic aspects. J Gastrointest Oncol 2012:153–73.
23
Ong C, Kim L, Kong H, Low L, Iacopetta B, Soong R, et al. CD133 expression predicts for non-response to chemotherapy in colorectal cancer. Modern Pathol 2010:4507.
24
Corbeil D, Röper K, Hellwig A, Tavian M, Miraglia S, Watt S, et al. The human AC133 hematopoietic stem cell antigen is also expressed in epithelial cells and targeted to plasma membrane protrusions. J Biol Chem 2000:5512–20.
25
Munro M, Wickremesekera S, Peng L, Tan S, Itinteang T. Cancer stem cells in colorectal cancer: a review. J of Clin Pathol 2018:110–6.
26
Zhou Y, Xia L, Wang H, Oyang L, Su M, Liu Q, et al. Cancer stem cells in progression of colorectal cancer. Oncotarget 2018:33403–15.
27
Song L, Li Y, He B, Gong Y. Development of small molecules targeting the Wnt signaling pathway in cancer stem cells for the treatment of colorectal cancer. Clin Colorectal Canc 2015:133–45.
28
Visvader J, Lindeman G. Cancer stem cells in solid tumours: accumulating evidence and unresolved questions. Nat Rev Cancer 2008:755–68.
29
Reya T, Morrison S, Clarke M, Weissman I. Stem cells, cancer, and cancer stem cells. Nature 2001:105–11.
30
Kobayashi H, Mochizuki H, Sugihara K, Morita T, Kotake K, Teramoto T, et al. Characteristics of recurrence and surveillance tools after curative resection for colorectal cancer: a multicenter study. Surgery 2007:67–75.
31
Rey I, Effendi R, Zain L. Comparison of CEA level among tumor location and histopathological findings in colorectal cancer. J Gastroen Hepatol 2016:200.
32
Effendi R, Efendi D, Dairy L, Sembiring J, Sihombing M, Marpaung B, et al. Profile of colorectal cancer patients in Endoscopic Unit at Dr. Pirngadi Hospital-Medan. Indones J Gastroenterol Hepatol Dig Endosc 2008:78–81.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.