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Role of TGF-beta1, its receptor TGFbetaRII, and Smad proteins in the progression of colorectal cancer.

AbstractAIM:
In the current study, we investigated the expression of TGF-beta1, its receptor TGFbetaRII, and the signaling proteins Smad4 and Smad7 in colorectal cancer tissue in relation to infiltration with antigen-presenting cells and some clinical and pathologic parameters of disease progression in patients with colorectal cancer (CRC).
MATERIALS AND METHODS:
The immunohistochemical expression of TGF-beta1, TGFbetaRII, Smad4, Smad7, HLA-DR antigen, CD1a, CD83, and CD68 was evaluated in 142 patients (50 females and 92 males) with CRC, followed-up for 6-8 years period.
RESULTS:
In our study, 127 (89.4%) out of 142 colorectal cancers displayed cytoplasmic TGF-beta1 immunoreactivity. Common-mediator Smad4 was detected in the tumor cytoplasm in 124 cancers (79.5%) and inhibitory Smad7 immunostaining was observed in 110 (77.4%) tumor specimens. TGFbetaRII was expressed on tumor cell membranes in 119 (76.3%) of the cancers. The increased TGF-beta1 expression in tumor cytoplasm was related to low CD68(+)- and CD83(+)-cell infiltration in tumor tissues. Patients with TGF-beta1 overexpression had worse prognosis after surgical therapy compared to those with low expression of TGF-beta1. The observed association was more pronounced for the patients in T1-T2 stage (p = 0.0015).
CONCLUSIONS:
The expression of TGF-beta1, its receptor TGFbetaRII, and signaling proteins Smad4 and Smad7 was observed in the majority of colorectal cancer specimens. Our results suggest that TGF-beta1 production by tumor cells may affect the tumor environment via suppression of tumor-infiltrating immune cells and probably contributes to tumor cells aggressiveness through autocrine activation of Smad signaling.
AuthorsMaya Gulubova, Irena Manolova, Julian Ananiev, Alexander Julianov, Yovcho Yovchev, Katya Peeva
JournalInternational journal of colorectal disease (Int J Colorectal Dis) Vol. 25 Issue 5 Pg. 591-9 (May 2010) ISSN: 1432-1262 [Electronic] Germany
PMID20165854 (Publication Type: Journal Article)
Chemical References
  • Neoplasm Proteins
  • Receptors, Transforming Growth Factor beta
  • SMAD4 protein, human
  • SMAD7 protein, human
  • Smad4 Protein
  • Smad7 Protein
  • Transforming Growth Factor beta1
  • Protein Serine-Threonine Kinases
  • Receptor, Transforming Growth Factor-beta Type II
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Antigen-Presenting Cells (metabolism, pathology)
  • Cell Count
  • Cell Membrane (metabolism)
  • Colorectal Neoplasms (metabolism, pathology)
  • Disease Progression
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Neoplasm Proteins (metabolism)
  • Protein Serine-Threonine Kinases (metabolism)
  • Protein Transport
  • Receptor, Transforming Growth Factor-beta Type II
  • Receptors, Transforming Growth Factor beta (metabolism)
  • Smad4 Protein (metabolism)
  • Smad7 Protein (metabolism)
  • Transforming Growth Factor beta1 (metabolism)

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