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Clinical–pathological characteristics and short-term follow-up associated with proliferation, apoptosis and angiogenesis in a prospective cohort of patients with colorectal tumours
oleh: Maximino Redondo, Cristina Abitei, Teresa Téllez, Rafael Fúnez, Teresa Pereda, Isabel Rodrigo, Ana M Betancourt, Marilina García-Aranda, Antonio Rueda, Rafael Cayetano Martínez García, María Manuela Morales Suarez-Varela, Iñaki Zabalza, Matilde Sánchez del Charco, Juan José Borrero Martín, Raimundo García del Moral, Antonio Escobar, JoséMaría Quintana, Francisco Rivas-Ruiz
Format: | Article |
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Diterbitkan: | IOS Press 2019-04-01 |
Deskripsi
We investigate the clinical and pathological features related to variations in colorectal tumour apoptosis, proliferation and angiogenesis and the influence of the latter in short-term mortality (2 years); 551 tumour samples from a prospective cohort of patients with colorectal cancer were examined and tumour biology markers were determined as follows: percentage of apoptotic cells, by the terminal deoxynucleotidyl transferase (TdT) dUTP Nick-End Labeling technique; Ki-67 antigen, as a cell proliferation marker and density of microvessels (as a marker of angiogenesis). An increase in the percentage of cellular apoptosis is significantly related to the presence of poorly differentiated tumours, with vascular invasion (p < 0.001). The CD105 angiogenesis marker is not related to any clinical–pathological parameter except that of higher frequency in older patients (p = 0.03). Ki-67 is more frequently expressed in tumours with less nervous invasion (p = 0.05). Neither apoptosis nor angiogenesis present any significant association with short-term survival. The only marker clearly related to 2-year survival is Ki-67, which is shown to be a good prognostic factor in the multivariate analysis (hazard ratio = 0.49; 95% confidence interval = 0.27–0.90). Therefore, in a prospective cohort of colorectal cancer patients, only Ki-67 is a marker of good prognosis in short-term follow-up.