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Int J Med Sci 2017; 14(11):1154-1162. doi:10.7150/ijms.20538 This issue Cite

Research Paper

Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis

Hui-Ying Lu, Ri-Tian Lin, Guang-Xi Zhou, Tian-Ming Yu, Zhan-Ju Liu✉

Department of Gastroenterology, The Shanghai Tenth People's Hospital, Tongji University, Shanghai 200072, China

✉ Corresponding author: Zhan-Ju Liu, MD, PhD, Department of Gastroenterology, The Shanghai Tenth People's Hospital, Tongji University, Shanghai 200072, China. Email: liuzhanju88com

Citation:
Lu HY, Lin RT, Zhou GX, Yu TM, Liu ZJ. Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis. Int J Med Sci 2017; 14(11):1154-1162. doi:10.7150/ijms.20538. https://www.medsci.org/v14p1154.htm
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Abstract

Background: Colorectal cancer (CRC) is strongly associated with colorectal polyps, which has become the third most common cancer in China. In the present study, we revealed the susceptible population and risk factors of colorectal polyps, and analyzed the expression of Ki-67, p53 and K-ras in the intestinal mucosa of patients with colorectal polyps in order to explore their significance in the detection and prognosis of CRC at an early stage.

Materials and Methods: Total 801 cases of colorectal polyps were collected during endoscopic resection including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Expression of Ki-67, p53 and K-ras in the intestinal mucosa was detected by immunohistochemistry and quantitative real-time polymerase chain reaction (qRT-PCR), respectively. Histological analysis was performed by Hematoxylin and eosin (HE) staining. Categorical variables were compared by one-way ANOVA, Pearson test, Spearman test, Kruskal-Wallis test and analysis of regression.

Results: Of all patients with colorectal polyps, 90.76% of patients (n = 727) were ≥ 50 years old. 530 cases (66.17%) were males compared with 271 females (33.83%) in all 801 cases. More importantly, 1.03% patients (n = 7) underwent polypectomy and histological examination was confirmed to be the early stage of CRC. The expression of p53 was found to be significantly decreased, while K-ras was increased in tumor tissues of CRC compared with that in hyperplastic polyps and healthy controls.

Conclusions: 1.03% patients (n = 7) underwent polypectomy was confirmed to be the early stage of CRC. Histological analysis for expression of p53 and K-ras can guarantee to screen the early stage of CRC.

Keywords: colorectal cancer, colorectal polyps, cancer prediction, histological analysis, clinical characteristics.

Citation styles

APA
Lu, H.Y., Lin, R.T., Zhou, G.X., Yu, T.M., Liu, Z.J. (2017). Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis. International Journal of Medical Sciences, 14(11), 1154-1162. https://doi.org/10.7150/ijms.20538.

ACS
Lu, H.Y.; Lin, R.T.; Zhou, G.X.; Yu, T.M.; Liu, Z.J. Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis. Int. J. Med. Sci. 2017, 14 (11), 1154-1162. DOI: 10.7150/ijms.20538.

NLM
Lu HY, Lin RT, Zhou GX, Yu TM, Liu ZJ. Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis. Int J Med Sci 2017; 14(11):1154-1162. doi:10.7150/ijms.20538. https://www.medsci.org/v14p1154.htm

CSE
Lu HY, Lin RT, Zhou GX, Yu TM, Liu ZJ. 2017. Critical Role of p53 and K-ras in the Diagnosis of Early Colorectal Cancer: a One-year, Single-center Analysis. Int J Med Sci. 14(11):1154-1162.

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