The potential of EZH2 expression to facilitate treatment choice in stage II colorectal adenocarcinoma
- Xiaoqun Zhu 1, Lu He 2, Zhong Zheng 2, Ya Wang 2, Jun Yang 2, Biao Zhang 2, Chaoshan Wang 2, Zhiwen Li 3
- Xiaoqun Zhu 1, Lu He 2, Zhong Zheng 2
- 1Department of Pathology, Wannan Medical College, Wuhu, PR China.
- 2Department of Pathology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, PR China.
- 3Department of Pathology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, PR China. lzwen1234@163.com.
- 0Department of Pathology, Wannan Medical College, Wuhu, PR China.
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View abstract on PubMed
Summary
This summary is machine-generated.High Enhancer of zeste homolog 2 (EZH2) expression in stage II colorectal cancer (CRC) patients indicates a better response to adjuvant chemotherapy. EZH2 may identify early-stage CRC patients who benefit from combined surgery and chemotherapy.
Area Of Science
- Oncology
- Molecular Biology
- Cancer Research
Background
- Current criteria for adjuvant therapy selection in stage II colorectal carcinoma (CRC) are inadequate.
- Enhancer of zeste homolog 2 (EZH2) is over-expressed in CRC, but its role in survival, particularly in stage II, is unclear.
Purpose Of The Study
- To investigate the clinical significance of EZH2 expression in stage II CRC.
- To determine if EZH2 expression can predict response to adjuvant therapy.
Main Methods
- Retrospective review of stage II CRC cases (2015-2018).
- Immunohistochemistry analysis of EZH2 expression.
- Kaplan-Meier survival analysis.
Main Results
- High EZH2 expression was observed in 60.63% of stage II CRC tumors.
- High EZH2 expression correlated with improved overall survival (OS) in patients receiving adjuvant chemotherapy compared to surgery alone.
- No significant impact of treatment choice on survival was observed in patients with low EZH2 expression.
Conclusions
- EZH2 expression may serve as a biomarker to identify stage II CRC patients who benefit from adjuvant chemotherapy.
- Further large-scale studies are needed to validate EZH2's predictive value.
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