A Disintegrin and Metalloprotease 15 (ADAM15) as a Potential Predictor of Distant Metastasis in Colorectal Cancer (CRC)
- Adrianna Romanowicz 1,2, Marta Łukaszewicz-Zając 1, Barbara Choromańska 3, Sara Pączek 1, Hady Razak Hady 4, Piotr Myśliwiec 3, Jacek Jamiołkowski 5, Piotr Stępniewski 6, Leszek Kozłowski 6, Barbara Mroczko 1,2
- 1Department of Biochemical Diagnostics, Medical University, 15-269 Białystok, Poland.
- 2Department of Neurodegeneration Diagnostics, Medical University of Bialystok, 15-269 Białystok, Poland.
- 3First Department of General Surgery, Medical University, 15-267 Białystok, Poland.
- 4Second Department of General Surgery, Medical University, 15-267 Bialystok, Poland.
- 5Population Research Center, Medical University, 15-089 Bialystok, Poland.
- 6Oncology Center of Bialystok, 15-027 Bialystok, Poland.
- 0Department of Biochemical Diagnostics, Medical University, 15-269 Białystok, Poland.
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View abstract on PubMed
Summary
This summary is machine-generated.Serum ADAM15 levels may aid in diagnosing colorectal cancer (CRC) and predicting metastasis. Combining ADAM15 with CEA and CRP shows promise for improved CRC diagnosis.
Area Of Science
- Oncology
- Biochemistry
- Molecular Biology
Background
- A disintegrin and metalloprotease 15 (ADAM15) is implicated in colorectal cancer (CRC) progression by promoting tumor growth and modulating the tumor microenvironment.
- Elevated ADAM15 expression is observed in primary tumors, suggesting its potential role in CRC pathogenesis.
Purpose Of The Study
- To investigate serum ADAM15 concentrations as a potential biomarker for CRC diagnosis and progression.
- To compare serum ADAM15 levels with established tumor markers (CEA, CA19-9) and an inflammation marker (CRP) in CRC patients.
Main Methods
- Serum concentrations of ADAM15, CEA, and CA19-9 were measured using immunoenzyme assays in 110 CRC patients and 54 healthy volunteers.
- C-reactive protein (CRP) levels were assessed using the turbidimetric method.
- Diagnostic characteristics of all tested proteins were evaluated.
Main Results
- Serum ADAM15, CEA, and CA19 levels were higher in CRC patients than in healthy controls, with CEA showing significant difference (p < 0.001).
- ADAM15 concentrations were significantly elevated in CRC patients with distant metastases compared to those without (p = 0.043).
- Combined analysis of ADAM15 and CRP achieved the highest diagnostic sensitivity (89%).
Conclusions
- ADAM15 plays a significant role in CRC pathogenesis and can predict the presence of distant metastases.
- Measuring serum ADAM15, particularly in conjunction with CEA and CRP, may enhance the diagnostic accuracy for CRC patients.
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