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CK2α Overexpression in Colorectal Cancer: Evidence for Sex- and Age-Linked Differences
Jana Romy Friedrich1, Clara Meier1, Guido Plotz1
1Biomedical Research Laboratory, Medical Clinic 1, University Hospital, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Cancers
|September 13, 2025
Summary
Colorectal cancer (CRC) shows sex-specific differences. Casein kinase 2 alpha (CK2α) is higher in female CRC tumors and linked to age, suggesting new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Colorectal cancer (CRC) is a leading cause of cancer mortality with known sex-specific disparities.
- Previous research identified casein kinase 2 alpha (CK2α) as a factor impairing DNA mismatch repair (MMR) and increasing tumor mutational burden.
- This study focuses on investigating sex-specific differences in CK2α protein expression within CRC.
Purpose of the Study:
- To investigate sex-specific differences in CK2α protein expression in colorectal cancer (CRC).
- To explore the correlation between CK2α expression, age, and sex in CRC patients.
- To identify potential regulatory mechanisms and signaling pathways influenced by CK2α in CRC.
Main Methods:
- Immunohistochemical (IHC) analysis of CK2α protein levels in 161 CRC tumors and adjacent normal tissues.
- Multi-cohort meta-analysis of proteomic and clinical data to validate findings.
- Assessment of correlations between CK2α expression, age, sex, and relevant signaling pathways.
Main Results:
- Significantly higher CK2α protein expression was observed in female CRC patients compared to male patients, confirmed across independent cohorts.
- CK2α expression positively correlated with age in female CRC patients, but not in male patients.
- CK2α levels were linked to proteins involved in estrogen receptor signaling and aging, including DDX5, HDAC1, PCNA, PHB2, NHP2, and MAP2K3.
Conclusions:
- CK2α is significantly overexpressed in female CRC tumor tissue, with a notable age-related correlation.
- Findings suggest a sex- and age-specific regulatory mechanism in CRC, potentially involving estrogen signaling or menopause.
- The identified dimorphisms highlight the necessity for developing sex-specific strategies for CRC biomarker discovery and therapeutic interventions.
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