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UBC9 and PI3K Expression in Colorectal Cancer: Possible Prognostic Role
Ola Nasser1, Ahmed Rabea2, Reham Diaa1
1Department of Pathology, Faculty of Medicine, Minia University, Al Minia, Egypt.
Summary
High expression of ubiquitin-conjugating enzyme 9 (UBC9) and Phosphatidylinositol 3-kinase (PI3K) correlates with poor survival and treatment resistance in colorectal cancer (CRC) patients. Their co-expression indicates advanced disease and poorer outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Colorectal cancer (CRC) is a leading cause of cancer mortality globally.
- The roles of ubiquitin-conjugating enzyme 9 (UBC9) and Phosphatidylinositol 3-kinase (PI3K) signaling in CRC pathogenesis are not fully elucidated.
- Understanding these molecular pathways is crucial for improving CRC patient outcomes.
Purpose of the Study:
- To investigate the expression levels of UBC9 and PI3K in colorectal cancer tissues.
- To determine the prognostic and predictive significance of UBC9 and PI3K expression in CRC.
- To explore the association between UBC9 and PI3K expression and patient survival and treatment response.
Main Methods:
- Analysis of 140 archival CRC samples, 70 normal colonic tissues, and 40 metastatic lymph nodes.
- Immunohistochemistry was employed to assess the expression of UBC9 and PI3K.
- Statistical analyses were performed to correlate expression levels with clinicopathological features and survival data.
Main Results:
- UBC9 and PI3K were highly expressed in CRC tumor cells.
- Co-high expression of UBC9 and PI3K was significantly associated with high grade, advanced stage, high lymph node ratio (LNR), lympho-vascular invasion (LVI), low tumor infiltration lymphocytes (TILs), chemo-resistance, and KRAS mutations.
- Patients with co-high expression exhibited the poorest median survival (17 months).
- A significant positive association was observed between UBC9 and PI3K in metastatic lymph nodes.
Conclusions:
- UBC9 and PI3K are significantly associated with poor survival and treatment resistance in colorectal cancer.
- The combined expression of UBC9 and PI3K may play a crucial role in colorectal carcinogenesis.
- Targeting UBC9 and PI3K pathways could represent a potential therapeutic strategy for CRC.