ABCB1 gene polymorphisms and expression of P-glycoprotein and long-term prognosis in colorectal cancer.

Abstract:

BACKGROUND:P-glycoprotein (Pgp), encoded by the ATP-binding cassette B1 (ABCB1) gene, is an efflux transporter located on the luminal side of intestinal epithelial cells, which protects the gut from endogenous and exogenous toxins. The association of two ABCB1 polymorphisms with the occurrence of colon cancer and long-term prognosis was evaluated in a selected patient population. The expression of Pgp in neoplastic and normal intestinal mucosa was also studied. PATIENTS AND METHODS:Archival material from 51 patients, in Dukes stage B2 or C, treated for 6 months with 5-fluorouracil plus leucovorin was retrieved. The G2677T and C3435T polymorphisms were studied and immunohistochemical analysis of the tumor and adjacent normal tissue was performed. RESULTS:The distribution of wild-type and polymorphic genotypes was similar in the patients and controls and in the patients who relapsed and those who remained event-free for 5 years. Cox proportional hazard model indicated an increased probability of relapse for older patients (p = 0.042) and C stage tumors (p = 0.030). Pgp expression was significantly lower in cancer tissue compared to normal mucosa (p < 0.001) and was related to grading, being lower in poorly-differentiated tumors (p < 0.05); however, no relationship was seen between Pgp expression, genotype and long-term prognosis. CONCLUSION:G2677T and C3435T polymorphisms are not associated with colon cancer risk and prognosis in a selected patient population.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

De Iudicibus S,De Pellegrin A,Stocco G,Bartoli F,Bussani R,Decorti G

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

3921-8

issue

6B

eissn

0250-7005

issn

1791-7530

journal_volume

28

pub_type

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