Published online Dec 28, 2015. doi: 10.3748/wjg.v21.i48.13473
Peer-review started: June 3, 2015
First decision: July 14, 2015
Revised: July 23, 2015
Accepted: November 9, 2015
Article in press: November 9, 2015
Published online: December 28, 2015
Processing time: 44 Days and 19.1 Hours
AIM: To investigate the effect of Golgi phosphorylation protein 3 (GOLPH3) expression on cell apoptosis, angiogenesis and prognosis in colorectal cancer (CRC).
METHODS: The expression of GOLPH3 in CRC tissues and normal colorectal mucosae was determined by immunohistochemistry in 62 patients. In addition, immunohistochemistry was also carried out to detect the expression of vascular endothelial growth factor (VEGF), CD34 and microvessel density (MVD). Terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling assay was used to determine the apoptotic index (AI). The Kaplan-Meier method was used to analyze the relationship between GOLPH3 expression and survival in another 123 CRC cases.
RESULTS: Compared with normal colorectal mucosae, a notably higher level of GOLPH3 protein expression was identified in CRC tissues (53.2% vs 24.2%, P < 0.05). Positive GOLPH3 expression was significantly associated with tumor invasion depth, TNM stage, and lymph node metastasis (P = 0.001; P = 0.020; P = 0.020; P < 0.05, respectively), but not with tumor length, tumor site, and age (P = 0.363; P = 0.819; P = 0.599; P > 0.05, respectively). VEGF expression and MVD in GOLPH3-positive CRC was significantly higher than in GOLPH3-negative CRC (VEGF: 69.7% vs 31.0%; MVD: 21.45 ± 9.39 vs 14.24 ± 8.97; P < 0.05). GOLPH3 expression was negatively correlated with AI in CRC as shown by Spearman correlation analysis (r = -0.320, P < 0.05). The 5-year survival rate in GOLPH3-negative CRC (69.4%) was significantly higher than in GOLPH3-positive CRC (48.6%) (log-rank test, P < 0.05).
CONCLUSION: High expression of GOLPH3 is found in CRC tissues. GOLPH3 expression may be a novel prognostic marker for CRC patients.
Core tip: Golgi phosphorylation protein 3 (GOLPH3) was identified as a Golgi membrane protein initially and as a new oncogene in recent years. This study reports a notably higher level of GOLPH3 expression in colorectal cancer (CRC) tissues compared with normal colorectal mucosae. Positive GOLPH3 expression was significantly associated with tumor invasion depth, TNM stage, and lymph node metastasis. In addition, GOLPH3 expression was correlated with cell apoptosis and angiogenesis. Our data suggest that GOLPH3 expression may be a novel prognostic marker for patients with CRC.