Chen G, Cong LH, Gu CJ, Li P. Correlation between TEX14 and ADAM17 expressions in colorectal cancer tissues of elderly patients and neoplasm staging, invasion, and metastasis. World J Clin Cases 2024; 12(24): 5492-5501 [PMID: 39188605 DOI: 10.12998/wjcc.v12.i24.5492]
Corresponding Author of This Article
Gun Chen, BMed, Associate Chief Physician, Department of Pathology, The Affiliated People's Hospital of Ningbo University, No. 251 Baizhang Street, Yinzhou District, Ningbo 315000, Zhejiang Province, China. nbmike0139@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Aug 26, 2024; 12(24): 5492-5501 Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5492
Table 1 Primer sequences for each gene
Gene
Forward
Reverse
TEX14
ATGTCGGACATCGGAGACTG
CTGGTCTCCAAGTCGAAAG
ADAM17
CTGGCTGGCTCATCACATTC
CATGCCTGTAATCCCAGCAC
β-actin
AGAGCCTCGCCTTTGCCGATCC
CTGGGCCTCGTCGCCCACATA
Table 2 Differences in TEX14 and ADAM17 mRNA profiles between colorectal cancer tissues and adjacent normal tissues
Group
n
TEX14 mRNA
ADAM17 mRNA
CRC tissues
86
1.61 ± 0.23
1.82 ± 0.29
Adjacent normal tissues
86
0.98 ± 0.13
1.00 ± 0.12
t value
22.114
24.230
P value
< 0.001
< 0.001
Table 3 TEX14 and ADAM17 protein profiles in colorectal cancer and adjacent normal tissues
Group
n
TEX14
ADAM17
(-)
(+)
(++)
(+++)
(-)
(+)
(++)
(+++)
CRC tissues
86
25 (29.07)
20 (23.26)
29 (33.72)
12 (13.95)
19 (22.09)
31 (36.04)
27 (31.40)
9 (10.47)
Adjacent normal tissues
86
63 (73.26)
17 (19.76)
6 (6.98)
0 (0)
55 (63.95)
18 (20.93)
13 (15.12)
0 (0)
χ2 value
43.767
34.863
P value
< 0.001
< 0.001
Table 4 Association between the protein profile of TEX14 and clinical pathology
Pathological features
n
TEX14
χ2 value
P value
Positive, n = 61
Negative, n = 25
Age
≥ 65 years
54
36 (66.67)
18 (33.33)
1.279
0.258
< 65 years
32
25 (78.13)
7 (21.88)
Sex
Male
47
35 (74.47)
12 (25.53)
0.629
0.428
Female
39
26 (66.67)
13 (33.33)
Pathological type
Tubular adenocarcinoma
33
23 (69.70)
10 (30.30)
0.715
0.699
Villous adenocarcinoma
27
18 (66.67)
9 (33.33)
Papillary carcinoma
26
20 (76.92)
6 (23.08)
Tumor diameter
≥ 3 cm
46
30 (65.22)
16 (34.78)
1.565
0.211
< 3 cm
40
31 (77.50)
9 (22.50)
Differentiation degree
Low differentiation
27
15 (55.56)
12 (44.44)
6.602
0.037
Moderate differentiation
25
17 (68.00)
8 (32.00)
High differentiation
34
29 (85.29)
5 (14.71)
TNM staging
Stages I-II
37
21 (56.76)
16 (43.24)
6.327
0.012
Stages III-IV
49
40 (81.63)
9 (18.37)
Lymph node metastasis
Presence
53
43 (83.13)
10 (18.87)
6.972
0.008
Absence
33
18 (54.55)
15 (45.45)
Infiltration depth
T1 + T2
37
21 (56.76)
16 (43.24)
6.486
0.039
T3
41
33 (80.49)
8 (19.51)
T4
8
7 (87.50)
1 (12.5)
Distant metastasis
Presence
46
37 (80.43)
9 (19.57)
4.333
0.037
Absence
40
24 (60.00)
16 (40.00)
Table 5 Correlation between ADAM17 protein expression and clinical pathology
Pathological characteristic
n
ADAM17
χ2 value
P value
Positive, n = 67
Negative, n = 19
Age
≥ 65 years
54
44 (81.48)
10 (18.52)
1.077
0.299
< 65 years
32
23 (71.88)
9 (28.13)
Sex
Male
47
39 (82.98)
8 (17.02)
1.549
0.213
Female
39
28 (71.79)
11 (28.21)
Pathological type
Tubular adenocarcinoma
33
27 (81.82)
6 (18.18)
1.308
0.520
Villous adenocarcinoma
27
19 (70.37)
8 (29.63)
Papillary carcinoma
26
21 (80.77)
5 (19.23)
Tumor diameter
≥ 3 cm
46
38 (82.61)
8 (17.39)
1.270
0.260
< 3 cm
40
29 (72.50)
11 (27.50)
Differentiation degree
Low differentiation
27
20 (74.07)
7 (25.93)
10.079
0.006
Moderate differentiation
25
15 (60.00)
10 (40.00)
High differentiation
34
32 (94.12)
2 (5.88)
TNM staging
Stages I-II
37
24 (64.86)
13 (35.14)
6.418
0.011
Stages III-IV
49
43 (87.76)
6 (12.24)
Lymph node metastasis
Presence
53
46 (86.79)
7 (13.21)
6.336
0.012
Absence
33
21 (63.64)
12 (36.36)
Infiltration degree
T1 + T2
37
24 (64.86)
13 (35.14)
7.250
0.027
T3
41
35 (85.37)
6 (14.63)
T4
8
8 (100.00)
0 (0)
Distant metastasis
Presence
46
40 (86.96)
6 (13.04)
4.706
0.030
Absence
40
27 (67.50)
13 (32.50)
Table 6 Binary variable assignment
Variable
Assignment
Outcomes
TNM staging
Stages I-II
0
Stages III-III
1
Invasion
Infiltration depths T1 + T2
0
Infiltration depths T3 + T4
1
Lymph node metastasis
Presence
1
Absence
0
Distant metastasis
Presence
1
Absence
0
TEX14
Positive
1
Negative
0
ADAM17
Positive
1
Negative
0
Table 7 Correlation between TEX14 and ADAM17 profiles and tumor staging, invasion, and metastasis
C
TEX14
ADAM17
Β
SE
Wald
OR
95%CI
P value
β
SE
Wald
OR
95%CI
P value
TNM staging
1.207
0.518
5.429
3.343
1.211-9.228
0.020
1.602
0.595
7.249
4.963
1.546-15.930
0.007
Invasion
2.703
0.988
7.485
14.924
2.152-103.491
0.006
1.886
0.803
5.516
6.593
1.366-31.813
0.019
Lymph node metastasis
1.613
0.732
4.856
5.018
1.195-21.067
0.028
0.978
0.466
4.405
2.659
1.067-6.628
0.036
Distant metastasis
1.825
0.819
4.965
6.203
1.246-30.884
0.026
2.077
0.804
6.674
7.980
1.651-38.584
0.010
Citation: Chen G, Cong LH, Gu CJ, Li P. Correlation between TEX14 and ADAM17 expressions in colorectal cancer tissues of elderly patients and neoplasm staging, invasion, and metastasis. World J Clin Cases 2024; 12(24): 5492-5501