Research Papers: Pathology:
LRP1 expression in colon cancer predicts clinical outcome
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Abstract
Camille Boulagnon-Rombi1,2, Christophe Schneider2,3, Chloé Leandri4, Albin Jeanne2,5, Virginie Grybek6, Aude Marchal Bressenot2, Coralie Barbe7, Benjamin Marquet1, Saviz Nasri8, Christelle Coquelet8, Caroline Fichel1, Nicole Bouland1, Arnaud Bonnomet9, Reza Kianmanesh10, Anne-Sophie Lebre6, Olivier Bouché4, Marie-Danièle Diebold1,2, Georges Bellon2,11 and Stéphane Dedieu2,3
1Laboratoire de Biopathologie, Centre Hospitalier Universitaire et Faculté de Médecine, Reims, France
2CNRS UMR 7369, Matrice Extracellulaire et Dynamique Cellulaire, MEDyC, Reims, France
3Université de Reims Champagne-Ardenne, UFR Sciences Exactes et Naturelles, Campus Moulin de la Housse, Reims, France
4Service de Gastro-entérologie et Cancérologie Digestive, Centre Hospitalier Universitaire, Reims, France
5SATT Nord, Lille, France
6Laboratoire de Génétique, Centre Hospitalier Universitaire, Reims, France
7Unité d’Aide Méthodologique, Centre Hospitalier Universitaire, Reims, France
8CRB Tumorothèque de Champagne-Ardenne, Reims, France
9Plateforme d’Imagerie Cellulaire et Tissulaire, Université de Reims Champagne-Ardenne, Reims, France
10Service de Chirurgie Digestive, Centre Hospitalier Universitaire, Reims, France
11Laboratoire de Biochimie, Centre Hospitalier Universitaire, Reims, France
Correspondence to:
Camille Boulagnon-Rombi, email: [email protected]
Keywords: colorectal cancer; LRP1; miR-205; BRAF; microsatellite instability; Pathology
Received: May 11, 2017 Accepted: January 09, 2018 Published: January 13, 2018
ABSTRACT
LRP1 (low-density lipoprotein receptor-related protein 1), a multifunctional endocytic receptor, has recently been identified as a hub within a biomarker network for multi-cancer clinical outcome prediction. As its role in colon cancer has not yet been characterized, we here investigate the relationship between LRP1 and outcome.
Materials and Methods: LRP1 mRNA expression was determined in colon adenocarcinoma and paired colon mucosa samples, as well as in stromal and tumor cells obtained after laser capture microdissection. Clinical potential was further investigated by immunohistochemistry in a population-based colon cancer series (n = 307). LRP1 methylation, mutation and miR-205 expression were evaluated and compared with LRP1 expression levels.
Results: LRP1 mRNA levels were significantly lower in colon adenocarcinoma cells compared with colon mucosa and stromal cells obtained after laser capture microdissection. Low LRP1 immunohistochemical expression in adenocarcinomas was associated with higher age, right-sided tumor, loss of CDX2 expression, Annexin A10 expression, CIMP-H, MSI-H and BRAFV600E mutation. Low LRP1 expression correlated with poor clinical outcome, especially in stage IV patients. While LRP1 expression was downregulated by LRP1 mutation, LRP1 promoter was never methylated.
Conclusions: Loss of LRP1 expression is associated with worse colon cancer outcomes. Mechanistically, LRP1 mutation modulates LRP1 expression.
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