1. Validity and clinical impact of glucose transporter 1 expression in colorectal cancer
- Author
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Zienab A Kasemy, Mona Salah El-din Habib, Suzy F. Gohar, Ghada M K GabAllah, and Shimaa E. Soliman
- Subjects
Adult ,Male ,0301 basic medicine ,Oncology ,medicine.medical_specialty ,Colorectal cancer ,real-time polymerase chain reaction ,03 medical and health sciences ,0302 clinical medicine ,glucose transporter 1 ,Internal medicine ,Biomarkers, Tumor ,medicine ,Humans ,Neoplasm Metastasis ,lcsh:RC799-869 ,Survival analysis ,Aged ,Neoplasm Staging ,Regulation of gene expression ,Glucose Transporter Type 1 ,biology ,business.industry ,Age Factors ,Gastroenterology ,Glucose transporter ,Case-control study ,Middle Aged ,Prognosis ,medicine.disease ,Survival Analysis ,Up-Regulation ,Gene Expression Regulation, Neoplastic ,030104 developmental biology ,Real-time polymerase chain reaction ,Case-Control Studies ,030220 oncology & carcinogenesis ,biology.protein ,Female ,Original Article ,lcsh:Diseases of the digestive system. Gastroenterology ,GLUT1 ,Colorectal Neoplasms ,business - Abstract
Background/Aim: There is no doubt that colorectal cancer (CRC) poses a major threat to public health worldwide, and despite improvement in managements, prognosis still remains an irritating question with no definite answer. Being a fundamental player in cancer metabolism, glucose transporter 1 (GLUT1) could be utilized as a prognostic biomarker that could fuel development of new treatment strategies. The aim of this study was to assess the validity of GLUT1 expression as a prognostic biomarker and to elucidate to what extent it is immersed in poor clinical outcome among CRC patients. Patients and Methods: GLUT1 expression in peripheral blood specimens was analyzed by quantitative real-time polymerase chain reaction in 47 CRC patients and 20 healthy controls. Results: There was significantly elevated GLUT1 expression in peripheral blood of CRC patients than in controls (P < 0.001). The cutoff value of 0.605 provided 98% sensitivity and 100% specificity. There were significantly higher values of GLUT1 expression in patients under 50 years (P = 0.003), performance status 2 (P = 0.009), stage IV (P < 0.001), and presence of metastasis (P < 0.001). GLUT1 expression showed nonsignificant association with overall survival (P = 0.068), while tumor stage (P = 0.01) and metastasis (P = 0.009) were significantly associated with lower overall survival. Conclusion: GLUT1 is sensitive and specific marker for CRC. It is overexpressed in young age patients, poor performance status, and stage IV patients. Although this was not statistically significant, GLUT 1 showed higher expression level in patients with lesser survival.
- Published
- 2017
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