233042

Interplay between CD44 expression and acidic mucin histochemical alterations in colorectal cancer

Article

Last updated: 04 Jan 2025

Subjects

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Tags

Academic medicine

Abstract

Colorectal cancer (CRC) represents a significant global health problem. Finding the biomarkers is crucial for the diagnosis and prognosis prediction. CD44 is a cancer stem cell (CSC) marker that plays an important role in tumor cell proliferation, adhesion, migration, and invasion. Altered mucin expression has been observed in cancer cells and also affects their biologic properties. This study aimed to analyze CD44 expression, assess acidic mucin histochemical alterations in CRC cases and to find the relation between both. A total of 40 colectomy specimens were included. Sections from formalin-fixed paraffin embedded blocks of the tumors were stained immunohistochemically with anti-CD44 antibodies and histochemically using Alcian Blue (AB) at pH 2.5. AB staining was positive in 26 (65%) cases including all mucinous carcinoma cases. It was significantly related to tumor histology (P= 0.000), lymph node status (P=0.000) and TNM staging groups (P= 0.000). CD44 expression was positive in 30 (75%) cases. Positive cases were scored as +1, +2 and +3. CD44 expression was significantly related to lymph node status (P= 0.001) and TNM staging groups (P= 0.006).  There was a significant relationship between CD44 expression and AB staining (P = 0.006) with a moderate negative correlation (r= -0.424). Increased CD44 expression and decreased acidic mucin correspond with lymph node metastasis and higher stage in CRC cases, suggesting both as indicators of worse prognosis. 

DOI

10.21608/ejmr.2022.233042

Keywords

colorectal cancer, CD44 expression, mucin alterations, Alcian blue

Authors

First Name

Rehab

Last Name

Sharaf El din

MiddleName

Mohamed Ahmed

Affiliation

Pathology department, Faculty of medicine, Beni-Suef University, Beni-Suef, Egypt

Email

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City

-

Orcid

-

First Name

Ebtehal

Last Name

Mahmoud

MiddleName

Mohamed Mostafa

Affiliation

Pathology department, Faculty of medicine, Beni-Suef University, Beni-Suef, Egypt

Email

ebtehal.4m@gmail.com

City

-

Orcid

28912142200869

First Name

Lamiaa

Last Name

Hasan

MiddleName

Nashaat

Affiliation

Pathology department, Faculty of medicine, Beni-Suef University, Beni-Suef, Egypt

Email

lamiaa.nashaat@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

2

Related Issue

32883

Issue Date

2022-04-01

Receive Date

2022-04-24

Publish Date

2022-04-01

Page Start

85

Page End

96

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_233042.html

Detail API

https://ejmr.journals.ekb.eg/service?article_code=233042

Order

5

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Interplay between CD44 expression and acidic mucin histochemical alterations in colorectal cancer

Details

Type

Article

Created At

22 Jan 2023