420967

Expression and Potential Prognostic Significance of CXCL12 and Aldolase A (ALDOA) in Colorectal Carcinoma: An Immunohistochemical Study

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Last updated: 09 Apr 2025

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Abstract

Background: Colorectal cancer (CRC) ranks as the third most prevalent malignancy globally and represents a leading cause of cancer-related mortality worldwide. CXCL12, an essential chemokine, has been demonstrated to be critically involved in cancer metastasis. Aldolase A (ALDOA) is a crucial glycolytic enzyme that contributes to cellular energy production and has been implicated in tumor metabolism and tumor progression. Objective: This study aimed to identify of CXCL12 and ALDOA immunohistochemical expression in CRC cases and correlation of their expression with clinicopathological data and patient's survival of the studied cases to detect their potential prognostic role. Material and methods: This retrospective study included 40 cases CRC immunohistochemically stained with CXCL12 & ALDOA and the results to be correlated with different clinicopathological variables and patient's survival. Results: High CXCL12 expression was positively associated with positive lympho-vascular invasion (P=0.001), tumor budding (P=0.027), deeper tumor invasion (P=0.016), positive lymph node metastasis (P=0.000), presence of distant metastasis (P=0.036) and greater tumor stage (P=0.001). High ALDOA expression was positively associated with high tumor grade (P=0.030), positive lympho-vascular invasion (P=0.005), positive perineural invasion (P= 0.020), high tumor budding (P=0.030), higher tumor stage (P=0.002) and positive lymph node metastasis (P=0.001). Elevated CXCL12 and ALDOA expression levels were indicative of poor five-year overall survival (P=0.017 and 0.044 respectively) as well as poorer disease-free survival (P=0.016 and 0.002 respectively). Conclusion: CXCL12 and ALDOA overexpression was correlated with poor prognosis and poor patient's survival in CRC. Therefore, their expression could predict prognosis and survival of the patient, and blocking their pathways may provide new promising treatment strategies in CRC.

DOI

10.21608/ejhm.2025.420967

Keywords

CXCL12, ALDOA, CRC

Volume

99

Article Issue

1

Related Issue

54927

Issue Date

2025-04-01

Receive Date

2025-04-07

Publish Date

2025-04-01

Page Start

1,386

Page End

1,395

Print ISSN

1687-2002

Online ISSN

2090-7125

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https://ejhm.journals.ekb.eg/article_420967.html

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http://journals.ekb.eg?_action=service&article_code=420967

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6

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Journal

Publication Title

The Egyptian Journal of Hospital Medicine

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https://ejhm.journals.ekb.eg/

MainTitle

Expression and Potential Prognostic Significance of CXCL12 and Aldolase A (ALDOA) in Colorectal Carcinoma: An Immunohistochemical Study

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Article

Created At

09 Apr 2025