DCLK1 Expression in Colorectal Polyps Increases with the Severity of Dysplasia

结直肠息肉中 DCLK1 表达随发育不良严重程度而增加

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作者:Aki Takiyama, Toshiaki Tanaka, Shinsuke Kazama, Hiroshi Nagata, Kazushige Kawai, Keisuke Hata, Kensuke Otani, Takeshi Nishikawa, Kazuhito Sasaki, Manabu Kaneko, Shigenobu Emoto, Koji Murono, Hirotoshi Takiyama, Hiroaki Nozawa

Background

The expression of doublecortin-like kinase 1 (DCLK1) has been investigated in cancer; however not in precancerous adenomatous polyps. Materials and

Conclusion

The expression of DCLK1 was found in low-grade adenomas and increased with worsening severity of dysplasia. DCLK1 expression was highly observed in advanced adenomas, which had a clinically higher malignant potential.

Methods

Immunohistological expression of DCLK1 was evaluated in various grades of adenomas, cancerous polyps, and hyperplastic polyps in resected human tissue specimens.

Results

Ninety-two specimens were positive for DCLK1 and 134 were negative. Cancerous polyps showed a high DCLK1 positivity rate compared to adenomas (68.4% vs. 36.8%; p<0.01). The rate of DCLK1 positivity was not significantly different among the three grades of adenomas (mild, moderate, and severe). DCLK1 was highly positive in advanced adenomas than low risk adenomas (49.6% vs. 29.3%; p<0.01).

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