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Appl Immunohis tochem Mol Morphol
Appl Immunohis tochem Mol Morphol
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Abstract: |
Background:There is a cellular crosstalk between Wnt/β-catenin and Hippo/Yesrelated
protein signaling paths in colon cancer (CC)which promotes EMT processes
that mediate the metastatic progression of CC.
Aim: evaluate follistatin-like 3 (FSTL3),ADAM12, and FAT4 expressions in CC. A
statistical analysis was done to establish how disease-free survival, overall survival
(OS), and relapse all performed a prognostic role.
Results:High FSTL3 was detected in 68%of CC and significantly related to left-sided
tumors (P = 0.002) and the advanced tumor features, such as metastasis (P = 0.010),
pT (P = 0.006), high grade (P = 0.005), lymph node contribution (P = 0.013), and
advanced stage (P = 0.003). Positive ADAM12 expression was observed in 60% and
significantly related to left-sided tumors (P = 0.001) and significantly common in
high grade (P = 0.028), lymph node involvement (P <0.001), and advanced stage (P =
0.004). Low FAT4 expression was recognized in 76% and linked with the right-sided
tumors (P = 0.036). FAT4 expression was contrariwise linked with CC grade (P
<0.001). Furthermore, FAT4 expression was inversely correlated with lymph node
involvement (P = 0.002), metastasis (P = 0.046), and advanced stage (P = 0.002).
During the follow-up, 14 cases were relapsed and positively associated with high
FSTL3expression (P = 0.001) and ADAM12 expression (P <0.001), but negatively
linked with FAT4 expression (P = 0.003). Shorter disease-free survival was
substantially correlated with positive ADAM12, extreme FSTL3, and low FAT4
expression (P <0.001,P= 0.002, P = 0.003, consecutively). Moreover, Kaplan-Meier
curves demonstrated a significant correlation between shorter OS with extreme
FSTL3, positive ADAM12, and low FAT4 (P = 0.004, <0.001, 0.019, consecutively).
Conclusion: High FSTL3, positive ADAM12, and low FAT4 expression are
unfavorable prognostic influences in CC that may be accountable for relapse and
therapeutic resistance in CC.
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