Yusup A, Huji B, Fang C, Wang F, Dadihan T, Wang HJ, Upur H. Expression of trefoil factors and TWIST1 in colorectal cancer and their correlation with metastatic potential and prognosis. World J Gastroenterol 2017; 23(1): 110-120 [PMID: 28104986 DOI: 10.3748/wjg.v23.i1.110]
Corresponding Author of This Article
Halmurat Upur, PhD, Central Laboratory, Xinjiang Medical University, 393 Xinyi Road, Urumqi 830054, Xinjiang Uygur Autonomous Region, China. bilik0731@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jan 7, 2017; 23(1): 110-120 Published online Jan 7, 2017. doi: 10.3748/wjg.v23.i1.110
Table 1 TFF1, TFF3, and TWIST1 expression in different colorectal cancer tissues n (%)
Histology
n
TFF1
TFF3
TWIST1
-
+
++
+++
-
+
++
+++
-
+
++
+++
CRC
75
25 (41)
19 (35.8)
23 (67.6)
8 (57.1)
16 (72.7)
34 (55.7)
21 (38.9)
4 (16)
34 (34.7)
18 (56.3)
16 (64)
7 (100)
MNT
47
34 (55.7)
12 (22.6)
1 (2.9)
0
0
8 (13.1)
22 (40.7)
17 (68)
39 (41.9)
7 (21.9)
1 (4.3)
0
MLN
30
2 (3.3)
17 (32.1)
8 (23.5)
3 (21.4)
6 (27.3)
14 (23)
8 (14.8)
2 (8)
20 (21.7)
5 (15.6)
5 (21.7)
0
Liver M
10
0
5 (9.4)
2 (5.9)
3 (21.4)
0
5 (8.2)
3 (5.6)
2 (8.0)
5 (5.4)
2 (6.3)
3 (13)
0
Overall
P = 0.000
P = 0.000
P = 0.000
Table 2 Comparison between low and high expression of TFF1, TFF3, and TWIST1 in different colorectal cancer tissues n (%)
Histology
n
TFF1
TFF3
TWIST1
Low
High
P value
Low
High
P value
Low
High
P value
CRC
75
44 (38.6)
31 (64.6)
0.000
50 (60.2)
25 (31.6)
0.000
52 (40)
23 (71.9)
0.001
MNT
47
46 (40.4)
1 (2.1)
0.000
8 (9.6)
39 (49.4)
0.000
46 (35.4)
1 (3.1)
0.0001
MLN
30
19 (16.7)
11 (22.9)
0.659
20 (24.1)
10 (12.7)
0.818
25 (19.2)
5 (15.6)
0.142
Liver M
10
5 (4.4)
5 (10.4)
0.602
5 (6)
5 (6.3)
0.494
7 (5.4)
3 (9.4)
0.966
Table 3 Correlation among TFF1, TFF3 and TWIST1expression n (%)
Protein expression
TFF1
TFF3
Low
High
P value
Low
High
P value
TWIST1
0.297
0.623
Low
32 (72.7)
19 (61.3)
31 (66)
20 (71.4)
High
12 (27.3)
12 (38.7)
16 (34)
8 (28.6)
TFF3
Low
22 (46.8)
25 (53.2)
0.007
High
22 (78.6)
6 (21.4)
Table 4 Correlation between TFF1, TFF3, and TWIST1 expression and clinicopathological Characteristics of colorectal cancers n (%)
Characteristicn = 75
TFF1
TFF3
TWIST1
Low
High
P value
Low
High
P value
Low
High
P value
Age (yr)
0.299
0.368
0.840
≤ 60
28 (63.6)
17 (54.8)
27 (57.4)
18 (64.3)
31 (60.8)
14 (58.3)
> 60
16 (36.4)
14 (45.2)
20 (42.6)
10 (35.7)
20 (39.2)
10 (41.7)
Gender
0.369
0.146
0.134
Male
30 (68.2)
18 (58.1)
33 (70.2)
15 (53.6)
30 (58.8)
18 (75.0)
Female
14 (31.8)
13 (41.9)
14 (29.8)
13 (46.4)
21 (41.2)
6 (25.0)
Histology
0.089
0.475
0.397
Adenocarcinoma
42 (95.5)
26 (83.9)
42 (89.4)
26 (92.9)
47 (92.2)
21 (87.5)
Mucinous
2 (4.5)
5 (16.1)
5 (10.6)
2 (7.1)
4 (7.8)
3 (12.5)
Differentiation
0.029
0.136
0.234
Well
10 (22.7)
12 (38.7)
15 (31.9)
7 (25.0)
18 (35.3)
4 (16.7)
Moderate
16 (36.4)
15 (48.4)
22 (46.8)
9 (32.1)
20 (39.2)
11 (45.8)
Poor
18 (40.9)
4 (12.9)
10 (21.3)
12 (42.9)
13 (25.5)
9 (37.5)
Location
0.802
0.411
0.847
Colon
31 (70.5)
21 (67.7)
31 (66.0)
21 (75)
35 (68.6)
17 (70.8)
Rectum
13 (29.5)
10 (32.3)
16 (34.0)
7 (25)
16 (31.4)
7 (30.7)
T
0.545
0.651
0.246
1
2 (4.5)
0
1 (2.1)
1 (3.6)
1 (2.0)
1 (4.2)
2
10 (22.7)
9 (29.0)
14 (29.8)
5 (17.9)
16 (31.4)
3 (12.5)
3
13 (29.5)
7 (22.6)
11 (23.4)
9 (32.1)
11 (21.6)
9 (37.5)
4
19 (43.2)
15 (48.4)
21 (44.7)
13 (46.4)
23 (45.1)
11 (45.8)
N
0.143
0.034
0.000
No
26 (59.1)
13 (41.9)
20 (42.6)
19 (67.9)
34 (66.7)
5 (20.8)
Yes
18 (40.9)
18 (58.1)
27 (57.4)
9 (32.1)
17 (33.3)
19 (79.2)
M
0.484
0.267
0.288
No
41 (93.2)
28 (90.3)
42 (89.4)
27 (96.4)
48 (94.1)
21 (87.5)
Yes
3 (6.8)
3 (9.7)
5 (10.6)
1 (3.6)
3 (5.9)
3 (12.5)
Staging
0.917
0.031
0.003
I
9 (20.5)
6 (19.4)
11 (23.4)
4 (14.3)
13 (25.5)
2 (8.3)
II
17 (38.6)
10 (32.3)
11 (23.4)
16 (57.1)
23 (45.1)
4 (16.7)
III
15 (34.1)
12 (38.7)
20 (42.6)
7 (25.0)
12 (23.5)
15 (62.5)
IV
3 (6.8)
3 (9.7)
5 (10.6)
1 (3.6)
3 (5.9)
3 (12.5)
Table 5 Significant predictive factors for cancer-specific survival in COX proportional-hazard analysis
Prognostic factor
Univariate HR (95%CI)
P value
Multivariate HR (95%CI)
P value
Age
0.404 (0.189-0.864)
0.019
0.262 (0.106-0.647)
0.004
Gender
1.137 (0.565-2.287)
0.719
1.065 (0.450-2.519)
0.887
Histopathological type
0.526 (0.126-2.193)
0.378
0.380 (0.080-1.809)
0.224
Tumor differentiation
0.939 (0.611-1.445)
0.775
0.701 (0.395-1.246)
0.226
T
1.556 (1.030-2.350)
0.036
0.979 (0.578-1.657)
0.937
N
2.961 (1.954-4.485)
0.000
1.668 (0.716-3.889)
0.236
M
12.519 (4.593-34.120)
0.000
2.728 (0.672-11.064)
0.160
Stage
4.507 (2.706-7.507)
0.000
2.718 (1.003-7.368)
0.039
TFF1
1.805 (0.929-3.509)
0.081
1.539 (0.661-3.579)
0.317
TFF3
0.382 (0.178-0.819)
0.013
0.224 (0.085-0.593)
0.003
TWIST1
2.819 (1.441-5.515)
0.002
1.904 (0.847-4.278)
0.119
Citation: Yusup A, Huji B, Fang C, Wang F, Dadihan T, Wang HJ, Upur H. Expression of trefoil factors and TWIST1 in colorectal cancer and their correlation with metastatic potential and prognosis. World J Gastroenterol 2017; 23(1): 110-120