Prognostic significance and correlation with survival of bcl-2 and TGF-beta RII in colon cancer

Dig Dis Sci. 2003 Dec;48(12):2284-9. doi: 10.1023/b:ddas.0000007864.24866.77.

Abstract

Bcl-2 and TGF-beta receptors type II (RII) in colon carcinomas were studied in a series of 113 patients, to determine their prognostic significance and to correlate their expression with other prognostic indicators. Bcl-2 expression in the tumor cells showed a reverse relation with tumor size (P = 0.018), histological grade (P = 0.04), and stage (P = 0.013). Univariate survival analysis using the log rank test showed that the survival of patients with bcl-2-positive tumors was significantly better than the survival of patients with bcl-2-negative tumors (P = 0.02). However, when entered into a multivariate analysis model, it was not found to be of independent prognostic significance. TGF-beta RII expression was correlated with stage (P = 0.03), while no statistically significant correlation was found between TGF-beta RII expression and histological grade or survival. In conclusion, these results provide additional evidence for the role of bcl-2 and TGF-beta RII in carcinogenesis of the colon, while they do not support the use of these factors as prognostic markers in patients with colon cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / metabolism*
  • Colonic Neoplasms / metabolism*
  • Colonic Neoplasms / mortality*
  • Female
  • Greece / epidemiology
  • Humans
  • Immunohistochemistry
  • Male
  • Prognosis
  • Proto-Oncogene Proteins c-bcl-2 / metabolism*
  • Receptors, Transforming Growth Factor beta / metabolism*
  • Survival Analysis

Substances

  • Biomarkers, Tumor
  • Proto-Oncogene Proteins c-bcl-2
  • Receptors, Transforming Growth Factor beta