eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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4/2020
vol. 15
 
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abstract:
Original paper

The clinical significance of Notch1 immunoexpression in Caucasian patients with colorectal adenocarcinoma

Adam Piecuch
1
,
Marek Kucharzewski
2
,
Józef Kurek
3
,
Marek Michalski
1
,
Dawid Jasiński
1
,
Marlena Brzozowa-Zasada
1

  1. Department of Histology and Cell Pathology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland
  2. Department of Descriptive and Topographical Anatomy, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland
  3. Department of General, Endocrinological and Oncological Surgery, Municipal Hospital, Jaworzno, Poland
Gastroenterology Rev 2020; 15 (4): 314–322
Online publish date: 2020/12/10
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Introduction
Colorectal cancer (CRC) is traditionally regarded as the most commonly diagnosed gastrointestinal malignant disease. Nevertheless, despite advances in diagnosis and novel therapeutic options, the clinical outcomes of patients are still not satisfactory.

Aim
To investigate the clinicopathological and prognostic roles of Notch1 expression, the immunohistochemical investigation was performed in samples of CRC tumour tissues, adjacent non-pathological mucosa, and metastatic foci in regional lymph nodes in Caucasian patients.

Material and methods
Paraffin-embedded adenocarcinoma samples were assessed immunohistochemically for Notch1 protein and scored according to the percentage of cells with a positive reaction combined with staining intensity. Connections between Notch1 immunoexpression and clinicopathological factors including the 5-year overall survival (OS) were evaluated.

Results
The level of the Notch1 immunohistochemical reactivity was correlated with the grade of the histological differentiation, size of the primary tumour, regional lymph node involvement, and perineural invasion (all p < 0.001). Kaplan-Meier survival analysis showed that the survival time for patients with a low expression of Notch1 was significantly longer than that for patients with moderate or strong level of Notch1 immunoreactivity (p < 0.001).

Conclusions
The enhanced level of Notch1 immunoexpression was significantly associated with malignancy-related clinicopathological factors and reduced the 5-year overall survival in CRC patients.

keywords:

colorectal adenocarcinoma, Notch1, five-year overall survival

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