The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry

Research towards biomarkers that predict patient outcome in colorectal cancer (CRC) is rapidly expanding. However, none of these biomarkers have been recommended by the American Association of Clinical Oncology or the European Group on Tumor Markers. Current staging criteria result in substantial un...

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Main Authors: Zeestraten, Eliane C.M., Benard, Anne, Reimers, Marlies S., Schouten, Philip C., Liefers, Gerrit J., van de Velde, Cornelis J.H., Kuppen, Peter J.K.
Format: Online
Language:English
Published: Libertas Academica 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791955/
id pubmed-3791955
recordtype oai_dc
spelling pubmed-37919552013-10-31 The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry Zeestraten, Eliane C.M. Benard, Anne Reimers, Marlies S. Schouten, Philip C. Liefers, Gerrit J. van de Velde, Cornelis J.H. Kuppen, Peter J.K. Review Research towards biomarkers that predict patient outcome in colorectal cancer (CRC) is rapidly expanding. However, none of these biomarkers have been recommended by the American Association of Clinical Oncology or the European Group on Tumor Markers. Current staging criteria result in substantial under-and over-treatment of CRC patients. Evasion of apoptosis, a characteristic feature of tumorigenesis, is known to correlate with patient outcome. We reviewed the literature on immunohistochemistry-based studies between 1998 and 2011 describing biomarkers in this pathway in CRC and identified 26 markers. Most frequently described were p53, Bcl-2, survivin, and the Fas and TRAILR1 receptors and their ligands. None of the studies reviewed provided sufficient support for implementing a single marker into current clinical practice. This is likely due to the complex biology of this pathway. We suggest focusing on the combination of key markers within the apoptosis pathway that together represent an ‘apoptotic tumor profile’, which better reflects the status of this pathway in a tumor. Libertas Academica 2013-07-04 /pmc/articles/PMC3791955/ /pubmed/24179395 http://dx.doi.org/10.4137/BIC.S11475 Text en © 2013 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Zeestraten, Eliane C.M.
Benard, Anne
Reimers, Marlies S.
Schouten, Philip C.
Liefers, Gerrit J.
van de Velde, Cornelis J.H.
Kuppen, Peter J.K.
spellingShingle Zeestraten, Eliane C.M.
Benard, Anne
Reimers, Marlies S.
Schouten, Philip C.
Liefers, Gerrit J.
van de Velde, Cornelis J.H.
Kuppen, Peter J.K.
The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
author_facet Zeestraten, Eliane C.M.
Benard, Anne
Reimers, Marlies S.
Schouten, Philip C.
Liefers, Gerrit J.
van de Velde, Cornelis J.H.
Kuppen, Peter J.K.
author_sort Zeestraten, Eliane C.M.
title The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
title_short The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
title_full The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
title_fullStr The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
title_full_unstemmed The Prognostic Value of the Apoptosis Pathway in Colorectal Cancer: A Review of the Literature on Biomarkers Identified by Immunohistochemistry
title_sort prognostic value of the apoptosis pathway in colorectal cancer: a review of the literature on biomarkers identified by immunohistochemistry
description Research towards biomarkers that predict patient outcome in colorectal cancer (CRC) is rapidly expanding. However, none of these biomarkers have been recommended by the American Association of Clinical Oncology or the European Group on Tumor Markers. Current staging criteria result in substantial under-and over-treatment of CRC patients. Evasion of apoptosis, a characteristic feature of tumorigenesis, is known to correlate with patient outcome. We reviewed the literature on immunohistochemistry-based studies between 1998 and 2011 describing biomarkers in this pathway in CRC and identified 26 markers. Most frequently described were p53, Bcl-2, survivin, and the Fas and TRAILR1 receptors and their ligands. None of the studies reviewed provided sufficient support for implementing a single marker into current clinical practice. This is likely due to the complex biology of this pathway. We suggest focusing on the combination of key markers within the apoptosis pathway that together represent an ‘apoptotic tumor profile’, which better reflects the status of this pathway in a tumor.
publisher Libertas Academica
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791955/
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