Combined Estrogen Alpha and Beta Receptor Expression Has a Prognostic Significance for Colorectal Cancer Patients

Frontiers in Medicine

article

Geriolda Topi¹  Souvik Ghatak¹  Shakti Ranjan Satapathy¹  Roy Ehrnström²  Marie-Louise Lydrup³  Anita Sjölander¹ 

[1] Division of Cell Pathology, Skåne University Hospital, Lund University;Division of Pathology, Department of Translational Medicine, Skåne University Hospital, Lund University;Division of Surgery, Department of Clinical Sciences, Skåne University Hospital, Lund University

关键词: estrogen receptor beta;    estrogen receptor alpha;    colorectal cancer;    CRC disease-free survival;    CRC overall survival;   

DOI  :  10.3389/fmed.2022.739620

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

We reported that high estrogen receptor beta (ERβ) expression is independently associated with better prognosis in female colorectal cancer (CRC) patients. However, estrogen receptor alpha (ERα) is expressed at very low levels in normal colon mucosa, and its prognostic role in CRC has not been explored. Herein, we investigated the combined role of ERα and ERβ expression in the prognosis of female patients with CRC, which, to the best of our knowledge, is the first study to investigate this topic. A total number of 306 primary CRCs were immunostained for ERα and ERβ expression. A Cox regression model was used to evaluate overall survival (OS) and disease-free survival (DFS). The combined expression of high ERβ + negative ERα correlates with longer OS (HR = 0.23; 95% CI: 0.11–0.45, P <0.0001) and DFS (HR = 0.10; 95% CI: 0.03–0.26, P < 0.0001) and a more favorable tumor outcome, as well as significantly higher expression of antitumorigenic proteins than combined expression of low ERβ + positive ERα. Importantly, we found that low ERβ expression was associated with local recurrence of CRC, whereas ERα expression was correlated with liver metastasis. Overall, our results show that the combined high ERβ + negative ERα expression correlated with a better prognosis for CRC patients. Our results suggest that the combined expression of ERα and ERβ could be used as a predictive combination marker for CRC patients, especially for predicting DFS.

【 授权许可】

CC BY