The differential expression of omega-3 and omega-6 fatty acid metabolising enzymes in colorectal cancer and its prognostic significance

Abdo Alnabulsi, Rebecca Swan, Beatriz Cash, Ayham Alnabulsi, Graeme I. Murray*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)
21 Downloads (Pure)

Abstract

Background:
Colorectal cancer is a common malignancy and one of the leading causes of cancer-related deaths. The metabolism of omega fatty acids has been implicated in tumour growth and metastasis.

Methods:
This study has characterised the expression of omega fatty acid metabolising enzymes CYP4A11, CYP4F11, CYP4V2 and CYP4Z1 using monoclonal antibodies we have developed. Immunohistochemistry was performed on a tissue microarray containing 650 primary colorectal cancers, 285 lymph node metastasis and 50 normal colonic mucosa.

Results:
The differential expression of CYP4A11 and CYP4F11 showed a strong association with survival in both the whole patient cohort (hazard ratio (HR)=1.203, 95% CI=1.092–1.324, χ2=14.968, P=0.001) and in mismatch repair-proficient tumours (HR=1.276, 95% CI=1.095–1.488, χ2=9.988, P=0.007). Multivariate analysis revealed that the differential expression of CYP4A11 and CYP4F11 was independently prognostic in both the whole patient cohort (P=0.019) and in mismatch repair proficient tumours (P=0.046).

Conclusions:
A significant and independent association has been identified between overall survival and the differential expression of CYP4A11 and CYP4F11 in the whole patient cohort and in mismatch repair-proficient tumours.
Original languageEnglish
Pages (from-to)1612-1620
Number of pages9
JournalBritish Journal of Cancer
Volume116
Issue number12
DOIs
Publication statusPublished - 6 Jun 2017

Bibliographical note

The immunohistochemistry was performed with the support of the Grampian Biorepository (www.biorepository.nhsgrampian.org/). The antibodies were developed in collaboration with Vertebrate Antibodies Ltd (www.vertebrateantibodies.com) from whom they are now available commercially.

Keywords

  • biomarker
  • colorectal cancer
  • cytochrome P450
  • omega fatty acid
  • prognosis
  • BREAST-CANCER
  • MICROSATELLITE INSTABILITY
  • MATRIX METALLOPROTEINASES
  • HUMAN CYTOCHROME-P450
  • CELL-PROLIFERATION
  • PROSTATE-CANCER
  • COLON-CANCER
  • METASTASIS
  • INHIBITORS
  • GROWTH

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