Abstract

IntroductionAdenopolyps patients have a three-fold higher risk of colon cancer over the general population, which increases to six-fold if the polyps are multiple and with lower survival among African American population. Currently, 6% of CRC can be ascribed to mutations in particular genes. Moreover, the optimal management of patients with colorectal adenopolyps depends on the accuracy of appropriate staging strategies because patients with similar colorectal adenocarcinoma architecture display heterogeneity in the course and outcome of the disease. Oxidative stress, due to an imbalance between reactive oxygen species (ROS) and antioxidant capacities as well as a disruption of redox signaling, causes a wide range of damage to DNA, proteins, and lipids which promote tumor formation.Objective/MethodThis study applied spectrophotometric, dinitrophenylhydrazone (DNPH) assay, two-dimensional gel electrophoresis, and western blot analyses to assess the levels of oxidatively modified proteins in 41 pairs of primary colorectal tissues including normal/surrounding, adenopolyps (tubular, tubulovillous, villous, polypvillous) and carcinoma. Analysis of variance (ANOVA) and Student’s t-tests were utilized for the resulting data set.ResultsOur data showed that the levels of reactive protein carbonyl groups significantly increased as colorectal adenopolyps progresses to malignancy. No significant differences were found in the levels of carbonyl proteins between gender samples analyzed. For African American patients, there were, relative to Caucasians, 10% higher levels of reactive carbonyls in proteins of tubulovillous tissue samples (P < 0.05) and over 36% higher in levels in adenocarcinomas (P < 0.05). In normal tissues and tubular, there were no significant differences between the two groups in levels of protein carbonyls. Differences in the levels of protein carbonyl expression within individual patient samples with different number of tumor cells were notably evident.ConclusionResults suggested that oxidative stress could be involved in the modification of oxidatively carbonyl proteins in the precancer stages, leading to increased aggressiveness of colorectal polyps.

Highlights

  • Adenopolyps patients have a three-fold higher risk of colon cancer over the general population, which increases to six-fold if the polyps are multiple and with lower survival among African American population

  • We evaluate protein carbonyl content levels in colorectal adenopolyps tissue samples, including samples obtained from African Americans and Caucasians, in order to determine the role of oxidative stress during colorectal tumoriogenesis

  • To compare the extent of oxidative modification among normal, colorectal adenopolyps and carcinoma tissues, measurement of the reactive carbonyl groups as relates to the intensity of the oxidative stress is essential for better understanding of the etiopathogenic mechanisms of carcinogensis

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Summary

Introduction

Adenopolyps patients have a three-fold higher risk of colon cancer over the general population, which increases to six-fold if the polyps are multiple and with lower survival among African American population. Colonic cells are constantly exposed to increased formation of ROS in the intestinal lumen and continuous exposure of the mucosa to these free radicals resulting from dietary consumption promote oxidative damage to the DNA of the epithelial cells, thereby triggering the appearance of genetic mutations [4]. When these mutations harm the genes responsible for controlling the cell cycle or the DNA repair system, cell clones with proliferative autonomy can emerge, representing the initial mechanism for carcinogenesis

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