Plasma soluble thrombomodulin and soluble endothelial protein C receptor levels in colorectal cancer patients

Thrombomodulin (TM) and endothelial protein C receptor (EPCR) are 2 transmembrane proteins that are thought to play an important role in cancer. We aimed to discover whether these 2 proteins are prognostic indicators in colorectal cancer. Materials and methods: Plasma TM and EPCR levels were measured using the ELISA method in 50 patients in different tumor stages that had been recently diagnosed with colorectal cancer and in a healthy control group of 50 people. Results: In colorectal cancer patients, higher plasma TM (21.3 ± 22.8 ng/mL, 13.2 ± 16.2 ng/mL, P = 0.010) and plasma EPCR levels (149.9 ± 79.6, 113.3 ± 49.3, P = 0.007) were determined compared to the control group. No statistically significant relationship was present between plasma TM, EPCR levels and tumor stage, tumor localization, tumor differentiation, lymphovascular invasion state, microvascular thrombus existence, and thrombosis progression (P > 0.05). Conclusion: We think that these 2 proteins are released into plasma as an indicator of endothelial dysfunction and can play a role in pathogenesis and biology of colorectal cancer.

Plasma soluble thrombomodulin and soluble endothelial protein C receptor levels in colorectal cancer patients

Thrombomodulin (TM) and endothelial protein C receptor (EPCR) are 2 transmembrane proteins that are thought to play an important role in cancer. We aimed to discover whether these 2 proteins are prognostic indicators in colorectal cancer. Materials and methods: Plasma TM and EPCR levels were measured using the ELISA method in 50 patients in different tumor stages that had been recently diagnosed with colorectal cancer and in a healthy control group of 50 people. Results: In colorectal cancer patients, higher plasma TM (21.3 ± 22.8 ng/mL, 13.2 ± 16.2 ng/mL, P = 0.010) and plasma EPCR levels (149.9 ± 79.6, 113.3 ± 49.3, P = 0.007) were determined compared to the control group. No statistically significant relationship was present between plasma TM, EPCR levels and tumor stage, tumor localization, tumor differentiation, lymphovascular invasion state, microvascular thrombus existence, and thrombosis progression (P > 0.05). Conclusion: We think that these 2 proteins are released into plasma as an indicator of endothelial dysfunction and can play a role in pathogenesis and biology of colorectal cancer.

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  • Wojtukiewicz MZ, Sierko E, Kisiel W. The role of hemostatic system inhibitors in malignancy. Semin Thromb Hemost 2007; 33: 621–42.
  • Şahin E, Şahin M, Gümüşlü S. The effect of KNK437, a heat shock protein inhibitor, on angiogenesis of endothelial cells. Turk J Med Sci 2012; 42: 597–604.
  • Dahlback B. Progress in the understanding of the protein C anticoagulant pathway. Int J Hematol 2004; 79: 109–16.
  • Esmon CT. The endothelial cell protein C receptor. Thromb Haemost 2000: 83; 639–43.
  • Lindahl AK, Boffa MC, Abildgaard U. Increased plasma thrombomodulin in cancer patients. Thromb Haemost 1993; 69: 112–
  • Barutçuoğlu B, Parıldar Z, Mutaf MI, Özmen D, Alioğlu E, Habif S et al. Effect of telmisartan on vascular endothelium in hypertensive and type 2 diabetic hypertensive patients. Turk J Med Sci 2010; 40: 239–48.
  • Tsuneyoshi N, Fukudome K, Horiguchi S, Ye X, Matsuzaki M, Toi M et al. Expression and anticoagulant function of the endothelial cell protein C receptor (EPCR) in cancer cell lines. Thromb Haemost 2001; 85: 356–61.
  • Suehiro T, Shimada M, Matsumata T, Taketomi A, Yamamoto K, Sugimachi K. Thrombomodulin inhibits intrahepatic spread in human hepatocellular carcinoma. Hepatology 1995; 21: 1285–90. Kim SJ, Shiba E, Ishii H, Inoue T, Taguchi T, Tanji Y et al. Thrombomodulin is a new biological and prognostic marker for breast cancer: an immunohistochemical study. Anticancer Res 1997; 17: 2319–23.
  • Wilhelm S, Schmitt M, Parkinson J, Kuhn W, Graeff H, Wilhelm OG. Thrombomodulin, a receptor for the serine protease thrombin, is decreased in primary tumors and metastases but increased in ascitic fluids of patients with advanced ovarian cancer FIGO IIIc. Int J Oncol 1998; 13: 645–51.
  • Tamura A, Hebisawa A, Hayashi K, Sagara Y, Fukushima K, Kurashima A et al. Prognostic significance of thrombomodulin expression and vascular invasion in stage I squamous cell carcinoma of the lung. Lung Cancer 2001; 34: 375–82.
  • Ogawa H, Yonezawa S, Maruyama I, Matsushita Y, Tezuka Y, Toyoyama H et al. Expression of thrombomodulin in squamous cell carcinoma of the lung: its relationship to lymph node metastasis and prognosis of the patients. Cancer Lett 2000; 149: 95–103.
  • Hamatake M, Ishida T, Mitsudomi T, Akazawa K, Sugimachi K. Prognostic value and clinicopathological correlation of thrombomodulin in squamous cell carcinoma of the human lung. Clin Cancer Res 1996; 2: 763–6.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

The effects of acetyl shikonin isolated from Onosma armeniacum on oxidative stress in ethanol-induced ulcer model of rats

Havva ERDEM, Halis SÜLEYMAN, Aysun TOKER, Ufuk ÖZGEN, Hülya AKSOY, Fatih AKÇAY

Demonstration of mutations conferring resistance to lamivudine in liver tissue of chronic hepatitis B patients under lamivudine therapy*

İsmail Yaşar AVCI, Levent GÖRENEK, Can Polat EYİGÜN, Hanefi Cem GÜL, Bülent Ahmet BEŞİRBELLİOĞLU, Emine GÜNAL, Ayhan KUBAR, Hakan ERDEM, Ömer COŞKUN

The outcomes of the pregnancies of lactating women

Mahmut Kuntay KOKANALI, Ahmet Akın SİVASLIOĞLU, Işık ÜSTÜNER, Özlem ŞENGÜL, Ayşe Filiz AVŞAR

Demonstration of mutations conferring resistance to lamivudine in liver tissue of chronic hepatitis B patients under lamivudine therapy

İsmail Yaşar AVCI, Can Polat EYİGÜN, Emine GÜNAL, Ayhan KUBAR, Hanefi Cem GÜL, Ömer COŞKUN, Hakan ERDEM, Levent GÖRENEK, Bülent Ahmet BEŞİRBELLİOĞLU

New risk scoring system for femoral pseudoaneurysm formation after cardiac catheterization (Ateş Scoring System)

Veysel ŞAHIN, Mehmet Beşir AKPINAR, Ahmet Feyzi ABACILAR, İhsan Sami UYAR, Faik Fevzi OKUR, Mehmet ATEŞ, Emin Alp ALAYUNT

Anti-HDV enzyme immunoassay index in predicting HDV viremia in serum samples

Yusuf Hakan ABACIOĞLU, Ayça Arzu SAYINER, Sibel CAYMAZ ÖZSU, Ayşe Aydan ÖZKÜTÜK

Alfacalcidol suppresses α-receptor mediated vasoconstriction via an endothelium dependent mechanism

Akif Hakan KURT, İsmail ÜN, Ali BATUŞ, Kansu BÜYÜKAFŞAR

Lung abscess: analysis of the results as community-acquired or nosocomial

Asiye KANBAY, Suat Ali DOĞAN, İnsu YILMAZ, Hakan BÜYÜKOĞLAN, Fatma Sema OYMAK, Afra YILDIRIM, İnci GÜLMEZ, Ramazan DEMİR, Nuri TUTAR

Polymorphisms in ABC transporters (ABCA1 and ABCC8) in metabolic syndrome

Yunus Emre YANDI, Mihriban AYVAZ, Arif Bayram HACIHASANOĞLU, Cihangir EREM, Orhan DEĞER

Anterior segment morphometry and intraocular pressure change after uneventful phacoemulsification

Pınar KÖSEKAHYA, Piraye Zeynep KÜRKÇÜOĞLU, Tamer TAKMAZ