Skip to main content
Erschienen in: International Journal of Clinical Oncology 6/2020

17.03.2020 | Original Article

Prognostic significance of β2-adrenergic receptor expression in patients with surgically resected colorectal cancer

verfasst von: Hiroomi Ogawa, Kyoichi Kaira, Yoko Motegi, Takehiko Yokobori, Takahiro Takada, Ryuji Kato, Katsuya Osone, Ryo Takahashi, Kunihiko Suga, Naoya Ozawa, Chika Katayama, Tetsunari Oyama, Akira Shimizu, Takashi Yao, Takayuki Asao, Hiroshi Saeki, Ken Shirabe

Erschienen in: International Journal of Clinical Oncology | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The β2-adrenergic receptor (β2AR) is highly expressed in various human cancers. The prognostic significance of its expression in patients with colorectal cancer (CRC) remains unclear. The aim of this study was to assess the prognostic role of β2AR expression in patients with surgically resected CRC.

Methods

One hundred and forty-seven patients with surgically resected CRC were examined using immunohistochemistry. The expression of β2AR was assessed in the specimens of resected primary tumors.

Results

β2AR was expressed in 52.3% of the patients’ tumors. β2AR expression was significantly associated with T factor, N factor, and tumor cell proliferation (Ki-67 labeling index). Univariate analysis demonstrated that T factor, N factor, tumor stage, lymphatic permeation, vascular invasion, perineural invasion, β2AR expression, and Ki-67 labeling index were significant prognostic factors for worse disease-free survival (DFS); all but T factor were also significant predictors for worse overall survival (OS). Multivariate analysis confirmed that expression of β2AR was a significant prognostic marker for predicting worse DFS and OS.

Conclusion

β2AR expression was identified as a significant independent prognostic factor in patients with surgically resected CRC.
Literatur
1.
Zurück zum Zitat Matsuda T, Yamashita K, Hasegawa H et al (2018) Recent updates in the surgical treatment of colorectal cancer. Ann Gastroenterol Surg 2:129–136CrossRefPubMedPubMedCentral Matsuda T, Yamashita K, Hasegawa H et al (2018) Recent updates in the surgical treatment of colorectal cancer. Ann Gastroenterol Surg 2:129–136CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Kakeji Y, Takahashi A, Udagawa H et al (2017) Surgical outcomes in gastroenterological surgery in Japan: report of national clinical database 2011–2016. Ann Gastroenterol Surg 2:37–54CrossRefPubMedPubMedCentral Kakeji Y, Takahashi A, Udagawa H et al (2017) Surgical outcomes in gastroenterological surgery in Japan: report of national clinical database 2011–2016. Ann Gastroenterol Surg 2:37–54CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Tabernero J, Yoshino T, Cohn AL et al (2015) Ramucirumab versus placebo in combination with second-line FOLFIRI in patients with metastatic colorectal carcinoma that progressed during or after first-line therapy with bevacizumab, oxaliplatin, and a fluoropyrimidine (RAISE): a randomised, double-blind, multicentre, phase 3 study. Lancet Oncol 16:499–508CrossRefPubMed Tabernero J, Yoshino T, Cohn AL et al (2015) Ramucirumab versus placebo in combination with second-line FOLFIRI in patients with metastatic colorectal carcinoma that progressed during or after first-line therapy with bevacizumab, oxaliplatin, and a fluoropyrimidine (RAISE): a randomised, double-blind, multicentre, phase 3 study. Lancet Oncol 16:499–508CrossRefPubMed
4.
Zurück zum Zitat Hurwitz H, Fehrenbacher L, Novotny W et al (2004) Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. N Engl J Med 350:2335–2342CrossRefPubMed Hurwitz H, Fehrenbacher L, Novotny W et al (2004) Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. N Engl J Med 350:2335–2342CrossRefPubMed
5.
Zurück zum Zitat Maudsley S, Pierce KL, Zamah AM et al (2000) The beta(2)-adrenergic receptor mediates extracellular signal-regulated kinase activation via assembly of a multi-receptor complex with the epidermal growth factor receptor. J Biol Chem 275:9572–9580CrossRefPubMed Maudsley S, Pierce KL, Zamah AM et al (2000) The beta(2)-adrenergic receptor mediates extracellular signal-regulated kinase activation via assembly of a multi-receptor complex with the epidermal growth factor receptor. J Biol Chem 275:9572–9580CrossRefPubMed
6.
Zurück zum Zitat Entschladen F, Drell TL 4th, Lang K et al (2004) Tumour-cell migration, invasion, and metastasis: navigation by neurotransmitters. Lancet Oncol 5:254–258CrossRefPubMed Entschladen F, Drell TL 4th, Lang K et al (2004) Tumour-cell migration, invasion, and metastasis: navigation by neurotransmitters. Lancet Oncol 5:254–258CrossRefPubMed
7.
Zurück zum Zitat Thaker PH, Han LY, Kamat AA et al (2006) Chronic stress promotes tumor growth and angiogenesis in a mouse model of ovarian carcinoma. Nat Med 12:939–944CrossRefPubMed Thaker PH, Han LY, Kamat AA et al (2006) Chronic stress promotes tumor growth and angiogenesis in a mouse model of ovarian carcinoma. Nat Med 12:939–944CrossRefPubMed
8.
Zurück zum Zitat Chen D, Xing W, Hong J et al (2012) The beta2-adrenergic receptor is a potential prognostic biomarker for human hepatocellular carcinoma after curative resection. Ann Surg Oncol 19:3556–3565CrossRefPubMed Chen D, Xing W, Hong J et al (2012) The beta2-adrenergic receptor is a potential prognostic biomarker for human hepatocellular carcinoma after curative resection. Ann Surg Oncol 19:3556–3565CrossRefPubMed
9.
Zurück zum Zitat Yazawa T, Kaira K, Shimizu A et al (2016) Prognostic significance of β2-adrenergic receptor expression in non-small cell lung cancer. Am J Transl Res 8:5059–5070PubMedPubMedCentral Yazawa T, Kaira K, Shimizu A et al (2016) Prognostic significance of β2-adrenergic receptor expression in non-small cell lung cancer. Am J Transl Res 8:5059–5070PubMedPubMedCentral
10.
Zurück zum Zitat Takahashi K, Kaira K, Shimizu A et al (2016) Clinical significance of β2-adrenergic receptor expression in patients with surgically resected gastric adenocarcinoma. Tumor Biol 37:13885–13892CrossRef Takahashi K, Kaira K, Shimizu A et al (2016) Clinical significance of β2-adrenergic receptor expression in patients with surgically resected gastric adenocarcinoma. Tumor Biol 37:13885–13892CrossRef
11.
Zurück zum Zitat Shimizu A, Kaira K, Mori K et al (2016) Prognostic significance of β2-adrenergic receptor expression in malignant melanoma. Tumor Biol 37:5971–5978CrossRef Shimizu A, Kaira K, Mori K et al (2016) Prognostic significance of β2-adrenergic receptor expression in malignant melanoma. Tumor Biol 37:5971–5978CrossRef
12.
Zurück zum Zitat Melhem-Bertrandt A, Chavez-Macgregor M, Lei X et al (2011) Beta-blocker use is associated with improved relapse-free survival in patients with triple-negative breast cancer. J Clin Oncol 29:2645–2652CrossRefPubMedPubMedCentral Melhem-Bertrandt A, Chavez-Macgregor M, Lei X et al (2011) Beta-blocker use is associated with improved relapse-free survival in patients with triple-negative breast cancer. J Clin Oncol 29:2645–2652CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Barron TI, Connolly RM, Sharp L et al (2011) Beta blockers and breast cancer mortality: a population-based study. J Clin Oncol 29:2635–2644CrossRefPubMed Barron TI, Connolly RM, Sharp L et al (2011) Beta blockers and breast cancer mortality: a population-based study. J Clin Oncol 29:2635–2644CrossRefPubMed
14.
Zurück zum Zitat Shang ZJ, Liu K, Liang DF (2009) Expression of beta2-adrenergic receptor in oral squamous cell carcinoma. J Oral Pathol Med 38:371–376CrossRefPubMed Shang ZJ, Liu K, Liang DF (2009) Expression of beta2-adrenergic receptor in oral squamous cell carcinoma. J Oral Pathol Med 38:371–376CrossRefPubMed
15.
Zurück zum Zitat Kaira K, Kamiyoshihara M, Kawashima O et al (2019) Prognostic impact of β2-adrenergic receptor expression in surgically resected pulmonary pleomorphic carcinoma. Anticancer Res 39:395–403CrossRefPubMed Kaira K, Kamiyoshihara M, Kawashima O et al (2019) Prognostic impact of β2-adrenergic receptor expression in surgically resected pulmonary pleomorphic carcinoma. Anticancer Res 39:395–403CrossRefPubMed
16.
Zurück zum Zitat Ciurea RN, Rogoveanu I, Pirici D et al (2017) B2 adrenergic receptors and morphological changes of the enteric nervous system in colorectal adenocarcinoma. World J Gastroenterol 23:1250–1261CrossRefPubMedPubMedCentral Ciurea RN, Rogoveanu I, Pirici D et al (2017) B2 adrenergic receptors and morphological changes of the enteric nervous system in colorectal adenocarcinoma. World J Gastroenterol 23:1250–1261CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Bravo-Calderón DM, Oliveira DT, Marana AN, Nonogaki S, Carvalho AL, Kowalski LP (2010) Prognostic significance of beta-2 adrenergic receptor in oral squamous cell carcinoma. Cancer Biomark 10:51–59CrossRef Bravo-Calderón DM, Oliveira DT, Marana AN, Nonogaki S, Carvalho AL, Kowalski LP (2010) Prognostic significance of beta-2 adrenergic receptor in oral squamous cell carcinoma. Cancer Biomark 10:51–59CrossRef
18.
Zurück zum Zitat De Giorgi V, Grazzini M, Gandini S, Benemei S, Lotti T, Marchionni N, Geppetti P (2011) Treatment with beta-blockers and reduced disease progression in patients with thick melanoma. Arch Intern Med 171:779–781PubMed De Giorgi V, Grazzini M, Gandini S, Benemei S, Lotti T, Marchionni N, Geppetti P (2011) Treatment with beta-blockers and reduced disease progression in patients with thick melanoma. Arch Intern Med 171:779–781PubMed
19.
Zurück zum Zitat Lemeshow S, Sorensen HT, Phillips G et al (2011) beta-Blockers and survival among Danish patients with malignant melanoma: a population-based cohort study. Cancer Epidemiol Biomarkers Prev 20:2273–2279CrossRefPubMedPubMedCentral Lemeshow S, Sorensen HT, Phillips G et al (2011) beta-Blockers and survival among Danish patients with malignant melanoma: a population-based cohort study. Cancer Epidemiol Biomarkers Prev 20:2273–2279CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Chisholm KM, Chang KW, Truong MT et al (2012) β-adrenergic receptor expression in vascular tumors. Mod Pathol 25:1446–1451CrossRefPubMed Chisholm KM, Chang KW, Truong MT et al (2012) β-adrenergic receptor expression in vascular tumors. Mod Pathol 25:1446–1451CrossRefPubMed
21.
Zurück zum Zitat Wang F, Liu H, Wang F et al (2018) Propranolol suppresses the proliferation and induces the apoptosis of liver cancer cells. Mol Med Rep 17:5213–5221PubMedPubMedCentral Wang F, Liu H, Wang F et al (2018) Propranolol suppresses the proliferation and induces the apoptosis of liver cancer cells. Mol Med Rep 17:5213–5221PubMedPubMedCentral
22.
Zurück zum Zitat Iseri OD, Sahin FI, Teizi YK et al (2014) beta-adrenergic antagonists reduce cancer cell proliferation, invasion and migration. Pharm Biol 52:1374–1381CrossRefPubMed Iseri OD, Sahin FI, Teizi YK et al (2014) beta-adrenergic antagonists reduce cancer cell proliferation, invasion and migration. Pharm Biol 52:1374–1381CrossRefPubMed
23.
Zurück zum Zitat Watanabe T, Muro K, Ajioka Y et al (2018) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2016 for the treatment of colorectal cancer. Int J Clin Oncol 23:1–34CrossRefPubMed Watanabe T, Muro K, Ajioka Y et al (2018) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2016 for the treatment of colorectal cancer. Int J Clin Oncol 23:1–34CrossRefPubMed
Metadaten
Titel
Prognostic significance of β2-adrenergic receptor expression in patients with surgically resected colorectal cancer
verfasst von
Hiroomi Ogawa
Kyoichi Kaira
Yoko Motegi
Takehiko Yokobori
Takahiro Takada
Ryuji Kato
Katsuya Osone
Ryo Takahashi
Kunihiko Suga
Naoya Ozawa
Chika Katayama
Tetsunari Oyama
Akira Shimizu
Takashi Yao
Takayuki Asao
Hiroshi Saeki
Ken Shirabe
Publikationsdatum
17.03.2020
Verlag
Springer Singapore
Erschienen in
International Journal of Clinical Oncology / Ausgabe 6/2020
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-020-01645-6

Weitere Artikel der Ausgabe 6/2020

International Journal of Clinical Oncology 6/2020 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.