Rectal cancer mostly occurs in the middle and low position in China, and many anatomical evidence has confirmed that Lateral Lymph Node Metastasis (LLNM) exists in middle and low rectal cancer. Laparoscopic surgery can penetrate into the pelvic cavity and magnify and narrow the visual field, which is helpful for lymph node dissection and vascular nerve protection, while it has minimally invasive characteristics and is considered to be more suitable for LLND. Relevant articles published from January 2000 to May 2022 are searched using “Rectal cancer, Lateral lymph node dissection, Radical resection of rectal cancer, Low rectal cancer, Laparoscopic therapy, Treatment of rectal cancer” as test terms, analyzed and assessed using Rev Man 5.3 software and Stata software to assess the risk bias of included references, and heterogeneity among each study is evaluated using Q test and heterogeneity (I2). The experimental results show that there is no heterogeneity among the studies (I2 = 8.46%). The heterogeneity of lymphatic metastasis in the included literature is evaluated, and the results show that there is heterogeneity between the studies (I2 = 52.06%).
Background: By complexing poly (ADP-ribose) (PAR) in reaction to breaked strand, PAR polymerase1 (PARP1) acts as the key enzyme participated in DNA repair. However, recent studies suggest that unrepaired DNA breaks results in persistent PARP1 activation, which leads to a progressively reduce in hexokinase1 (HK1) activity and cell death. So the molecular mechanism of PARP1 remains elusive. Methods: 212 colorectal cancer (CRC) patients who had the operation at our hospital were recruited. Used immunohistochemistry to evaluate PARP1 expression. Survival analysis was calculated based on PARP1 expression.Results: Compared with matching adjacent noncancerous tissue, in CRC tissue, PARP1 expression was remarkably higher, which was correlated with the degree of differentiation, TNM stage, depth of invasion, distant metastasis, and 5-year survival. Furthermore, after constructing CRC cell lines stably expressing low or high PARP1, we found that PARP1 overexpression promoted proliferation, and proved PARP1 interacted with XRCC2 in CRC cells by immunoprecipitation (IP) analysis.Conclusions: PARP1 was upregulated in CRC cells and promoted its proliferation of colorectal cancer cells. Furthermore, PARP1 expression status was significantly related to some clinicopathological features and 5-year survival.
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