2020
DOI: 10.18632/oncotarget.27674
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Diabetes mellitus is associated with liver metastasis of colorectal cancer through production of biglycan-rich cancer stroma

Abstract: High morbidity and mortality of cancer, especially colorectal cancer (CRC), in diabetic patients have been reported. In this study, we investigated the relationship between the presence of diabetes mellitus (blood hemoglobin A1C was 6.5% or higher at the time of diagnosis of CRC) and the progression and liver metastasis of CRC. Histopathological findings in the primary lesions, which were preferential to diabetes-complicated CRC (DM-CRC) and the liver metastasis, were also investigated. Of the 473 CRC patients… Show more

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Cited by 12 publications
(14 citation statements)
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References 60 publications
(86 reference statements)
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“…In diabetic conditions, HMGB1 may be glycated. Furthermore, in colorectal cancer with diabetes, hemoglobin A1c levels are correlated with cancer stage and metastasis [ 17 ], and it has been reported that liver metastasis is particularly promoted in diabetes-complicated colorectal cancer [ 45 ]. Data from our small cohort of gastric cancer patients show that HMGB1 levels were correlated with primary tumor progression and distant metastasis, whereas CML-HMGB1 levels were correlated with primary tumor progression, lymph node metastasis, distant metastasis, and stage.…”
Section: Discussionmentioning
confidence: 99%
“…In diabetic conditions, HMGB1 may be glycated. Furthermore, in colorectal cancer with diabetes, hemoglobin A1c levels are correlated with cancer stage and metastasis [ 17 ], and it has been reported that liver metastasis is particularly promoted in diabetes-complicated colorectal cancer [ 45 ]. Data from our small cohort of gastric cancer patients show that HMGB1 levels were correlated with primary tumor progression and distant metastasis, whereas CML-HMGB1 levels were correlated with primary tumor progression, lymph node metastasis, distant metastasis, and stage.…”
Section: Discussionmentioning
confidence: 99%
“…While biglycan is mostly known as a structural element of the ECM, more recent studies have identified critical roles for increased biglycan expression in tumor initiation and progression by playing a role as a signaling molecule in the regulation of inflammation, angiogenesis and autophagy [ 15 , 19 , 20 , 21 ]. Moreover, numerous studies have implicated biglycan in contributing to the progression of many types of tumors [ 16 , 22 ], and biglycan is considered a marker for CRC development [ 16 , 17 , 23 , 24 , 25 , 26 ]. In our immunohistochemical analyses conducted on tissues from CRC patients, high levels of biglycan expression were detected in the stroma around the CRC tissue, which is supportive of the critical role that increased biglycan expression plays in the ECM contributing to tumor progression.…”
Section: Discussionmentioning
confidence: 99%
“…Immunohistochemical staining for CD133 was performed using the immunoperoxidase technique 6 with a CD133 antibody (0.5 μg/ml, Abcam). The number of positive cells was counted, and the mean value was calculated from the microscopic observation of 30 high‐power fields of view.…”
Section: Methodsmentioning
confidence: 99%