Comparison of Carcinoembryonic Antigen Level and E-Cadherin Expression between Metastatic and Non-Metastatic Colorectal Carcinoma in RSUP, Dr. Sardjito Yogyakarta-Indonesia.

Background: WHO has reported 34,189 (8.6%) colorectal carcinoma cases out of 396,914 total cancer cases in Indonesia. Accumulated gene mutation and the environment can affect cell regulation, growth, and differentiation, impacting the methylation of tumor suppressor genes. Carcinoembryonic antigen (...

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Publicado en:Middle East Journal of Cancer Vol. 14; no. 4; pp. 521 - 530
Autores principales: Prabowo, Rianto, Susanto, Hendra, Setiawan, Nurcahya, Sofii, Imam, Barmawi, Agus, Handaya, Adeodatus Yuda
Formato: research tables/charts Journal Article
Publicado: Middle East Journal of Cancer Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 14
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      pid: 67247
      pub: Middle East Journal of Cancer
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        10.30476/mejc.2023.94695.1737
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        atl: Comparison of Carcinoembryonic Antigen Level and E-Cadherin Expression between Metastatic and Non-Metastatic Colorectal Carcinoma in RSUP, Dr. Sardjito Yogyakarta-Indonesia.
      aug:
        au:
          Prabowo, Rianto
          Susanto, Hendra
          Setiawan, Nurcahya
          Sofii, Imam
          Barmawi, Agus
          Handaya, Adeodatus Yuda
        affil: Digestive Surgery Division, Dr. Sardjito Central General Hospital, Yogyakarta, Indonesia
      sug:
        subj:
          Antigens, Tumor Pharmacodynamics
          Antigens, Tumor Blood
          Gene Expression
          Neoplasm Metastasis Diagnosis
          Colorectal Neoplasms Diagnosis
          Colorectal Neoplasms Drug Therapy
          Human
          Male
          Female
          Comparative Studies
          Indonesia
          World Health Organization
          Descriptive Statistics
          Mutation
          Methylation
          Genes, Tumor Suppressor
          Homeostasis
          Analysis of Variance
          T-Tests
          Pearson's Correlation Coefficient
          Reverse Transcriptase Polymerase Chain Reaction
          Aminotransferases
          Male
          Female
      ab: Background: WHO has reported 34,189 (8.6%) colorectal carcinoma cases out of 396,914 total cancer cases in Indonesia. Accumulated gene mutation and the environment can affect cell regulation, growth, and differentiation, impacting the methylation of tumor suppressor genes. Carcinoembryonic antigen (CEA) is a biomarker used to detect the presence of colorectal carcinoma. Moreover, the E-cadherin gene has an essential role in tissue homeostasis, the adhesion between cells at embryogenesis, tissue morphogenesis, differentiation, and carcinogenesis stages. During instability and dysfunction in its regulation, the E-cadherin gene induces tumor progression. This study aimed to compare the level of CEA and E-cadherin expression in metastatic and non-metastatic sample groups. Method: The present study is descriptive with a quantitative approach using ANOVA one-way, unpaired t-test, and Pearson correlation analysis for the measurement and comparison of the CEA level and relative gene expression value from the reverse transcription-quantitative polymerase chain reaction analysis. Results: The obtained results suggested increasing CEA level and decreasing Ecadherin expression on the metastatic sample. Statistically, E-cadherin proven to show a negative r value or correlation value of CEA, even though it has a significant P-value. In other parameters, alanine transaminase and aspartate aminotransferase indicated a positive r value and a significant P-value. Conclusion: These findings indicated the potential clinical benefit of E-cadherin in detecting tumor progressivity, supported by other significant parameters, such as alanine transaminase and aspartate aminotransferase. Furthermore, E-cadherin was found beneficial in diagnosing the colorectal carcinoma with liver metastatis. Nonetheless, further research is needed to determine the role of E-cadherin regulation in colorectal cancer metastatis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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