Cited by 254Cancer Mechanisms and TherapyProtein Kinase Regulation and GTPase SignalingColorectal Cancer Treatments and Studies

Activation of Src kinase in primary colorectal carcinoma: An indicator of poor clinical prognosis

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Allgayer, Heike, Boyd, Douglas D., Heiss, Markus M., Abdalla, Eddie K., Curley, Steven A., Gallick, Gary E.·2002·Cancer

Abstract

BACKGROUND: The specific activity of the non‐receptor protein tyrosine kinase, Src, is increased in the majority of colon and rectal adenocarcinomas compared to normal mucosa. However, the prognostic significance of this difference is unknown. The objective of the current study was to determine if Src activity is a marker for poor clinical prognosis in colon carcinoma patients. As Src activation leads to expression of urokinase/plasminogen activator receptor (u‐PAR), expression of Src and u‐PAR were correlated with patient survival. METHODS: Tumors and adjacent normal colonic mucosae from 45 patients with colorectal carcinoma were screened for Src activity by the immune complex kinase assay. Expression of u‐PAR was determined by enzyme linked immunoabsorbent assay. The primary tumor‐to‐normal mucosa ratios of activity were compared following classification and regression tree (CART) analysis to determine the prognostic significance of elevated specific Src activity. Expression of u‐PAR was correlated with Src activity. RESULTS: By CART analysis, Src activity in tumors elevated more than twofold over normal mucosa was significant. Increased Src activity significantly correlated with Dukes stage, pT and pN classification, and increased u‐PAR levels (P < 0.001). Kaplan Meier analysis showed a significant association between elevated Src activity and shorter overall survival of all patients (P = 0.0004) and of Dukes Stage A‐C patients (P = 0.0037). In patients who underwent curative resection, a significant correlation with a decreased disease‐free survival rate was found (P < 0.0001). Multivariate analysis revealed that elevated Src activity was a prognostic parameter independent of M classification (P = 0.0125, relative risk 3.54, 95% confidence interval 1.31 – 9.76). CONCLUSIONS: Src activity is an independent indicator of poor clinical prognosis in all stages of human colon carcinoma. These data suggest that Src‐specific inhibitors may have a therapeutic role in inhibiting tumor progression and metastasis, and that measurement of Src activity may aid in selection of early stage patients for adjuvant therapy. Cancer 2002;94:344–51. © 2002 American Cancer Society.

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  1. [9]9. Talamonti MS, Roh MS, Curley SA, Gallick GE. The c-src oncogene participates in the development of human colo- rectal liver metastases. Surg Forum 1991;42:422-4.
  2. [31]31. Dixon WJ, Brown MB, Engelman L. BMDP statistical soft- ware. University of California Press, 1995.

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Authors
Allgayer, H., Boyd, D. D., Heiss, M. M., Abdalla, E. K., Curley, S. A., & Gallick, G. E.
Affiliations
  • Ludwig-Maximilians-Universität München (DE)
  • The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Gallick, Gary E.
Venue
Cancer
Publisher
Wiley
Published
2002-01-15
Volume
94
Issue
2
Pages
344-351
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W1532635242
Cited by
251
References
51
Citations by year
2025: 3 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 11 · 2018: 7 · 2017: 9 · 2016: 11 · 2015: 14 · 2014: 16 · 2013: 16 · 2012: 13
FWCI
5.73
Type
journal article
Language
en
Open access
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Gillson Longenbaugh Foundation
  • Deutsche Krebshilfe
  • National Institutes of Health (5r01ca065527-07)
  • National Cancer Institute (CA65527, CA69926, CA53617, CA 58311)
  • National Institute of Dental and Craniofacial Research (DE10845, R01DE010845)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Cancer Mechanisms and Therapy
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
Keywords
Src kinase, colorectal cancer, prognostic factors, urokinase-type plasminogen activator receptor, non-receptor tyrosine kinase, overall survival, disease-free survival, Dukes stage, adjuvant therapy selection, Src kinase inhibitor, metastasis
MeSH terms
CSK Tyrosine-Protein Kinase, Adenocarcinoma, Adult, Aged, Aged, 80 and over, Enzyme Activation, Female, Humans, Male, Middle Aged, Mucous Membrane, Protein-Tyrosine Kinases, Receptors, Cell Surface, Colorectal Neoplasms, Survival Rate, src Homology Domains, src-Family Kinases, Receptors, Urokinase Plasminogen Activator

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