PMID- 19582880 OWN - NLM STAT- MEDLINE DCOM- 20090921 LR - 20220318 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 125 IP - 8 DP - 2009 Oct 15 TI - Expression of the macrophage antigen CD163 in rectal cancer cells is associated with early local recurrence and reduced survival time. PG - 1826-31 LID - 10.1002/ijc.24506 [doi] AB - Expression of the macrophage antigen CD163 in breast cancer cells is recently shown to be related to early distant recurrence and shortened survival. In this study, 163 patients with rectal cancer, included in the Swedish rectal cancer trial and followed up for a median of 71 months, were examined for the expression of CD163 in the primary tumors. The cancer cells expressed CD163 in the primary tumors in 23% (n = 32) of the patients. In pretreatment biopsies from 101 patients, 10 had CD163-positive cancers and these patients had earlier local recurrence (p < 0.044) and reduced survival time (p < 0.045) compared with those with CD163-negative tumors. When studying surgical specimens from 61 patients randomized to preoperative irradiation (5 x 5 Gy delivered in 1 week), it was found that 31% were CD163 positive whereas the corresponding figure was only 17% for 78 patients who were nonirradiated (p < 0.044), which tentatively may be consistent with X-rays inducing fusion. In CD163-positive tumors there was a reduced apoptotic activity as measured with the Termina deoxynucleotidyl Transferase Biotin-dUTP Nick End Labeling (TUNEL) technique (p = 0.018). There tended also to be an increased proliferation activity measured as an expression of Ki-67 non significant (NS). It is concluded that primary rectal cancers may express CD-163, and this phenotypic macrophage trait is related to early local recurrence, shorter survival time and reduced apoptosis. Furthermore, the expression of CD163 is more common after irradiation. FAU - Shabo, Ivan AU - Shabo I AD - Division of Surgery, Institution of Clinical and Experimental Medicine, University of Linkoping, Sweden. FAU - Olsson, Hans AU - Olsson H FAU - Sun, Xiao-Feng AU - Sun XF FAU - Svanvik, Joar AU - Svanvik J LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (Biomarkers, Tumor) RN - 0 (CD163 antigen) RN - 0 (Receptors, Cell Surface) SB - IM MH - Aged MH - Antigens, CD/*metabolism MH - Antigens, Differentiation, Myelomonocytic/*metabolism MH - Apoptosis MH - Biomarkers, Tumor/*metabolism MH - Case-Control Studies MH - Cell Proliferation MH - Combined Modality Therapy MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Macrophages/*metabolism/pathology MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*metabolism/mortality/therapy MH - Neoplasm Staging MH - Preoperative Care MH - Prognosis MH - Radiotherapy Dosage MH - Receptors, Cell Surface/*metabolism MH - Rectal Neoplasms/*metabolism/mortality/therapy MH - Survival Rate MH - Tissue Array Analysis EDAT- 2009/07/08 09:00 MHDA- 2009/09/22 06:00 CRDT- 2009/07/08 09:00 PHST- 2009/07/08 09:00 [entrez] PHST- 2009/07/08 09:00 [pubmed] PHST- 2009/09/22 06:00 [medline] AID - 10.1002/ijc.24506 [doi] PST - ppublish SO - Int J Cancer. 2009 Oct 15;125(8):1826-31. doi: 10.1002/ijc.24506.