PMID- 32826238 OWN - NLM STAT- MEDLINE DCOM- 20210528 LR - 20210528 IS - 1550-8080 (Electronic) IS - 0091-7370 (Linking) VI - 50 IP - 4 DP - 2020 Jul TI - Correlation Research of Thymidine Synthase Expression in Circulating Tumor Cell and Clinical Characteristics of Colon Cancer. PG - 439-446 AB - OBJECTIVE: To explore the clinical significance of thymidine synthase (TYMS) expression in circulating tumor cells (CTC). METHODS: Patients (n=43) were recruited upon reference to the Department of Surgery at a local hospital. Arterial-portal blood samples were harvested from all patients. Patient baseline information was collected when individuals were recruited into the study and include age, sex, and tumor stage. Complete response (CR) events and progressive disease (PD) events were recorded after follow-up. The CTC positive rate and the CTC number were assessed in blood samples. Epithelial-mesenchymal transition (EMT) subgroups and related TYMS expressions were examined for their correlation with colon cancer prognosis. The TYMS expression differed among various EMT subgroups. RESULTS: In our study, the CTC number was not associated with the prognosis index of colon cancer patients. These non-associated indices also include TNM tumor stage, CEA factor, primary tumor position, pathological pattern, age, and sex. However, the total CTC positive rate was correlated with tumor stage. For patients with right colon cancer (10/35), mixed type EMT was in the majority, while epithelial type EMT was the main subgroup in patients with left colon cancer (25/35). The TYMS expression differed among various subgroups of EMT. Left colon cancer (25/35) had the negative expression level of TYMS (75%). CONCLUSIONS: CTC positive rate is a promising index for the diagnosis of colon cancer. The lack of TYMS in CTC makes EMT cells prone to becoming epithelial-like cells, and TYMS silence in CTC indicates that the tumor is in the left colon. CI - (c) 2020 by the Association of Clinical Scientists, Inc. FAU - Jiang, Yimei AU - Jiang Y AD - Departmant of General Surgery, Ruijin Hospital North, Shanghai Jiao Tong University School of Medcine, Shanghai, China. FAU - Liu, Kun AU - Liu K AD - Departmant of General Surgery, Ruijin Hospital North, Shanghai Jiao Tong University School of Medcine, Shanghai, China. FAU - Shi, Yiqin AU - Shi Y AD - Departmant of General Surgery, Ruijin Hospital North, Shanghai Jiao Tong University School of Medcine, Shanghai, China. FAU - Li, You AU - Li Y AD - Departmant of General Surgery, Ruijin Hospital North, Shanghai Jiao Tong University School of Medcine, Shanghai, China. FAU - Ji, Xiaopin AU - Ji X AD - Departmant of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medcine, Shanghai, China ren_zr@aliyun.com xp_ji18@aliyun.com. FAU - Zhao, Ren AU - Zhao R AD - Departmant of General Surgery, Ruijin Hospital North, Shanghai Jiao Tong University School of Medcine, Shanghai, China ren_zr@aliyun.com xp_ji18@aliyun.com. AD - Departmant of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medcine, Shanghai, China. LA - eng PT - Journal Article PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - 0 (Biomarkers, Tumor) RN - EC 2.1.1.45 (Thymidylate Synthase) RN - VC2W18DGKR (Thymidine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/metabolism MH - China MH - Colonic Neoplasms/*metabolism MH - Epithelial Cells/metabolism MH - Epithelial-Mesenchymal Transition/physiology MH - Female MH - Gene Expression/genetics MH - Gene Expression Regulation, Neoplastic/genetics MH - Humans MH - Male MH - Middle Aged MH - Neoplastic Cells, Circulating/metabolism/*pathology MH - Prognosis MH - Thymidine/metabolism MH - Thymidylate Synthase/*genetics/metabolism MH - Transcriptome/genetics OTO - NOTNLM OT - Circulating tumor cell OT - Colon cancer OT - Prognosis OT - Thymidine synthase expression EDAT- 2020/08/23 06:00 MHDA- 2021/05/29 06:00 CRDT- 2020/08/23 06:00 PHST- 2020/08/23 06:00 [entrez] PHST- 2020/08/23 06:00 [pubmed] PHST- 2021/05/29 06:00 [medline] AID - 50/4/439 [pii] PST - ppublish SO - Ann Clin Lab Sci. 2020 Jul;50(4):439-446.