Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma

BACKGROUND: Colorectal carcinoma ranks as the second deadliest and third most prevalent cancer globally. The depth of tumor invasion and the presence of tumor-infiltrating lymphocytes (TILs) are linked to survival rates in this disease. Meanwhile, Snail expression is positively correlated with tumor...

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Main Authors: Upik Anderiani Miskad, Fardah Akil, Muhammad Husni Cangara, Haslindah Dahlan, Gina Andyka Hutasoit, Muhammad Riza Ilyasa
Format: Article
Language:English
Published: Secretariat of The Indonesian Biomedical Journal 2024-12-01
Series:Indonesian Biomedical Journal
Online Access:https://inabj.org/index.php/ibj/article/view/3392
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author Upik Anderiani Miskad
Fardah Akil
Muhammad Husni Cangara
Haslindah Dahlan
Gina Andyka Hutasoit
Muhammad Riza Ilyasa
author_facet Upik Anderiani Miskad
Fardah Akil
Muhammad Husni Cangara
Haslindah Dahlan
Gina Andyka Hutasoit
Muhammad Riza Ilyasa
author_sort Upik Anderiani Miskad
collection DOAJ
description BACKGROUND: Colorectal carcinoma ranks as the second deadliest and third most prevalent cancer globally. The depth of tumor invasion and the presence of tumor-infiltrating lymphocytes (TILs) are linked to survival rates in this disease. Meanwhile, Snail expression is positively correlated with tumor grade, recurrence, metastasis and poor prognosis in various tumors. However, not many studies discuss the correlation of Snail expression with invasion depth and TILs in Indonesia. Therefore, this study was conducted to investigate the correlation between Snail expression and both the depth of invasion and TIL scoring in colorectal carcinoma. METHODS: A cross-sectional study was conducted to evaluate 70 paraffin-embedded blocks of colorectal carcinoma patients. Snail expression was measured with immunohistochemistry using Snail rabbit polyclonal antibody. Stromal TILs were assessed on a single full-face hematoxylin and eosin (H&E) slide, and classified into high, intermediate, and low TILs. RESULTS: The results showed that the most invasion was to the muscularis propria (42.9%) and the least invasion was to the submucosa (4.3%). In scoring TILs, the most samples with intermediate TILs (58.6%) and the least samples with low TILs (4.3%). The analysis employing a Spearman Rank coefficient shows significant positive correlation between the expression of Snail with depth of invasion (r=0.273; p=0.022) but there was no significant correlation with TILs scoring (p=0.892). CONCLUSION: Even though, there is no significant correlation between Snail expression with TILs, there is, however, a significant positive correlation between Snail expression with depth of invasion in colorectal carcinoma. Therefore, Snail expression might be potentially used as a prognostic factor in colorectal carcinoma. KEYWORDS: Colorectal, carcinoma, Snail, depth of invasion and TILs
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institution Kabale University
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language English
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spelling doaj-art-1adfad10a5674350a1e99b4dcfaaceab2025-01-06T02:04:18ZengSecretariat of The Indonesian Biomedical JournalIndonesian Biomedical Journal2085-32972355-91792024-12-01166553910.18585/inabj.v16i6.3392610Snail Expression is Positively Correlated with Depth of Invasion in Colorectal CarcinomaUpik Anderiani Miskad0Fardah Akil1Muhammad Husni Cangara2Haslindah Dahlan3Gina Andyka Hutasoit4Muhammad Riza Ilyasa5Department of Anatomical Pathology, Faculty of Medicine, Universitas Hasanuddin, Jl. Perintis Kemerdekaan KM. 10, Makassar 90245Department of Internal Medicine, Faculty of Medicine, Universitas Hasanuddin, Jl. Perintis Kemerdekaan KM. 10, Makassar 90245Department of Anatomical Pathology, Faculty of Medicine, Universitas Hasanuddin, Jl. Perintis Kemerdekaan KM. 10, Makassar 90245Department of Anatomical Pathology, Faculty of Medicine, Universitas Hasanuddin, Jl. Perintis Kemerdekaan KM. 10, Makassar 90245Department of Anatomical Pathology, Faculty of Medicine, Universitas Tadulako, Jl. Soekarno Hatta KM. 9, Palu 94118Undergraduate Program of Medical Study, Faculty of Medicine, Universitas Hasanuddin, Jl. Perintis Kemerdekaan KM. 10BACKGROUND: Colorectal carcinoma ranks as the second deadliest and third most prevalent cancer globally. The depth of tumor invasion and the presence of tumor-infiltrating lymphocytes (TILs) are linked to survival rates in this disease. Meanwhile, Snail expression is positively correlated with tumor grade, recurrence, metastasis and poor prognosis in various tumors. However, not many studies discuss the correlation of Snail expression with invasion depth and TILs in Indonesia. Therefore, this study was conducted to investigate the correlation between Snail expression and both the depth of invasion and TIL scoring in colorectal carcinoma. METHODS: A cross-sectional study was conducted to evaluate 70 paraffin-embedded blocks of colorectal carcinoma patients. Snail expression was measured with immunohistochemistry using Snail rabbit polyclonal antibody. Stromal TILs were assessed on a single full-face hematoxylin and eosin (H&E) slide, and classified into high, intermediate, and low TILs. RESULTS: The results showed that the most invasion was to the muscularis propria (42.9%) and the least invasion was to the submucosa (4.3%). In scoring TILs, the most samples with intermediate TILs (58.6%) and the least samples with low TILs (4.3%). The analysis employing a Spearman Rank coefficient shows significant positive correlation between the expression of Snail with depth of invasion (r=0.273; p=0.022) but there was no significant correlation with TILs scoring (p=0.892). CONCLUSION: Even though, there is no significant correlation between Snail expression with TILs, there is, however, a significant positive correlation between Snail expression with depth of invasion in colorectal carcinoma. Therefore, Snail expression might be potentially used as a prognostic factor in colorectal carcinoma. KEYWORDS: Colorectal, carcinoma, Snail, depth of invasion and TILshttps://inabj.org/index.php/ibj/article/view/3392
spellingShingle Upik Anderiani Miskad
Fardah Akil
Muhammad Husni Cangara
Haslindah Dahlan
Gina Andyka Hutasoit
Muhammad Riza Ilyasa
Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
Indonesian Biomedical Journal
title Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
title_full Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
title_fullStr Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
title_full_unstemmed Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
title_short Snail Expression is Positively Correlated with Depth of Invasion in Colorectal Carcinoma
title_sort snail expression is positively correlated with depth of invasion in colorectal carcinoma
url https://inabj.org/index.php/ibj/article/view/3392
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