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Eurasian Journal of
            Medicine and Oncology                                       ANGPTL8 upregulation in CRC with liver metastasis



            diabetes mellitus (DM), four had hypertension, 19 reported   The protein and mRNA expression levels of
            a high-protein diet, and two had cardiovascular disease. In   ANGPTL8  were  elevated  in  tumors  of  CRC  patients
            the liver metastasis group, two patients had a history of DM,   with liver metastasis compared to those without liver
            one had hyperlipidemia, two had hypertension, six had a   metastasis (Figures 2 and 3). Notably, parametric analysis
            history of smoking, 15  patients reported a high-protein   using Pearson’s product-moment correlation shows a
            diet, and two had cardiovascular disease. No history of   significant negative correlation between ANGPTL8
            alcoholism or hepatitis was reported in either group.  expression and BMI (Pearson’s correlation coefficient =
              Table  1  shows the baseline characteristics of CRC   −0.367, p≤0.05) (Table 2). In addition, univariate linear
            patients with and without liver metastasis in CRC patients.   regression  analysis  shows  that  ANGPTL8  expression
            There  are  no significant differences  (p≥0.05) observed   correlates with BMI (Table 3). These results suggest that
            between the two groups in age, systolic blood pressure,   ANGPTL8 could serve as a significant predictor for BMI
            diastolic blood pressure, hemoglobin, hematocrit, white   (p≤0.05) and may contribute significantly to BMI changes
            blood cells, red blood cells, platelet, fasting blood glucose   in CRC patients.
            levels, albumin, blood urea nitrogen, and creatinine levels.   4. Discussion
            However, circulating fasting blood glucose, albumin,
            platelet, and blood urea nitrogen levels were observed to be   In this study, it was revealed that ANGPTL8 expression in
            higher in CRC patients with liver metastasis. Interestingly,   tumors of CRC patients with liver metastasis is different
            body mass index (BMI), alanine aminotransferase, aspartate   from those without metastasis. Interestingly, ANGPTL8
            aminotransferase, and carcinoembryonic antigen levels
            were significantly different between both groups (p≤0.05).  Table 2. Univariate correlations with ANGPTL8 in all
                                                               participants
            Table 1. Baseline characteristics of the study population   Parameters           ANGPTL8
            across different groups                                                   Pearson’s correlation   p-value
                                                                                        coefficient (r)
            Parameters                     Groups              Age (years)                 0.114        0.535
                                  Non-metastasis   Metastasis
                                                                      2
                                     (n=20)        (n=21)      BMI (kg/m )                 −0.367       0.039*
            Age (years)             54.50±3.12    57.08±2.99   SBP (mmHg)                  0.181        0.320
            BMI (kg/m )             23.41±1.19   18.92±0.49*   DBP (mmHg)                  0.236        0.194
                   2
            SBP (mmHg)              123.15±2.43  123.33±4.32   Hemoglobin (g/dL)           −0.325       0.069
            DBP (mmHg)              78.10±1.99    79.33±2.23   Hematocrit (%)              −0.340       0.057
                                                                     3
            Hemoglobin (g/dL)       11.38±0.47    11.63±0.47   WBC (10 /μL)                0.118        0.520
                                                                     3
            Hematocrit (%)          34.91±1.37    35.37±1.23   RBC (10 /μL)                −0.156       0.395
                  3
            WBC (10 /μL)             8.77±0.84    10.70±1.36   Fasting glucose level (mg/dL)  0.164     0.370
                  3
            RBC (10 /μL)             4.38±0.12    4.22±0.14    Albumin (g/dL)              −0.180       0.325
            Fasting glucose level (mg/dL)  120.80±10.27  142.33±10.54  BUN (mg/dL)         −0.137       0.454
            Albumin (g/dL)           3.63±0.15    3.13±0.16    Creatinine (mg/dL)          −0.160       0.383
                                                                    3
            BUN (mg/dL)             12.69±1.49    16.77±2.32   PLT (10 /μL)                0.004        0.981
            Creatinine (mg/dL)       0.91±0.07    0.97±0.13    ALT (U/L)                   0.214        0.240
            PLT (10 /μL)           284.10±21.33  370.58±31.57  AST (U/L)                   0.347        0.052
                 3
            ALT (U/L)               11.65±1.74   28.25±5.12*   CEA (μg/L)                  0.053        0.774
            AST (U/L)               21.35±4.51   47.92±10.71*  Tumor                       0.037        0.840
            CEA (μg/L)              14.36±5.51   307.53±1.27*  Nodes                       0.195        0.285
            Note: Data are presented as mean±SEM. Asterisk (*) indicates a   Metastasis    0.211        0.245
            significant difference between the metastasis and the non-metastasis   Note: Asterisk (*) indicates a statistically significant correlation
            group (p≤0.05), as determined by an independent sample t-test.  (p≤0.05), as determined by Pearson’s product-moment correlation test.
            Abbreviations: ALT: Alanine aminotransferase; AST: Aspartate   Abbreviations: ALT: Alanine aminotransferase; AST: Aspartate
            aminotransferase; BMI: Body mass index; BUN: Blood urea nitrogen;   aminotransferase; BMI: Body mass index; BUN: Blood urea nitrogen;
            CEA: Carcinoembryonic antigen; DBP: Diastolic blood pressure;    CEA: Carcinoembryonic antigen; DBP: Diastolic blood pressure;
            PLT: Platelet; RBC: Red blood cell; SBP: Systolic blood pressure;    PLT: Platelet; RBC: Red blood cell; SBP: Systolic blood pressure;
            WBC: White blood cell.                             WBC: White blood cell, ANGPTL8: Angiopoietin-like protein 8.


            Volume 9 Issue 2 (2025)                        264                         doi: 10.36922/EJMO025080034
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