Page 262 - EJMO-9-3
P. 262

Eurasian Journal of
            Medicine and Oncology                                          Metastasis gene expression in colorectal cancer




            Table 2. Basic demographic and clinical features of the study   Table 3. Univariate linear regression analysis
            groups
                                                               Response     Predictor    Estimate (B)  p‑value
            Parameters                      Groups             BMI          SNAI1          −3.156       0.012*
                                    Non‑metastasis   Metastasis   CEA       SNAI1          81.303       0.501
                                       (n=20)     (n=21)
            Age (years)               54.50±3.12  57.08±2.99   ALT          SNAI1          10.025       0.065
                                                               AST          SNAI1          11.982       0.046*
                   2
            BMI (kg/m )               23.41±1.19  18.92±0.49*
                                                               BMI          ZEB1           −5.501       0.029*
            ALT (U/L)                 11.65±1.74  28.25±5.12*
                                                               CEA          ZEB1           70.112       0.524
            AST (U/L)                 21.35±4.51  47.92±10.71*
            CEA (μg/L)                14.36±5.51  307.53±1.27*  ALT         ZEB1           11.383       0.070
                                                               AST          ZEB1            9.117       0.055
            Stage (average from T, N, and M)  4     2
            Tumor                        3          5          BMI          Slug           −6.813       0.042*
            Node                         1          2          CEA          Slug           56.118       0.174
            Metastasis                   0          2          ALT          Slug            5.293       0.091
            DM                                                 AST          Slug            7.231       0.042*
             Yes                         3          2          BMI          Twist          −4.532       0.021*
             No                          17         19         CEA          Twist          61.002       0.407
            Hyperlipidemia                                     ALT          Twist          11.015       0.060
             Yes                         0          1          AST          Twist          12.740       0.048*
             No                          20         20         BMI          MTA3            1.241       0.104
            Hypertension                                       CEA          MTA3           10.203       0.075
             Yes                         4          2          ALT          MTA3            5.746       0.081
             No                          16         19         AST          MTA3           15.801       0.159
            Smoking                                            BMI          TNF-α          −9.725       0.033*
             Yes                         0          6          CEA          TNF-α          51.118       0.235
             No                          20         15         ALT          TNF-α          18.964       0.136
            Alcoholism                                         AST          TNF-α          11.507       0.046*
             Yes                         0          0          Note: *Significant with p≤0.05.
             No                          20         21         Abbreviations: ALT: Alanine aminotransferase; AST: Aspartate
            High protein diet                                  aminotransferase; BMI: Body mass index; CEA: Carcinoembryonic
                                                               antigen; MTA3: Metastasis-associated protein 3; SNAI1: Snail family
             Yes                         19         15         transcriptional repressor 1; TNF-α: Tumor necrosis factor-alpha;
             No                          1          6          ZEB1: Zinc finger e-box binding homeobox 1.
            Hepatitis
             Yes                         0          0          as chronic low-grade inflammation or altered adipokine
             No                          20         21         signaling,  which could  upregulate the  expression of
            CVD                                                EMT-promoting genes. The specific association of AST
             Yes                         2          2          with SNAI1, Slug, Twist, and TNF-α further suggest the
                                                               role of liver function and systemic metabolic changes are
             No                          18         19         intertwined with the molecular events that drive metastatic
            Notes: Independent sample t-test was used to compare differences   colonization of the liver.
            among groups. Data are presented as mean ± standard error of the mean.
            *Significant value of each parameter compared to the non-metastasis   In  addition,  the  observed  differences  in  clinical  and
            group by ANOVA Test (p≤0.05). The value or grading of the TNM stage   biochemical parameters between the non-liver metastasis
            is divided into three components of colon cancer, namely, T (Tumor),
            N (Node), and M (Metastasis). T consists of levels 0–5, N: levels 0–6,   and liver metastasis groups further contextualize the
            and M: levels 0–4. This grading is then used to determine the stages of   molecular findings. The significant elevations in CEA,
            cancer, including low, well, moderate, and poor differentiation. 41  ALT, AST, and BMI among patients with liver metastasis
            Abbreviations: ALT: Alanine aminotransferase; AST: Aspartate
            aminotransferase; BMI: Body mass index; CEA: Carcinoembryonic   reflect both increased tumor burden and the systemic
            antigen; CVD: Cardiovascular disease; DM: Diabetes mellitus.  impact of metastatic disease. Taken together with the gene



            Volume 9 Issue 3 (2025)                        254                         doi: 10.36922/EJMO025210202
   257   258   259   260   261   262   263   264   265   266   267