Abstract. Mal, T-cell differentiation protein (MAL) is a candidate tumor suppressor gene that functions in membrane trafficking processes in polarized epithelial cells. The aim of the present study was to determine its clinical significance in colorectal cancer (CRC). The RNA and protein expression levels of MAL in 30 colorectal specimens were detected by semi-quantitative polymerase chain reaction and immunohistochemistry analysis. Statistical analysis was performed using SPSS software. The RNA level of MAL was significantly downregulated in the CRC tissues compared with the adjacent healthy tissue (P<0.05). MAL was only positively expressed in 20% of the CRC tissues, but in 66.7% of the adjacent tissues, as determined by immunohistochemistry analysis. The expression of the MAL RNA transcript exhibited a positive correlation with protein expression. The expression levels of MAL were significantly associated with different tumor-node-metastasis stages and lymph node metastasis (P<0.05), but not with age, gender, tumor site, differentiation status and pathological type (P>0.05). Suppression of MAL expression was significantly correlated with metastasis in CRC. The present study indicated that MAL may function as an anti-metastasis factor and represent a potential biomarker for malignant colorectal tumors.
IntroductionColorectal cancer (CRC) is the third most common malignant cancer and the second leading cause of mortality worldwide (1). In China, the incidence rate of CRC is increasing rapidly, particular in urban areas, such as Shanghai, which was formerly considered a low-risk area (2,3). Metastasis is the main cause of mortality in CRC patients (4). The first sites of metastatic CRC are the regional lymph nodes and the liver. Investigations into the molecular mechanisms involved in CRC metastasis are of major importance in order to develop novel strategies for targeted therapies (5).The mal, T-cell differentiation protein (MAL) gene encodes the T-lymphocyte maturation-associated protein and functions in T-cell differentiation (6). Recently, downregulation of MAL has been associated with a variety of human epithelial malignancies. For example, Mimori et al (7) initially found that MAL was highly expressed in normal esophageal epithelia, but silenced in esophageal tumors. Later, inactivation of MAL was shown to be a common event in breast, head and neck, and gastric cancer (8-11). However, the functional role and mechanistic action of MAL in CRC remains largely unknown. The present study aimed to determine the clinical significance of MAL in colorectal cancer by measuring its expression level in CRC tissues.
Materials and methodsTissue samples and cell line. The present study enrolled a total of 30 CRC patients who underwent surgery between 2010 and 2011 at Shanghai First People's Hospital (Shanghai, China). The patients did not receive any pre-operative cancer treatment prior to resection. Of the 30 patients, 18 were male and 22 were female, and the age of the patients ranged between 45 and 87 years (median, 6...