Key result
Plasma Chromogranin A is a poor marker for follow-up in colorectal neuroendocrine neoplasms, with only 10% of patients showing biochemical progression during confirmed tumor progression compared to 66.7% in small bowel NEN (p=0.0005).
Why the study?
Colonic neuroendocrine carcinomas are highly malignant and invasive with poor prognosis, and the roles and mechanisms of lncRNA PCAT6 in their progression were unknown.
Cohort (n=62)
No
Absolute Event Rate: 10% vs 66.7%
p-value: p=0.0005
Plasma Chromogranin A is not a suitable biomarker for monitoring tumor burden or prognosis in patients with colorectal neuroendocrine neoplasms, unlike in small bowel NEN.
CgA monitoring should not guide colorectal NEN care; leaves open validation of alternative biomarkers in prospective studies.
BACKGROUND: Colonic neuroendocrine carcinomas (NECs) are highly malignant and invasive with poor prognosis. Long noncoding RNAs (LncRNAs) participate in the tumorigenesis and metastasis of multiple cancers. AIM: To detect the roles and mechanisms of lncRNA prostate cancer associated transcript 6 (PCAT6) in the progression of colonic NEC. METHODS: Human NEC and adjacent normal samples were collected for immunohistochemistry staining of CgA and real-time quantitative polymerase chain reaction (RT-qPCR) of PCAT6 mRNA level. Subcutaneous xenograft tumor model and lung metastasis model were established in nude mice. The lung tissues were stained by hematoxylin and eosin to assess pulmonary metastasis. The expression of epithelial-mesenchymal transition (EMT)-related markers and pathway-related genes was measured by RT-qPCR and western blotting. CD56 expression was assessed by immunofluorescence staining. The biological functions of PCAT6 were examined by cell counting kit-8, colony formation assays, Transwell assays and wound healing assays. The interaction between PCAT6 and its potential downstream target was verified by luciferase reporter assays. RESULTS: LncRNA PCAT6 was upregulated in human NEC samples and LCC-18 cells, and its high expression was positively correlated with poor prognosis in patients with colonic NEC. Additionally, the expression of PCAT6 was positively associated with the proliferation, migration, invasion, and EMT of LCC-18 cells. Moreover, PCAT6 facilitated tumor growth, lung metastasis and EMT in xenografts. Mechanistically, PCAT6 promoted the activation of MAPK to enhance the EMT in colonic NEC by targeting miR-326. CONCLUSION: In conclusion, lncRNA PCAT6 accelerates the process of colonic NEC by activating ERK/p38 MAPK signaling through targeting miR-326. These results might provide useful information for exploring the potential therapeutic targets in colonic NEC.
No takes yet. Share an insight, caveat, or question.
Wang et al. (2025) conducted a cohort in Colorectal neuroendocrine neoplasms (n=62). Plasma Chromogranin A (CgA) vs. Small bowel neuroendocrine neoplasms was evaluated on Biochemical progression (significant increase in CgA) during confirmed tumor progression (p=0.0005). Plasma Chromogranin A is a poor marker for follow-up in colorectal neuroendocrine neoplasms, with only 10% of patients showing biochemical progression during confirmed tumor progression compared to 66.7% in small bowel NEN (p=0.0005).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: