2. Academic Validation
  3. TIMP-2 as a predictive biomarker in 5-Fu-resistant colorectal cancer

TIMP-2 as a predictive biomarker in 5-Fu-resistant colorectal cancer

  • J Cancer Res Clin Oncol. 2023 Mar 11. doi: 10.1007/s00432-023-04670-w.
Yaoqing Li 1,  Chuchu Xu 1,  Renjun Zhu 2,  Liyijing Shen 3,  Gengyuan Hu 1,  Kelong Tao 1,  Feng Tao 4 5,  Zengxin Lu 6 7,  Guolin Zhang 8
Affiliations

Affiliations

  • 1 Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China.
  • 2 Department of Emergency, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China.
  • 3 Department of Radiology, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China.
  • 4 Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China. tf_zjsx@yeah.net.
  • 5 Medical School of Shaoxing University, The First Hospital Affiliated to Shaoxing University, Shaoxing, 312000, Zhejiang, China. tf_zjsx@yeah.net.
  • 6 Department of Radiology, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China. luzx777@163.com.
  • 7 Medical School of Shaoxing University, The First Hospital Affiliated to Shaoxing University, Shaoxing, 312000, Zhejiang, China. luzx777@163.com.
  • 8 Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing, 312000, Zhejiang, China. zhangguolin@zju.edu.cn.
PMID: 36905423 DOI: 10.1007/s00432-023-04670-w
Abstract

Purpose: This study aims to evaluate the value of tissue inhibitors of MMPs-2 (TIMP-2) to indicate 5-Fluorouracil (5-Fu) resistance status in colorectal Cancer.

Methods: The 5-Fu resistance of colorectal Cancer cell lines was detected using Cell-Counting Kit-8 (CCK-8) and calculated using IC50. Enzyme-linked immunosorbent assay (ELISA) and real time-quantitative polymerase chain reaction (RT-qPCR) were used to detect TIMP-2 expression level in the culture supernatant and serum. Twenty-two colorectal Cancer patients' TIMP-2 levels and clinical characteristics were analyzed before and after chemotherapy. Additionally, the patient-derived xenograft (PDX) model of 5-Fu resistance was used to evaluate the feasibility of TIMP-2 as a predictive biomarker of 5-Fu resistance.

Results: Our experimental results display that TIMP-2 expression is elevated in colorectal Cancer drug-resistant cell lines, and its expression level is closely related to 5-Fu resistance. Moreover, TIMP-2 in colorectal Cancer patient serum undergoing 5-Fu-based chemotherapy could indicate their drug resistance status, and its efficacy is higher than CEA and CA19-9. Finally, PDX model animal experiments reveal that TIMP-2 can detect 5-Fu resistance in colorectal Cancer earlier than tumor volume.

Conclusion: TIMP-2 is a good indicator of 5-Fu resistance in colorectal Cancer. Monitoring the serum TIMP-2 level can help the clinician identify 5-Fu resistance in colorectal Cancer patients earlier during chemotherapy.

Keywords

5-Fu; Biomarker; Colorectal cancer; Drug resistance; TIMP-2.

Figures
Products