title: EMX2 gene expression predicts liver metastasis and survival in colorectal cancer creator: Aykut, Berk creator: Ochs, Markus creator: Radhakrishnan, Praveen creator: Brill, Adrian creator: Höcker, Hermine creator: Schwarz, Sandra creator: Weissinger, Daniel creator: Kehm, Roland creator: Kulu, Yakup creator: Ulrich, Alexis creator: Schneider, Martin subject: ddc-610 subject: 610 Medical sciences Medicine description: Background: The Empty Spiracles Homeobox (EMX-) 2 gene has been associated with regulation of growth and differentiation in neuronal development. While recent studies provide evidence that EMX2 regulates tumorigenesis of various solid tumors, its role in colorectal cancer remains unknown. We aimed to assess the prognostic significance of EMX2 expression in stage III colorectal adenocarcinoma. Methods: Expression levels of EMX2 in human colorectal cancer and adjacent mucosa were assessed by qRT-PCR technology, and results were correlated with clinical and survival data. siRNA-mediated knockdown and adenoviral delivery-mediated overexpression of EMX2 were performed in order to investigate its effects on the migration of colorectal cancer cells in vitro. Results: Compared to corresponding healthy mucosa, colorectal tumor samples had decreased EMX2 expression levels. Furthermore, EMX2 down-regulation in colorectal cancer tissue was associated with distant metastasis (M1) and impaired overall patient survival. In vitro knockdown of EMX2 resulted in increased tumor cell migration. Conversely, overexpression of EMX2 led to an inhibition of tumor cell migration. Conclusions: EMX2 is frequently down-regulated in human colorectal cancer, and down-regulation of EMX2 is a prognostic marker for disease-free and overall survival. EMX2 might thus represent a promising therapeutic target in colorectal cancer. publisher: BioMed Central; Springer date: 2017 type: Article type: info:eu-repo/semantics/article type: NonPeerReviewed format: application/pdf identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/23394/1/12885_2017_Article_3556.pdf identifier: DOI: identifier: urn:nbn:de:bsz:16-heidok-233945 identifier: Aykut, Berk ; Ochs, Markus ; Radhakrishnan, Praveen ; Brill, Adrian ; Höcker, Hermine ; Schwarz, Sandra ; Weissinger, Daniel ; Kehm, Roland ; Kulu, Yakup ; Ulrich, Alexis ; Schneider, Martin (2017) EMX2 gene expression predicts liver metastasis and survival in colorectal cancer. BMC Cancer, 17 (555). pp. 1-8. ISSN 1471-2407 relation: https://archiv.ub.uni-heidelberg.de/volltextserver/23394/ rights: info:eu-repo/semantics/openAccess rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id) language: eng