Royal College of Surgeons in Ireland
Calnexin an ER-induced protein is a prognostic marker and poten.pdf (1.27 MB)

Calnexin, an ER-induced protein, is a prognostic marker and potential therapeutic target in colorectal cancer.

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journal contribution
posted on 2022-11-29, 10:33 authored by Deborah Ryan, Steven Carberry, Áine C. Murphy, Andreas Ulrich Lindner, Joanna FayJoanna Fay, Suzanne Hector, Niamh McCawleyNiamh McCawley, Orna Bacon, Caoimhín G. Concannon, Elaine KayElaine Kay, Deborah McNamaraDeborah McNamara, Jochen PrehnJochen Prehn

BACKGROUND: Colorectal cancer (CRC) is a leading cause of cancer mortality in the Western world and commonly treated with genotoxic chemotherapy. Stress in the endoplasmic reticulum (ER) was implicated to contribute to chemotherapeutic resistance. Hence, ER stress related protein may be of prognostic or therapeutic significance.

METHODS: The expression levels of ER stress proteins calnexin, calreticulin, GRP78 and GRP94 were determined in n = 23 Stage II and III colon cancer fresh frozen tumour and matched normal tissue samples. Data were validated in a cohort of n = 11 rectal cancer patients treated with radiochemotherapy in the neoadjuvant setting. The calnexin gene was silenced using siRNA in HCT116 cells.

RESULTS: There were no increased levels of ER stress proteins in tumour compared to matched normal tissue samples in Stage II or III CRC. However, increased calnexin protein levels were predictive of poor clinical outcome in the patient cohort. Data were validated in the rectal cancer cohort treated in the neoadjuvant setting. Calnexin gene-silencing significantly reduced cell survival and increased cancer cell susceptibility to 5FU chemotherapy.

CONCLUSION: Increased tumour protein levels of calnexin may be of prognostic significance in CRC, and calnexin may represent a potential target for future therapies.


Health Research Board. Science Foundation Ireland. European Union



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Published Citation

Ryan D, Carberry S, Murphy ÁC, Lindner AU, Fay J, Hector S, McCawley N, Bacon O, Concannon CG, Kay EW, McNamara DA, Prehn JH. Calnexin, an ER-induced protein, is a prognostic marker and potential therapeutic target in colorectal cancer. Journal Translational Medicine. 2016;14(1):196.

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  • Beaumont Hospital
  • Centre for Systems Medicine
  • Pathology
  • Physiology and Medical Physics
  • Surgery