Background/Aims-Biosynthesis of carbohydrate structures is tissue specific
and developmentally regulated by glycosyltransferases such as fucosyltransf
erases, sialyltransferases, and N-acetylglucosaminyltransferases. During ca
rcinogenesis, aberrant glycosylation leads to the development of tumour sub
populations with different adhesion properties. Therefore alterations in gl
ycosyltransferase mRNA expression in colorectal carcinomas were examined by
semiquantitative reverse transcription-polymerase chain reaction (RT-PCR).
Methods-Colorectal carcinoma specimens were classified and characterised ac
cording to the WHO/UICC system. Expression of fucosyltransferases FT-I, FT-
III, FT-IV, FT-V, FT-VI, and FT-VII, sialyltransferases ST3Gal-I, ST3Gal-II
I, ST3Gal-IV, and ST6Gal-I, beta 1,4-galactosyltransferase, and beta 1,6-Na
cetylglucosaminyltransferase V (GNT-V) was screened simultaneously in extra
cts of 22 homogenised tumour specimens by RT-PCR and compared with correspo
nding mucosa from each patient. Also 12 adenomas and 17 liver metastases of
colorectal carcinomas were examined.
Results-GNT-V expression was enhanced in colorectal adenomas (p = 0.039), c
arcinomas (p<0.001), and liver metastases of colorectal carcinomas (p<0.001
). Also, expression of fucosyltransferase FT-IV was increased in colorectal
adenomas (p 0.039) and carcinomas (p<0.001). In addition, fucosyltransfera
se FT-I (p<0.001) and sialyltransferases ST6Gal-I (p 0.004) and ST3Gal-III
(p = 0.001) showed increased expression in carcinoma specimens. On the othe
r hand, fucosyltransferase FT-III was less abundantly expressed in carcinom
as exhibiting distant metastases (p = 0.046) and in highly invasive tumours
(p = 0.041).
Conclusions-Glycosyltransferase mRNA expression is significantly altered in
colorectal adenomas and carcinomas isolated from surgical specimens. RT-PC
R determination of specific glycosyltransferases may be helpful for earlier
detection of carcinomas and for tumour prognosis.