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Volume 1
Journal of Blood Disorders and Treatment
World Hematology 2018
October 22-23, 2018
Page 15
Notes:
Hematology and Oncology Congress
October 22-23, 2018 Warsaw, Poland
10
th
World
Chronic colitis and colitis-associated colorectal carcinogenesis
T
he activation of Wnt/beta-catenin signaling pathway and chronic colitis malignant transformation are the two major
causes to colorectal cancer. The former is well studies, but the mechanisms of colitis develop and how chronic colitis
progress to malignance is largely unknown. Using a unique mouse model, we have demonstrated that the mice with targeted
disruption of the intestinal mucin gene
Muc2
spontaneously develop chronic inflammation at colon and rectum at early age,
whose histopathology was similar to ulcerative colitis in human. In the aged mice, Muc2-/- mice develop colonic and rectal
adenocarcinoma accompanying severe inflammation. To determine the mechanisms of the malignant transformation, we
conducted miRNA array on the colonic epithelial cells from Muc2-/- and +/+ mice. MicroRNA profiling showed differential
expression of miRNAs (i.e. lower or higher expression enrichments) in Muc2-/- mice. Based on relevance to cytokines and
cancer, themiRNAs were validated and were found significantly down-regulated or up-regulated in human colitis and colorectal
cancer tissues, respectively. The targets of the miRNAs were further characterized and their functions were investigated. More
studies from the Muc2-/- mice showed disorder of gut microbiota. Moreover, a novel tumor suppressor PRSS8 also plays a
critical role in colorectal carcinogenesis and progression, for instance, tissue-specific deletion of the PRSS8 gene resulted in
intestinal inflammation and tumor formation in mice. Gene set enrichment analysis showed that the colitis and tumorigenesis
were linked to the activationWnt/beta-catenin, PI3K/AKT and EMT (Epithelial-Mesenchymal Transition) signaling pathways.
Taken above, the disorder of gut microbiota could result in genetic mutations, epigenetic alterations and activation of oncogenic
signaling in colorectal epithelial cells, leading to colitis development, promoting malignant transformation and mediating
colorectal cancer metastasis.
Biography
Wancai Yang is the Dean of the Institute of Precision Medicine and School of Basic Medical Sciences, Jining Medical University, China and a Professor of Pathology,
University of Illinois at Chicago, USA. He is also an Adjunct Professor of Biological Sciences, University of Texas, El Paso, USA. He has obtained his MD degree and was
trained as a Pathologist from China and received his Postdoctoral training on Cancer Biology from Rockefeller University and Albert Einstein Cancer Center and then
worked as an Assistant Professor. In 2006, he moved to the Department of Pathology, University of Illinois at Chicago. His research focuses on the determination of mech-
anisms of gastrointestinal carcinogenesis, identification of biomarkers for cancer detection and patient selection for chemotherapy and implication of precision medicine in
cancers. He has published about 90 articles and has brought important impact in clinical significance.
wyang06@uic.eduWancai Yang
Jining Medical University, China
Wancai Yang, J Blood Disord Treat 2018, Volume 1