Evidence map›Paper›PMID 42169599›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2026

The Prognostic and Predictive Value of METTL3 in Metastatic Colorectal Cancer.

Hanan Ahmed El-Tayb, Ashraf Zedan Abd-Allah, Marwa Saber Saeed, Sally Salah Abdel-Hakeem, Fatma Zakaria Abdel-Rahman

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Article in Asian Pacific journal of cancer prevention : APJCP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hanan Ahmed El-TaybDepartment of Medical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Ashraf Zedan Abd-AllahDepartment of Medical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Marwa Saber SaeedDepartment of Medical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Sally Salah Abdel-HakeemDepartment of Oncologic Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Fatma Zakaria Abdel-RahmanDepartment of Medical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is a leading cause of cancer-related deaths worldwide, and its incidence continues to rise. The prognosis remains poor, especially for patients with metastatic disease. Methyltransferase-like 3 (METTL3) is the primary catalytic enzyme in the N6-methyladenosine (m6A) methyltransferase system. METTL3 plays a dual role, acting as either an oncogene or a tumor suppressor depending on the cancer type. It also plays a significant role in the response to treatment. However, its specific function in CRC remains unclear.

methodsA prospective cohort of sixty patients with metastatic colorectal cancer (mCRC) was enrolled at the South Egypt Cancer Institute (SECI). METTL3 expression was evaluated using immunohistochemistry (IHC). This study aimed to investigate METTL3 expression in CRC and its association with clinicopathological features and clinical outcomes in patients treated with oxaliplatin (OX)- and 5-fluorouracil (5-FU)-containing regimens.

resultsOur findings revealed that elevated METTL3 expression correlated with increased synchronous metastasis and a greater number of metastatic sites. In addition, elevated METTL3 was associated with increased lymphovascular invasion, perineural invasion, a non-brisk immune response, and greater tumor depth. Notably, right-sided tumors exhibited significantly higher METTL3 expression compared to those on the left side and in the rectum. Finally, METTL3 overexpression was associated with a lower response rate to OXA-based therapy, as well as shorter progression-free survival (PFS) and overall survival (OS), all with p < 0.05.

conclusionMETTL3 may serve as both a prognostic and predictive biomarker in colorectal cancer (CRC).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorColorectal NeoplasmsMethyltransferasesFemaleFluorouracilFollow-Up StudiesHumansMaleMiddle AgedOxaliplatinPrognosisProspective StudiesSurvival RateBiomarkers, TumorFluorouracilMethyltransferasesMETTL3 protein, humanOxaliplatinIHCMetastasisMethyltransferase-like 3Oxaliplatinprognostic biomarker

Identifiers

PMID42169599
PMCPMC13652298

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