Table 2. Expression of APC, β-catenin, E-cadherin, and the APC/β-catenin scorea in the normal-appearing colorectal mucosa.
Treatment Group |
Baseline |
6-mo follow-up |
Absolute Rx effect |
Relative Effectd |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n | Mean | Std Err | P | n | Mean | Std Err | P | Rx effectb | Std Err | P c | ||
A. APC | ||||||||||||
Whole crypts | ||||||||||||
Placebo | 22 | 1.09 | 0.08 | 21 | 0.97 | 0.08 | 0.00 | . | . | 1.00 | ||
Calcium | 23 | 1.07 | 0.08 | 0.90 | 21 | 0.94 | 0.08 | 0.80 | −0.02 | 0.15 | 0.91 | 0.98 |
Vitamin D | 23 | 0.90 | 0.08 | 0.10 | 22 | 1.00 | 0.08 | 0.80 | 0.22 | 0.14 | 0.14 | 1.25 |
Ca + Vit. D | 23 | 0.97 | 0.08 | 0.29 | 21 | 0.91 | 0.08 | 0.61 | 0.06 | 0.15 | 0.68 | 1.06 |
Upper 40% of crypts | ||||||||||||
Placebo | 22 | 0.39 | 0.04 | 21 | 0.41 | 0.04 | 0.00 | . | . | 1.00 | ||
Calcium | 23 | 0.40 | 0.04 | 0.91 | 21 | 0.44 | 0.04 | 0.51 | 0.03 | 0.06 | 0.66 | 1.07 |
Vitamin D | 23 | 0.30 | 0.04 | 0.07 | 22 | 0.46 | 0.04 | 0.31 | 0.15 | 0.06 | 0.03 | 1.48 |
Ca + Vit. D | 23 | 0.36 | 0.04 | 0.47 | 21 | 0.41 | 0.04 | 0.39 | 0.04 | 0.06 | 0.58 | 1.10 |
Lower 60% of crypts | ||||||||||||
Placebo | 22 | 0.68 | 0.05 | 21 | 0.57 | 0.05 | 0.00 | . | . | 1.00 | ||
Calcium | 23 | 0.70 | 0.05 | 0.81 | 21 | 0.53 | 0.05 | 0.53 | −0.06 | 0.09 | 0.51 | 0.90 |
Vitamin D | 23 | 0.60 | 0.05 | 0.24 | 22 | 0.56 | 0.05 | 0.84 | 0.07 | 0.09 | 0.47 | 1.11 |
Ca + Vit. D | 23 | 0.60 | 0.05 | 0.24 | 21 | 0.52 | 0.05 | 0.49 | 0.03 | 0.09 | 0.73 | 1.04 |
ϕh e | ||||||||||||
Placebo | 22 | 0.35 | 0.01 | 21 | 0.42 | 0.01 | 0.00 | . | . | 1.00 | ||
Calcium | 23 | 0.34 | 0.01 | 0.06 | 21 | 0.46 | 0.01 | 0.06 | 0.04 | 0.03 | 0.12 | 1.10 |
Vitamin D | 23 | 0.31 | 0.01 | 0.10 | 22 | 0.46 | 0.01 | 0.05 | 0.07 | 0.03 | 0.01 | 1.21 |
Ca + Vit. D | 23 | 0.35 | 0.01 | 0.86 | 21 | 0.44 | 0.01 | 0.30 | 0.01 | 0.03 | 0.64 | 1.03 |
B. β-catenin | ||||||||||||
Whole crypts | ||||||||||||
Placebo | 21 | 0.99 | 0.04 | 18 | 0.98 | 0.04 | 0.00 | . | . | 1.00 | ||
Calcium | 22 | 1.01 | 0.04 | 0.69 | 19 | 0.85 | 0.05 | 0.04 | −0.15 | 0.08 | 0.08 | 0.85 |
Vitamin D | 21 | 0.94 | 0.04 | 0.45 | 21 | 0.82 | 0.04 | 0.03 | −0.11 | 0.08 | 0.18 | 0.88 |
Ca + Vit. D | 22 | 1.04 | 0.04 | 0.38 | 17 | 0.92 | 0.05 | 0.37 | −0.11 | 0.08 | 0.20 | 0.89 |
Upper 40% of crypts | ||||||||||||
Placebo | 21 | 0.38 | 0.02 | 18 | 0.37 | 0.02 | 0.00 | . | . | 1.00 | ||
Calcium | 22 | 0.40 | 0.02 | 0.52 | 19 | 0.33 | 0.02 | 0.07 | −0.06 | 0.03 | 0.06 | 0.85 |
Vitamin D | 21 | 0.36 | 0.02 | 0.36 | 21 | 0.33 | 0.02 | 0.12 | −0.02 | 0.03 | 0.61 | 0.95 |
Ca + Vit. D | 22 | 0.39 | 0.02 | 0.69 | 17 | 0.36 | 0.02 | 0.61 | −0.02 | 0.03 | 0.50 | 0.94 |
Lower 60% of crypts | ||||||||||||
Placebo | 21 | 0.61 | 0.02 | 18 | 0.62 | 0.03 | 0.00 | . | . | 1.00 | ||
Calcium | 22 | 0.63 | 0.02 | 0.44 | 19 | 0.56 | 0.02 | 0.11 | −0.08 | 0.05 | 0.09 | 0.87 |
Vitamin D | 21 | 0.58 | 0.02 | 0.38 | 21 | 0.54 | 0.02 | 0.02 | −0.05 | 0.05 | 0.27 | 0.91 |
Ca + Vit. D | 22 | 0.63 | 0.02 | 0.58 | 17 | 0.59 | 0.03 | 0.46 | −0.05 | 0.05 | 0.36 | 0.93 |
ϕh e | ||||||||||||
Placebo | 21 | 0.39 | 0.01 | 18 | 0.38 | 0.01 | 0.00 | . | . | 1.00 | ||
Calcium | 22 | 0.38 | 0.01 | 0.87 | 19 | 0.36 | 0.01 | 0.16 | −0.01 | 0.01 | 0.31 | 0.97 |
Vitamin D | 21 | 0.39 | 0.01 | 0.94 | 21 | 0.38 | 0.01 | 0.81 | 0.00 | 0.01 | 0.80 | 1.01 |
Ca + Vit. D | 22 | 0.38 | 0.01 | 0.88 | 17 | 0.37 | 0.01 | 0.67 | 0.00 | 0.01 | 0.81 | 0.99 |
C. E-cadherin | ||||||||||||
Whole crypts | ||||||||||||
Placebo | 21 | 1.13 | 0.12 | 19 | 1.04 | 0.13 | 0.00 | . | . | 1.00 | ||
Calcium | 21 | 1.23 | 0.12 | 0.69 | 21 | 1.09 | 0.12 | 0.78 | −0.05 | 0.25 | 0.85 | 0.96 |
Vitamin D | 21 | 0.82 | 0.12 | 0.05 | 18 | 1.29 | 0.13 | 0.17 | 0.56 | 0.25 | 0.03 | 1.72 |
Ca + Vit. D | 22 | 0.91 | 0.12 | 0.14 | 19 | 1.26 | 0.13 | 0.23 | 0.46 | 0.25 | 0.08 | 1.51 |
Upper 40% of crypts | ||||||||||||
Placebo | 21 | 0.44 | 0.05 | 19 | 0.42 | 0.05 | 0.00 | . | . | 1.00 | ||
Calcium | 21 | 0.47 | 0.05 | 0.70 | 21 | 0.45 | 0.05 | 0.70 | 0.00 | 0.10 | 0.99 | 1.01 |
Vitamin D | 21 | 0.33 | 0.05 | 0.09 | 18 | 0.56 | 0.05 | 0.06 | 0.25 | 0.10 | 0.02 | 1.78 |
Ca + Vit. D | 22 | 0.37 | 0.05 | 0.26 | 19 | 0.55 | 0.05 | 0.09 | 0.20 | 0.10 | 0.05 | 1.56 |
Lower 60% of crypts | ||||||||||||
Placebo | 21 | 0.64 | 0.07 | 19 | 0.60 | 0.08 | 0.00 | . | . | 1.00 | ||
Calcium | 21 | 0.69 | 0.07 | 0.68 | 21 | 0.63 | 0.07 | 0.78 | −0.01 | 0.15 | 0.93 | 0.98 |
Vitamin D | 21 | 0.48 | 0.07 | 0.12 | 18 | 0.75 | 0.08 | 0.19 | 0.31 | 0.16 | 0.05 | 1.68 |
Ca + Vit. D | 22 | 0.55 | 0.07 | 0.38 | 19 | 0.70 | 0.08 | 0.39 | 0.19 | 0.15 | 0.23 | 1.35 |
ϕh e | ||||||||||||
Placebo | 21 | 0.41 | 0.02 | 19 | 0.40 | 0.02 | 0.00 | . | . | 1.00 | ||
Calcium | 21 | 0.41 | 0.02 | 0.92 | 21 | 0.41 | 0.02 | 0.66 | 0.01 | 0.03 | 0.71 | 1.03 |
Vitamin D | 21 | 0.40 | 0.02 | 0.61 | 18 | 0.45 | 0.02 | 0.06 | 0.05 | 0.03 | 0.10 | 1.14 |
Ca + Vit. D | 22 | 0.40 | 0.02 | 0.60 | 19 | 0.46 | 0.02 | 0.01 | 0.07 | 0.03 | 0.03 | 1.18 |
D. APC/β-catenin Score | ||||||||||||
Placebo | 21 | 0.37 | 0.03 | 18 | 0.44 | 0.03 | 0.00 | . | . | 1.00 | ||
Calcium | 22 | 0.35 | 0.03 | 0.49 | 18 | 0.58 | 0.03 | 0.003 | 0.16 | 0.06 | 0.01 | 1.41 |
Vitamin D | 21 | 0.36 | 0.03 | 0.83 | 20 | 0.57 | 0.03 | 0.004 | 0.13 | 0.06 | 0.02 | 1.31 |
Ca + Vit. D | 22 | 0.37 | 0.03 | 0.84 | 17 | 0.50 | 0.03 | 0.18 | 0.07 | 0.06 | 0.26 | 1.16 |
APC/β-catenin score = ϕh APC/β-catenin expression in the whole crypt, where ϕh APC = ratio of APC expression in the upper 40% of the crypts to the whole crypt.
Rx effect (treatment effect) = [(treatment group follow-up) − (treatment group baseline)] − [(placebo group follow-up) − (placebo group baseline)].
P value for difference between each active treatment group and placebo group from repeated-measures MIXED model.
Relative effect = [(treatment group follow-up)/(treatment group baseline)]/[(placebo follow-up)/(placebo baseline)]; interpretation similar to that for an odds ratio (e.g., a relative effect of 1.7 indicates a 70% proportional increase in the treatment group relative to that in the placebo group).
ϕh = proportion of expression in the distribution zone (i.e. ratio of expression in upper 40% to expression in whole crypt)