Abstract:Objective To investigate the expression of ubiquitin-specific protease 33 (USP33) in colorectal cancer tissues and its relationship with Wnt/β-catenin pathway. Methods A total of 90 cases of colorectal cancer tissue specimens and corresponding adjacent tissue specimens in the Department of Anorectal Surgery of Yiwu Central Hospital from January 2015 to December 2017 were selected. Immunohistochemical staining was used to determine the USP33 expression in colorectal cancer tissues and adjacent tissues. The levels of USP33, β-catenin and c-myc protein in colorectal cancer tissues and adjacent tissues were determined by western blot. Results The positive expression rate of USP33 in colorectal cancer tissues was lower than that in adjacent tissues (P < 0.05); the positive rate of β-catenin and C-myc were higher than those of adjacent tissues (P < 0.05); the positive rate of USP33 in patients with Dukes stage C-D, lymph node metastasis and liver metastasis colorectal cancer tissues was lower than that in patients with Dukes A-B, no lymph node metastasis and no liver metastasis (P < 0.05). There were no significant differences in the positive rate of USP33 in colorectal cancer tissues with different age, gender, tumor diameter, degree of differentiation and depth of invasion (P > 0.05). The level of USP33 protein in colorectal cancer tissues was lower than that in adjacent tissues(P < 0.05), and the levels of β-catenin and C-myc protein were higher than those in adjacent tissues (P < 0.05). There was negative correlation between USP33 protein and β-catenin and C-myc protein in colorectal cancer tissues (P < 0.05). Conclusion USP33 is down-regulated in colorectal cancer tissues, and USP33 may participate in the development of colorectal cancer through Wnt/β-catenin signaling pathway.