[19 (link)]. Briefly, paraffin-embedded tissue sections were baked at 60°C for 2 h, deparaffinized, and rehydrated. After treatment with 3% hydrogen peroxide for 30 min, the sections were put in a high-pressure environment for antigen retrieval. Tissue sections were incubated with rabbit anti-Lgr5 (1:400; Abcam, United states) overnight at 4°C, then treated with anti-rabbit secondary antibody for 40 min, followed by treatment with diaminobenzidine tetrahydrochloride (DAB), and counterstaining with hematoxylin. Human colon cancer tissues with strong Lgr5 staining were used as positive controls, based on previous reports
[20 (link)]. Lgr5 immunostaining was evaluated by two independent observers who were blinded to the clinicopathological characteristics of the patients. Immunostaining scores were awarded by two independent observers according to the percentage and intensity of the stained cells. Positivity values were as follows: 0 (<10%), 1 (10–25%), 2 (25–50%), 3 (50–75%), and 4 (>75%). Intensity values were as follows: 0 (negative), 1 (weak staining), 2 (moderate staining), and 3 (strong staining). The final score was calculated by multiplying the above two values. For subsequent analysis, high expression was defined as a final score >4 and low expression was a score ≤4.