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World J Gastroenterol. Dec 21, 2006; 12(47): 7695-7698
Published online Dec 21, 2006. doi: 10.3748/wjg.v12.i47.7695
Expression of ATP7B in human gastric cardiac carcinomas in comparison with distal gastric carcinomas
Da-Long Wu, Hui-Xing Yi, Feng-Ying Sui, Xiao-Hong Jiang, Xiao-Ming Jiang, Ying-Ying Zhao
Da-Long Wu, Feng-Ying Sui, Xiao-Hong Jiang, Xiao-Ming Jiang, Department of Pharmacology, School of Medicine, College of Jiaxing, Jiaxing 314001, Zhejiang Province, China
Hui-Xing Yi, Department of diagnostics, School of Medicine, College of Jiaxing, Jiaxing 314001, Zhejiang Province, China
Ying-Ying Zhao, Department of Gastroenterology, The 2nd Affiliated Hospital of Zhengzhou University, Zhengzhou 450003, Henan Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Da-Long Wu, Department of Pharmacology, School of Medicine, College of Jiaxing, Jiaxing 314001, Zhejiang Province, China. wudalong66@sina.com
Telephone: +86-573-3643836 Fax: +86-573-3643497
Received: July 27, 2006
Revised: August 15, 2006
Accepted: August 22, 2006
Published online: December 21, 2006
Abstract

AIM: To analyze expression of ATP7B in gastric cardiac adenocarcinomas, its clinicopathologic significance, in comparison with distal gastric adenocarcinomas.

METHODS: Immunohistochemical avidin-biotin peroxidase complex method was applied to detect the expression of ATP7B in 49 cases of cardiac carcinomas, the corresponding adjacent non-neoplastic epithelium and 55 cases of distal gastric carcinomas.

RESULTS: The proportion of ATP7B positive samples in gastric cardiac carcinomas (51.0%, 25 of 49) was significantly higher than that in the corresponding adjacent non-neoplastic epithelium (22.4%, 11 of 49) (P = 0.003). ATP7B expression in poorly differentiated gastric cardiac carcinomas was significantly higher than that in well/moderately differentiated gastric cardiac carcinomas (P = 0.030). ATP7B expression in gastric cardiac carcinomas was independent of age, tumor size, nodal stage and metastasis status. ATP7B protein was detected in 30.9% (17/55 cases) of distal gastric carcinomas, markedly lower than that in gastric cardiac carcinomas (P = 0.037).

CONCLUSION: ATP7B protein is frequently overexpressed in gastric cardiac carcinomas, and correlated with the differentiation of cardiac carcinoma. ATP7B expression in gastric cardiac carcinomas is significantly higher than that in distal gastric carcinomas, which might partially explain the difference of chemotherapy response and prognosis between these two gastric carcinomas.

Keywords: ATP7B; Platinum; Distal gastric carcinoma; Gastric cardiac carcinoma; Resistance