Gastric Cancer
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Sep 28, 2008; 14(36): 5549-5556
Published online Sep 28, 2008. doi: 10.3748/wjg.14.5549
Relationship between nm23H1 genetic instability and clinical pathological characteristics in Chinese digestive system cancer patients
Yue-Qin Yang, Liang Wu, Jin-Xing Chen, Jian-Zhong Sun, Meng Li, Dong-Mei Li, Hai-Ying Lu, Zhi-Hong Su, Xin-Qiu Lin, Ji-Cheng Li
Yue-Qin Yang, Meng Li, Dong-Mei Li, Hai-Ying Lu, Zhi-Hong Su, Xin-Qiu Lin, Ji-Cheng Li, Institute of Cell Biology, Zhejiang University, Hangzhou 310058, Zhejiang Province, China
Liang Wu, Jian-Zhong Sun, Zhejiang Qingtian People’s Hospital, Qingtian 323900, Zhejiang Province, China
Jin-Xing Chen, Zhejiang Tonglu People’s Hospital, Tonglu 311500, Zhejiang Province, China
Author contributions: Li JC designed the research; Yang YQ, Wu L, Chen JX, Sun JZ, Li M, Li DM, Lu HY, Su ZH and Lin XQ performed the experiments; Wu L, Chen JX and Sun JZ contributed to the new reagents/ analytic tools; Yang YQ and Li JC analyzed the data; Yang YQ, Li M, Li DM and Li JC wrote the paper.
Supported by National Fund for Fostering Talents of Basic Sciences, No. J0730856; Scientific Research Foundation of Public Health Bureau of Zhejiang Province, No.2007A179, No. 2007B209, Foundation for Analyzing and Testing of Zhejiang Province, No. 03149
Correspondence to: Ji-Cheng Li, MD, Professor, Institute of Cell Biology, Zhejiang University, Hangzhou 310058, Zhejiang Province, China. lijichen@zju.edu.cn
Telephone: +86-571-88208088 Fax: +86-571-88208094
Received: May 12, 2008
Revised: June 23, 2008
Accepted: June 30, 2008
Published online: September 28, 2008
Abstract

AIM: To study the relationship between nm23H1 gene genetic instability and its clinical pathological characteristics in Chinese digestive system cancer patients.

METHODS: Polymerase chain reaction-single strand conformation polymorphism (PCR-SSCP) was used to analyze the microsatellite instability (MSI) and loss of heterozygosity (LOH). Immunohistochemistry was employed to detect the expression of nm23H1.

RESULTS: The MSI was higher in TNM stageI + II than in stage III + IV of gastric, colonic and gallbladder carcinomas. The LOH was higher in TNM stage III + IV than in stageI + II of gastric, colonic and hepatocellular carcinomas. Lymphatic metastasis was also observed. The expression of nm23H1 protein was lower in TNM stage III + IV than in stageI + II of these tumors and in patients with lymphatic metastasis.The nm23H1 protein expression was higher in the LOH negative group than in the LOH positive group.

CONCLUSION: MSI and LOH may independently control the biological behaviors of digestive system cancers. MSI could serve as an early biological marker of digestive system cancers. Enhanced expression of nm23H1 protein could efficiently inhibit cancer metastasis and improve its prognosis. LOH mostly appears in late digestive system cancer.

Keywords: nm23H1, Gastric cancer, Colonic cancer, Hepatocellular carcinoma, Gallbladder carcinoma