Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases

Abstract Gastric tumorigenesis is a multistep process initiated by chronic superficial gastritis (SG), followed by atrophic gastritis (AG), then intestinal metaplasia (IM), and finally by dysplasia and adenocarcinoma according to the Correa model. Pepsinogen C (PGC) decreases gradually during progre...

Full description

Saved in:
Bibliographic Details
Main Authors: Jingyi Jiang, Shixuan Shen, Nannan Dong, Jingwei Liu, Qian Xu, Liping Sun, Yuan Yuan
Format: Article
Language:English
Published: Wiley 2018-08-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.1615
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846114378189897728
author Jingyi Jiang
Shixuan Shen
Nannan Dong
Jingwei Liu
Qian Xu
Liping Sun
Yuan Yuan
author_facet Jingyi Jiang
Shixuan Shen
Nannan Dong
Jingwei Liu
Qian Xu
Liping Sun
Yuan Yuan
author_sort Jingyi Jiang
collection DOAJ
description Abstract Gastric tumorigenesis is a multistep process initiated by chronic superficial gastritis (SG), followed by atrophic gastritis (AG), then intestinal metaplasia (IM), and finally by dysplasia and adenocarcinoma according to the Correa model. Pepsinogen C (PGC) decreases gradually during progression of cancer, which makes PGC an ideal negative marker for GC. To explore the correlation between PGC and other positive tumor markers in different gastric diseases, we observed the expression of PGC, MG7‐Ag, MMP9, NM23, Ki‐67, and E‐cadherin by immunohistochemistry, quantitative RT‐PCR, and immunoblot analysis. Our results showed that in SG, PGC was highly expressed while malignant phenotype markers were rarely expressed. In contrast with SG, malignant phenotype markers were highly expressed while the positive rate of PGC reached only 1.44% in GC. So there was no coexpression of PGC and malignant phenotype markers in SG or GC tissues. Only in the AG group, which is well‐known to be gastric precancerous disease, coexpression of PGC and malignant phenotype markers was detected. Our results suggested that the expression of PGC in AG was negatively correlated with that of MG7‐Ag and MMP9. Of all AG, those with low expression of PGC and high expression of MG7‐Ag and MMP9 may possess a greater potential of malignant transformation. Combined detection of negative marker PGC and positive markers MG7‐Ag and MMP9 could be used as a potential follow‐up panel for monitoring dynamical progression of AG and improving the detection efficiency of high‐risk individuals of gastric cancer, and then taking necessary interventions on the target population.
format Article
id doaj-art-6e3fcae5f5d7432b8e3bce015f30de50
institution Kabale University
issn 2045-7634
language English
publishDate 2018-08-01
publisher Wiley
record_format Article
series Cancer Medicine
spelling doaj-art-6e3fcae5f5d7432b8e3bce015f30de502024-12-20T13:15:45ZengWileyCancer Medicine2045-76342018-08-01784068407610.1002/cam4.1615Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseasesJingyi Jiang0Shixuan Shen1Nannan Dong2Jingwei Liu3Qian Xu4Liping Sun5Yuan Yuan6Tumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaTumor Etiology and Screening Department of Cancer Institute and General Surgery Liaoning Provincial Education Department The First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University) Shenyang ChinaAbstract Gastric tumorigenesis is a multistep process initiated by chronic superficial gastritis (SG), followed by atrophic gastritis (AG), then intestinal metaplasia (IM), and finally by dysplasia and adenocarcinoma according to the Correa model. Pepsinogen C (PGC) decreases gradually during progression of cancer, which makes PGC an ideal negative marker for GC. To explore the correlation between PGC and other positive tumor markers in different gastric diseases, we observed the expression of PGC, MG7‐Ag, MMP9, NM23, Ki‐67, and E‐cadherin by immunohistochemistry, quantitative RT‐PCR, and immunoblot analysis. Our results showed that in SG, PGC was highly expressed while malignant phenotype markers were rarely expressed. In contrast with SG, malignant phenotype markers were highly expressed while the positive rate of PGC reached only 1.44% in GC. So there was no coexpression of PGC and malignant phenotype markers in SG or GC tissues. Only in the AG group, which is well‐known to be gastric precancerous disease, coexpression of PGC and malignant phenotype markers was detected. Our results suggested that the expression of PGC in AG was negatively correlated with that of MG7‐Ag and MMP9. Of all AG, those with low expression of PGC and high expression of MG7‐Ag and MMP9 may possess a greater potential of malignant transformation. Combined detection of negative marker PGC and positive markers MG7‐Ag and MMP9 could be used as a potential follow‐up panel for monitoring dynamical progression of AG and improving the detection efficiency of high‐risk individuals of gastric cancer, and then taking necessary interventions on the target population.https://doi.org/10.1002/cam4.1615correlationgastric diseasepepsinogen Ctumor marker
spellingShingle Jingyi Jiang
Shixuan Shen
Nannan Dong
Jingwei Liu
Qian Xu
Liping Sun
Yuan Yuan
Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
Cancer Medicine
correlation
gastric disease
pepsinogen C
tumor marker
title Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
title_full Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
title_fullStr Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
title_full_unstemmed Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
title_short Correlation between negative expression of pepsinogen C and a series of phenotypic markers of gastric cancer in different gastric diseases
title_sort correlation between negative expression of pepsinogen c and a series of phenotypic markers of gastric cancer in different gastric diseases
topic correlation
gastric disease
pepsinogen C
tumor marker
url https://doi.org/10.1002/cam4.1615
work_keys_str_mv AT jingyijiang correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT shixuanshen correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT nannandong correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT jingweiliu correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT qianxu correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT lipingsun correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases
AT yuanyuan correlationbetweennegativeexpressionofpepsinogencandaseriesofphenotypicmarkersofgastriccancerindifferentgastricdiseases