Expression of E-cadherin, α -catenin, β -catenin, and γ -catenin in Carcinoma and Precancerous Lesions of Stomach
10.3321/j.issn:1000-467X.2001.05.007
- VernacularTitle:胃癌及胃癌前病变中 E-cadherin及其 相关蛋白的表达
- Author:
Shao-Bi ZHOU
1
;
Xin-Hao CHEN
;
Fu-Shen ZHOU
;
Xiao-Jun TENG
;
De-Ji CHEN
Author Information
1. the Fifth People s Hospital of Huangshi
- From:Chinese Journal of Cancer
2001;20(5):480-484
- CountryChina
- Language:Chinese
-
Abstract:
Objective: The aim of this study was to evaluate the expression of E-cadherin,α -catenin,β -catenin,and γ -catenin in gastric carcinoma and dysplasia and to determine the relationship with tumorigenesis and biological behavior of gastric cancer. Methods: The expression of E-cadherin, α -catenin, β -catenin, and γ -catenin in 43 patients with gastric carcinoma and gastric biopsy specimens from 22 patients with dysplasia and 10 healthy controls were determined using immunohistochemistry. Results: Membranous staining was observed in control biopsy specimens for all components of the complex. Abnormal expressive rates of E-cadherin,α -catenin,β -catenin in gastric carcinomas (53.5% ,55.8% ,51.2% ,respectively) were significantly higher than that in gastric mucosal dysplasials ( 22.7% ,22.7% , 18.2% , respectively P<0.05) ,and the rates in advanced gastric carcinomas were also significantly higher than that in early gastric carcinoma( P< 0.01, P< 0.05, P< 0.01,respectively) . Tumors with a decrease in E cadherin occurred significantly more frequently in undifferentiated gastric carcinoma (P< 0.05). There were higher abnormal expressive rates of E-cadherin and β catenin in the patients with tumor infiltrating out of serosa and with lymph nodes metastasis ( P<0.01 or P< 0.05) . Up to 50.0% of gastric dysplasials and 76.7% of tumors stained abnormally for one or more components of the cadherin catenin complex (P< 0.05), and the lymph nodes metastasis rates for one or more components of the E cadherin complex was significantly higher than that for no one components of the E cadherin complex (P< 0.01). Conclusion: The decreased expression of E cadherin and part of the catenins correlate with tumor stage, poor differentiation, infiltrative tumor growth, and lymph nodes metastasis, which suggests that E cadherin complex play a critical role in the course of chang from gastric mucosal dysplasials to gastric carcinoma. Thus, study of all the components of E cadherin catenin complex may be more valuable than single component of the complex for the detection of patients with gastric carcinoma.