Expression of topoisomerase Ⅱαand cyclin G1 in gastric adenocarcinoma and its relationship with clinicopathological features and Helicobacter pylori infection
10.3760/cma.j.cn115455-20230109-00025
- VernacularTitle:胃腺癌组织拓扑异构酶Ⅱα、周期蛋白G1表达与临床病理特征、幽门螺杆菌感染的关系研究
- Author:
Wenyan CHEN
1
;
Xiaofeng LIU
;
Yu QI
Author Information
1. 六安市中医院病理科,六安 237005
- Keywords:
Stomach neoplasms;
DNA topoisomerases, type Ⅱ;
Gyclin G1;
Helicobacter pylori
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(8):760-764
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the expression of topoisomerase Ⅱα(Topo Ⅱα) and cyclin G1 in gastric adenocarcinoma and their relationship with clinicopathological characteristics and Helicobacter pylori (Hp) infection.Methods:From May 2018 to May 2022, 217 gastric adenocarcinoma tissues and adjacent normal tissue samples were collected in Lu′an Hospital of Traditional Chinese Medicine. The streptavidin-peroxidase method (S-P) was used to detect the expression of Topo Ⅱα and cyclin G1. The expression of Topo Ⅱα and cyclin G1 in gastric adenocarcinoma tissues and adjacent normal tissues were compared. The relationship between Topo Ⅱα and cyclin G1 expression in gastric adenocarcinoma tissues and clinicopathological features were analyzed by univariate and multivariate Logistic regression. In addition, the Hp infection of gastric adenocarcinoma patients with different expressions of Topo Ⅱα and cyclin G1 was compared. Kendall tau-b correlation coefficient was used to analyze the correlation between Topo Ⅱα expression, cyclin G1 expression and Hp infection.Results:The positive rates of Topo Ⅱα and cyclin G1 in gastric adenocarcinoma were higher than those in adjacent tissues: 60.83%(132/217) vs. 29.95%(65/217), 62.67%(136/217) vs. 0, there were statistical differences ( χ2 = 41.73, 198.07, P<0.01). There were significant differences in the positive expression rates of Topo Ⅱα and cyclin G1 in gastric adenocarcinoma patients with different histological differentiation degrees, T stage, N stage and TNM stage ( P<0.05). The positive expression rate of Topo Ⅱα in gastric adenocarcinoma tissues with distant metastasis was significantly higher than that in gastric adenocarcinoma tissues without distant metastasis ( P<0.05). Multivariate Logistic regression analysis showed that histological differentiation degree, T stage, histological differentiation degree and N stage were the influencing factors of Topo Ⅱα expression ( P<0.05); histological differentiation degree, T stage, N stage, TNM stage were the influencing factor of cyclin G1 expression ( P<0.05). The positive rate of Hp in 217 patients with gastric adenocarcinoma was 81.57% (177/217). The positive rates of Hp in gastric adenocarcinoma patients with positive Topo Ⅱα and positive cyclin G1 were significantly higher than those with negative Topo Ⅱα and cyclin negative G1 expression: 87.12%(115/132) vs. 72.94%(62/85), 87.50% (119/136) vs. 71.60%(58/81), there were statistical differences ( χ2 = 6.92, 8.53, P<0.05). Kendall tau-b correlation coefficient analysis showed that the expression of Topo Ⅱα and cyclin G1 were positively correlated with Hp infection ( r = 0.179, 0.198, P<0.05). Conclusions:The positive rate of Topo Ⅱα and cyclin G1 in gastric adenocarcinoma is high, and it is correlated with histological differentiation, T stage, N stage and Hp infection.