Carcinogenesis, Teratogenesis & Mutagenesis ›› 2016, Vol. 28 ›› Issue (1): 36-40.doi: 10.3969/j.issn.1004-616x.2016.01.008

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Expression of GST-π and P-gp in gastric cardia cancer and their clinical significance in the Chaoshan high risk area

CHEN Guangcan1, HONG Liangli2, HUANG Jiexiong2, XIE Aosi1, GUO Dan3, LIU Shuhui3   

  1. 1. Department of Gastrointestinal Surgery, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041;
    2. Department of Pathology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041;
    3. Department of Pathology, Shantou University Medical College, Shantou 515041, Guangdong, China
  • Received:2015-09-01 Revised:2015-12-21 Online:2016-01-31 Published:2016-01-31

Abstract: OBJECTIVE: To study the expression of glutathione-s-transferase-π (GST-π) and P-glycoprotein (P-gp) in gastric cardia the cancer in the Chaoshan high risk area and their relationships with clinical pathological characteristics of gastric cardia cancer. METHODS: Immunohistochemical staining was used to detect the expression of GST-π and P-gp in 87 cases of gastric cardia cancer. The correlations between GST-π,P-gp expression and the clinical characteristics of gastric cardia cancer were analyzed. ROC curves of age and maximum tumor diameter were plotted. RESULTS: The positive expression rate of GST-π and P-gp in gastric cardia cancer were 85.05% and 93.1%,respectively. The cutoff points of grouping for age and maximum tumor diameter depended upon the results of ROC curves. The expression of GST-π was related to lymph-vascular space invasion. The expression rate of GST-π of patients with lymph-vascular space invasion was signi?cantly higher than that without the invasion(P<0.05). Expression of P-gp was related to the age of patients and the histological type of gastric cardia cancer. Cancer tissues from elder patients and mucinous adenocarcinomas showed significantly higher rate of expression of P-gp (P<0.05). GST-π expression was positively correlated to P-gp expression (P<0.01). CONCLUSION: GST-π and P-gp expression were high in gastric cardia cancer in the Chaoshan area. Their expression was positively correlated. High GST-π expression was associated with lymph-vascular space invasion. High P-gp expression was associated with elder patients and mucinous adenocarcinoma tissues.

Key words: gastric cardia cancer, glutathione-s-transferase-π, P-glycoprotein, immunohistochemistry

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