Expression level of wild-type survivin in gastric cancer is an independent predictor of survival  

作　　者：HuaMeng Cai-DeLu Yu-LeiSun De-JianDai Sang-WongLee NobuhikoTanigawa 

机构地区：[1]DepartmentofGeneralSurgery,FirstAffiliatedHoppitalofDalianMedicalUniversity,Dalian116011,LiaoningProvince,China [2]DepartmentofSurgery,LihuiliHospitalofNingboUniversityMedicalSchool,Ningbo315040,ZhejiangProvince,China [3]DepartmentofAnaesthesiology,FirstAffiliatedHospitalofDalianMedicalUniversity,Dalian116011,LiaoningProvince,China [4]DepartmentofSurgery,SecondAffiliatedHospitalofZhejiangUniversitySchoolofMedicine,Hangzhou310009,ZhejiangProvince,China [5]DepartmentofGeneralandGastroenterologicalSurgery,OsakaMedicalCollege,2-7Daigakumachi,Takatsuki,Osaka569-8686,Japan

出　　处：《World Journal of Gastroenterology》2004年第22期3245-3250,共6页世界胃肠病学杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China,No.30271483;Grant-in-Aid from the Japanese Ministry of Education,Culture,Sports,Science,and Technology of Japan,No.13470262

摘　　要：AIM: Survivin is a novel antiapoptotic gene in which three splicing variants have been recently cloned and characterized. Survivin has been found to be abundantly expressed in a wide variety of human malignancies, whereas it is undetectable in normal adult tissues. We aimed to study the expression of three survivin splicing variants in gastric cancer, and to evaluate the prognostic significance of the expression of survivin variants in gastric cancer.METHODS: Real time quantitative RT-PCR was performed to analyze the expression of survivin variants in 79 paired tumors and normal gastric mucosa samples at the mRNA level. Proliferative and apoptotic activity was measured using Ki-67 immunohistochemical analysis and the TUNEL method, respectively. RESULTS: All the cases tested expressed wild-type survivin mRNA, which was not only the dominant transcript, but also a poor prognostic biomarker (P=0.003). Nonantiapoptostic survivin-2B mRNA was correlated with tumor stage (P=0.001), histological type (P=0.004), and depth of tumor invasion (P=0.041), while survivin-△Ex3 mRNA showed a significant association with apoptosis (P=0.02). CONCLUSION: Wild-type survivin mRNA expression levels are of important prognostic value and significant participation of survivin-2B and survivin-△Ex3 is suggested in gastric cancer development.AIM:Survivin is a novel antiapoptotic gene in which three splicing variants have been recently cloned and characterized. Survivin has been found to be abundantly expressed in a wide variety of human malignancies,whereas it is undetectable in normal adult tissues.We aimed to study the expression of three survivin splicing variants in gastric cancer,and to evaluate the prognostic significance of the expression of survivin variants in gastric cancer. METHODS:Real time quantitative RT-PCR was performed to analyze the expression of survivin variants in 79 paired tumors and normal gastric mucosa samples at the mRNA level.Proliferative and apoptotic activity was measured using Ki-67 immunohistochemical analysis and the TUNEL method,respectively. RESULTS:All the cases tested expressed wild-type survivin mRNA,which was not only the dominant transcript,but also a poor prognostic biomarker(P=0.003).Non- antiapoptostic survivin-2B mRNA was correlated with tumor stage(P=0.001),histological type(P=0.004),and depth of tumor invasion(P=0.041),while survivin-△Ex3 mRNA showed a significant association with apoptosis(P=0.02). CONCLUSION:Wild-type survivin mRNA expression levels are of important prognostic value and significant participation of survivin-2B and survivin-△Ex3 is suggested in gastric cancer development.

关 键 词：基因表达 外生性 胃癌 肿瘤 成活率 消化系统 

分 类 号：R735.2[医药卫生—肿瘤]