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Different clinical significance of FGFR1-4 expression between diffuse-type and intestinal-type gastric cancer.

AbstractBACKGROUND:
Receptor tyrosine kinases promote tumor progression in many cancers, although oncologic activation differs between diffuse-type gastric cancer (DGC) and intestinal-type gastric cancer (IGC). Fibroblast growth factor receptor (FGFR) is one RTK, and we previously reported the clinical significance of FGFR1, 2, 3, and 4 in gastric cancer. The aim of the present study was to reevaluate the clinical significance of FGFR1-4 expression separately in DGC and IGC.
METHODS:
Tumor samples, including 109 DGCs and 100 IGCs, were obtained from patients who underwent gastrectomy between 2003 and 2007 in our institution. The expression levels of FGFR1, 2, 3, and 4 were measured in the tumors by immunohistochemical analysis.
RESULTS:
In DGC, high expression of FGFR1, FGFR2, or FGFR4 was significantly associated with the depth of invasion, lymph-node metastasis, pathological stage, and distant metastasis or recurrent disease. Patients with high expression of FGFR1, FGFR2, or FGFR4 had significantly poorer disease-specific survival (DSS) (p = 0.009, p = 0.001, and p = 0.023, respectively). In IGC, only FGFR4 expression was significantly associated with factors relative to tumor progression and with shorter DSS (p = 0.012).
CONCLUSION:
In conclusion, high FGFR4 expression correlated with tumor progression and survival in both DGC and IGC, whereas high expression of FGFR1 and 2 correlated with tumor progression and survival in only DGC.
AuthorsMikito Inokuchi, Hideaki Murase, Sho Otsuki, Tatsuyuki Kawano, Kazuyuki Kojima
JournalWorld journal of surgical oncology (World J Surg Oncol) Vol. 15 Issue 1 Pg. 2 (Jan 05 2017) ISSN: 1477-7819 [Electronic] England
PMID28056982 (Publication Type: Journal Article)
Chemical References
  • Biomarkers, Tumor
  • FGFR1 protein, human
  • FGFR2 protein, human
  • FGFR3 protein, human
  • FGFR4 protein, human
  • Receptor, Fibroblast Growth Factor, Type 1
  • Receptor, Fibroblast Growth Factor, Type 2
  • Receptor, Fibroblast Growth Factor, Type 3
  • Receptor, Fibroblast Growth Factor, Type 4
Topics
  • Aged
  • Biomarkers, Tumor (metabolism)
  • Female
  • Follow-Up Studies
  • Gastrectomy
  • Humans
  • Immunoenzyme Techniques
  • Intestinal Neoplasms (metabolism, secondary, surgery)
  • Lymphatic Metastasis
  • Male
  • Neoplasm Invasiveness
  • Neoplasm Recurrence, Local (metabolism, pathology, surgery)
  • Neoplasm Staging
  • Prognosis
  • Receptor, Fibroblast Growth Factor, Type 1 (metabolism)
  • Receptor, Fibroblast Growth Factor, Type 2 (metabolism)
  • Receptor, Fibroblast Growth Factor, Type 3 (metabolism)
  • Receptor, Fibroblast Growth Factor, Type 4 (metabolism)
  • Stomach Neoplasms (metabolism, pathology, surgery)
  • Survival Rate

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