We studied the relation between clinicopathological factors and
dihydropyrimidine dehydrogenase (DPD) activity in gastric and
colorectal carcinomas. Specimens obtained by surgery from 27 gastric and 17
colorectal carcinomas and their normal mucosa were examined. The levels of DPD activity in the gastric
carcinomas and their normal mucosa were significantly higher than those in
colorectal carcinomas and their normal counterparts, respectively (both P's < 0.0001). The gastric
carcinomas had significantly higher DPD activities than their normal mucosa (P = 0.028), but the
colorectal carcinomas did not. Among the clinicopathological factors, which included invasion/metastatic status and staging, the only effect was that of the histological differences of
gastric cancer on DPD activity. That is, the level of DPD activity of the histologically undifferentiated gastric
carcinoma was significantly higher than that of the differentiated type. No prognostic predictive values of DPD were recognized in either gastric and
colorectal cancer. In conclusion, the higher DPD activity in
gastric cancer than
colorectal cancer may be due to the higher DPD activity in the background mucosa of origin, and the higher population of undifferentiated type of histological classification, compared to the colorectal counterparts.