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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2007-9-5
pubmed:abstractText
DNA-dependent protein kinase catalytic subunit (DNA-PKcs) is a 465-kDa catalytic subunit of DNA-PK, a DNA repair apparatus. DNA-PKcs has been reported to be a tumor suppressor, but details of its expression in human cancer are controversial. To determine the protein expression and clinical implications of DNA-PKcs in gastric carcinogenesis and cancer progression, we evaluated its expression status by immunohistochemistry in 122 non-neoplastic gastric mucosa samples, and in 115 gastric adenomas and 564 consecutive gastric cancers. In addition, we evaluated the clinicopathologic characteristics of gastric cancers showing altered DNA-PKcs expression, and performed microsatellite instability (MSI) analysis at BAT-26 and frameshift mutation analysis of DNA-PKcs. DNA-PKcs expression was negative in foveolar epithelium of normal gastric mucosal tissues, but was positive in most Helicobacter pylori-associated gastritis, intestinal metaplasia and gastric adenoma tissues. In gastric cancers, negative expression of DNA-PKcs was found in 114 of the 564 (20.2%) cancers and was significantly associated with intratumoral neutrophils, MSI-high (H) phenotype, tumor progression, and poor patient survival (p<0.05). Frameshift mutations of (A)10 mononucleotide repeats in DNA-PKcs were found in 24.3% of MSI-H gastric cancers and these were associated with negative expression of DNA-PKcs. Although patients with MSI-H gastric cancers were found to have a lower risk of lymph node metastasis, gastric cancers harboring the (A)10 mutation of DNA-PKcs were found to have a higher risk of lymph node metastasis. In conclusion, the expression of DNA-PKcs was found to be altered during gastric carcinogenesis and negative DNA-PKcs expression was associated with gastric cancer progression. The (A)10 frameshift mutation of DNA-PKcs in gastric cancers was a target of defective mismatch repair, and was associated with lymph node metastasis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1019-6439
pubmed:author
pubmed:issnType
Print
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
859-66
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:17786318-Adenocarcinoma, pubmed-meshheading:17786318-Adenocarcinoma, Mucinous, pubmed-meshheading:17786318-Adenoma, pubmed-meshheading:17786318-DNA Mismatch Repair, pubmed-meshheading:17786318-DNA-Activated Protein Kinase, pubmed-meshheading:17786318-Female, pubmed-meshheading:17786318-Frameshift Mutation, pubmed-meshheading:17786318-Gastric Mucosa, pubmed-meshheading:17786318-Gene Expression Regulation, Neoplastic, pubmed-meshheading:17786318-Helicobacter Infections, pubmed-meshheading:17786318-Helicobacter pylori, pubmed-meshheading:17786318-Humans, pubmed-meshheading:17786318-Intestinal Neoplasms, pubmed-meshheading:17786318-Lymphatic Metastasis, pubmed-meshheading:17786318-Male, pubmed-meshheading:17786318-Metaplasia, pubmed-meshheading:17786318-Microsatellite Instability, pubmed-meshheading:17786318-Middle Aged, pubmed-meshheading:17786318-Neoplasm Invasiveness, pubmed-meshheading:17786318-Stomach Neoplasms
pubmed:year
2007
pubmed:articleTitle
Altered expression of DNA-dependent protein kinase catalytic subunit (DNA-PKcs) during gastric carcinogenesis and its clinical implications on gastric cancer.
pubmed:affiliation
Department of Pathology, Seoul National University Bundang Hospital, Seongnam, Gyeonggi 463-707, Korea.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't