J Korean Cancer Assoc.
2000 Jun;32(3):467-475.
Amplification and Overexpression of c-erbB-2 in Gastric Cancer
- Affiliations
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- 1Departments of Surgery Kyungpook National University, Daegu, Korea.
- 2Departments of Pathology Kyungpook National University, Daegu, Korea.
- 3Departments of Genetic Engineering Kyungpook National University, Daegu, Korea.
Abstract
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PURPOSE: We compared c-erbB-2 oncogene amplification and oncoprotein expression, trying to
identify the biologic and prognostic significance of c-erbB-2 in adendegrees Carcinoma of the stomach.
MATERIALS AND METHODS
Formalin-fixed, paraffin-embedded tissue sections from 43 cases of
gastric cancer were analyzed for amplification of c-erbB-2 by differential polymerase chain
reaction and for overexpression of gene product by immunohistdegrees Chemistry.
RESULTS
The amplification was detected in 13 cases (30%). Enhanced c-erbB-2 immunoreactivity
was observed in 30% (13/43) of tumors. Tumors with gene amplification generally stained
strongly (p=0.003). Although the frequency of amplification and overexpression of c-erbB-2 was
increased with advanced gastric cancer and with lymph node metastasis, this difference was not
statistically significant. c-erbB-2 gene amplification or protein overexpression showed a trend
toward a better five year survival rate, but this did not reach a statistical significance.
CONCLUSION
Amplification and/or overexpression of the c-erbB-2 may be of value in clarifying
the biologic characteristics of the human gastric cancer. However, more sensitive and more speci
fic methods of identifying gene amplification are needed and the standardization of the staining
method as well as guidelines for interpreting the staining result are mandatory for this purpose.