Korean J Pathol.
1999 Nov;33(11):1039-1046.
Expression of Epidermal Growth Factor Related Peptides, EGF-R, and c-erbB-2 and Their Relationship with the Prognostic Factors in Gastric Carcinoma
- Affiliations
-
- 1Department of Pathology, Chonbuk National University Medical School, Chonju 561-180, Korea.
- 2Institute of Medical Science, Chonbuk National University Medical School, Chonju 561-180, Korea.
Abstract
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Recent investigations have revealed that autocrine growth factors and their receptors are
closely related and play an important role in controlling cancer cell growth. We performed an
immunohistochemical study on the expression of epidermal growth factor (EGF), transforming
growth factor-alpha (TGF-alpha), epidermal growth factor receptor (EGF-R), c-erbB-2, and
PCNA labelling index in 60 cases of human gastric carcinomas. TGF-alpha was detected in 38
cases (63.3%), EGF in 26 cases (43.3%), EGF-R in 44 cases (73.3%), and c-erbB-2 in 18 cases
(30%). These growth factors, EGF-R and c-erbB-2, were found more often in advanced
gastric cancers. The PCNA labeling index was significantly higher in tumors with the
expression of EGF-R or c-erbB-2. Tumors with simultaneous expression of EGF, TGF-alpha,
EGF-R and c-erbB-2 was associated with a high PCNA labeling index. A correlation was
observed between the synchronous expression of growth factors and its receptors and
histological differentiation. The results suggest that the expression of EGF, TGF-alpha, EGF-R
and c-erbB-2 are closely related and plays an important role in the growth and progression of
human gastric carcinoma.