251. p53 genetic abnormalities and P-glycoprotein expression in stump and primary gastric carcinomas.
- Author
-
Oliver I, Lacueva J, Barberá V, Caldés T, Teruel A, Costa D, Medrano J, Pérez-Vázquez T, Quesada P, Ferragut J, and Calpena R
- Subjects
- Biopsy, Cell Transformation, Neoplastic genetics, Cell Transformation, Neoplastic pathology, DNA Mutational Analysis, Exons, Gene Expression Regulation, Neoplastic physiology, Humans, Immunoenzyme Techniques, Neoplasm Invasiveness genetics, Neoplasm Invasiveness pathology, Neoplasm Recurrence, Local pathology, Stomach Neoplasms pathology, ATP Binding Cassette Transporter, Subfamily B, Member 1 genetics, Chromosome Aberrations, Gastric Stump pathology, Neoplasm Recurrence, Local genetics, Stomach Neoplasms genetics, Tumor Suppressor Protein p53 genetics
- Abstract
Background/aims: Genetic abnormalities of the p53 gene may play a major role in the carcinogenesis of gastric stump carcinomas (GSC) and intestinal-type primary gastric carcinomas (IPGC). Also, they may modulate P-gp expression producing chemoresistance. The aim of this article is to analyze p53 genetic abnormalities and the influence of p53 gene status on P-gp expression in both types of carcinomas., Methodology: Forty-two paraffin-embedded samples of gastric carcinomas corresponding to 17 GSC and 25 IPGC were studied. P53 genetic abnormalities in exon 5-9 were screened by direct sequencing of PCR products. P53 and P-glycoprotein (P-gp) were assessed by a standard streptavidin-biotin immunoperoxidase method. Anti-p53 DO7 and anti-P-gp C494 were used as primary antibodies., Results: Fourteen p53 mutations were found, 5 in GSC (29%) and 9 in IPGC (36%). Thirteen mutations were base-pair substitutions that produced a change in the amino acid sequence. Eight mutations were located at exon 7 (57%). P53 nuclear immunopositivity was observed in 12 GSC (71%) and 15 IPGC (60%). Only two carcinomas (1 IPGC and 1 GSC) harboring a p53 mutation did not show any p53 expression. All except one of the gastric carcinomas having a p53 mutation showed medium or high P-gp expression. However, there was no difference in P-gp expression between tumors with and without p53 mutation., Conclusions: The p53 genetic alterations found in GSC and IPGC could originate from a similar pathogenetic pathway. No association was demonstrated between p53 gene status and P-gp expression, although most of the carcinomas harboring a p53 mutation showed medium or high P-gp expression.
- Published
- 2007