Abstract
ObjectiveThe purpose of this work was to analyze the relationships between the expression status of Lysosomal-associated protein transmembrane-4 beta 35 (LAPTM4B-35) in cancerous tissues and clinicopathological characteristics and prognosis of the patients with gastric carcinoma (GC).MethodsThe GC samples from 157 patients in a discovery cohort and 148 patients in a testing cohort with follow-up data were used to validate the feasibility of expression of LAPTM4B-35 protein in predicting GC prognosis. Immunohistochemical staining was used to determine the expression of LAPTM4B-35 protein in precancerous gastric lesions and gastric carcinomas. The correlation between the expression of LAPTM4B-35 and clinicopathologic characteristics of patients with gastric carcinoma was analyzed using chi-square test. Univariate and multivariate analyses were performed to determine the association between LAPTM4B-35 expression and prognosis.ResultsLAPTM4B-35 expression was increased steadily in sequential stages of precancerous gastric lesions. Positive LAPTM4B-35 expression was more frequently detected in patients with distant metastasis (P = 0.023) and III+IV TNM stages (P = 0.042) in the discovery cohort. Kaplan-Meier survival curves and univariate analysis showed that expression of LAPTM4B-35 had a significant impact on overall survival of patients with gastric carcinoma in discovery cohort (P<0.001) and testing cohort (P = 0.001). LAPTM4B-35 expression was an independent prognostic indicator for the overall survival of patients with gastric carcinoma in both cohorts.ConclusionsThe present research demonstrated that LAPTM4B-35 over-expression was an independent factor in gastric carcinoma prognosis. LAPTM4B gene may be a useful target of interventions slowing the progression of precancerous gastric lesions and a new therapy method to improve the prognosis of gastric carcinoma.
Highlights
Gastric carcinoma (GC) was a very common cancer worldwide with high mortality rate
Positive Lysosomal-associated protein transmembrane-4 beta (LAPTM4B)-35 expression was more frequently detected in patients with distant metastasis (P = 0.023) and III+IV TNM stages (P = 0.042) in the discovery cohort
The present research demonstrated that LAPTM4B-35 over-expression was an independent factor in gastric carcinoma prognosis
Summary
Gastric carcinoma (GC) was a very common cancer worldwide with high mortality rate. Diagnosed at later stages and accepted inappropriate therapy were main causes of the high mortality rate of GC [1]. Molecular and genetic alterations underlying the initiation, progression and metastasis of GC made it possible to find effective markers to predict the progression and prognosis of precancerous gastric lesions and GC [2, 3]. According to these researches, interventions to slow the progression of precancerous gastric lesions and appropriate therapeutic facilities and drugs applied according to these researches might reduce the incidence of GC and improve the prognosis of GC. The exact molecular mechanisms underlying gastric carcinogenesis and GC progression were not fully understood until now
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