J Korean Gastric Cancer Assoc. 2006 Dec;6(4):250-256. Korean.
Published online Mar 13, 2017.
Copyrights © 2006 by The Korean Gastric Cancer Association
Original Article

Expression of the Peroxisome-proliferator-activated Receptor-gamma in Human Gastric Cancer

Dong Hui Cho, Dong Gue Shin, Sung Gu Kang, Sang Su Park, Jin Yoon, Il Myung Kim, Seong Min Yoon,1 Yun Kyung Lee,2 Yong Jik Lee,3 Dae Hyun Yang,4 and Ik Hang Cho5
    • Department of Surgery, Seoul Medical Center, Seoul, Korea.
    • 1Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.
    • 2Department of Pathology, Seoul Medical Center, Seoul, Korea.
    • 3Research Institute, Seoul Medical Center, Seoul, Korea.
    • 4Department of Surgery, Hallym University College of Medicine, Anyang, Korea.
    • 5Department of Surgery, Seoul Municipal Dongbu Hospital, Seoul, Korea.

Abstract

Purpose

Recently, interest in peroxisome-proliferator-activated receptors (PPAR) has increased, although clinical studies of the effect of PPAR-γ expression on gastric cancer have not been reported yet. In this study, we investigated the role of PPAR-γ expression in gastric cancer patients.

Materials and Methods

One hundred twenty-eight (128) samples of both gastric cancer and normal tissues were obtained from 128 patients who had undergone at a curative gastrectomy at Seoul Medical Center from Jan. 2001 to Dec. 2005. PPAR-γ expression was determined by using immunohistochemical staining, and the results were analyzed. The statistical analysis was based on clinicopathological findings and the differences in survival rates.

Results

The mean age of the patients was 61, and the male:female ratio was 1.9:1. PPAR-γ expression was significantly higher in cancer tissues than in normal tissue (81.3% vs. 57.0%, P<0.001). There was insignificant difference between well and moderately differentiated types and poorly differentiated types in terms of the expression of PPAR-γ (87.0% vs. 74.6%, P=0.074). In the univariate analysis the survival rate was significantly increased when PPAR-γ was expressed in normal tissue (P=0.003). In the multivariate analysis, only the UICC TNM staging had significance related to the survival rate.

Conclusion

The rate of PPAR-γ expression was higher in cancer tissue than it was in normal tissue from gastric cancer patients. In the univariate analysis, PPAR-γ expression in normal tissue had significance with respect to survival, but the multivariate analysis showed no such significance. Thus, we should further evaluate more cases to determine whether or not such a significance exists.

Keywords
Gastric cancer; Peroxisome-proliferator-activated receptors; PPAR


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