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Carcinogenesis, Vol. 23, No. 1, 87-91, January 2002
© 2002 Oxford University Press


CANCER BIOLOGY

Increased ß-catenin mRNA levels and mutational alterations of the APC and ß-catenin gene are present in intestinal-type gastric cancer

Matthias P.A. Ebert,3, Guo Fei, Sabine Kahmann1, Oliver Müller1, Jun Yu2, Joseph J.Y. Sung2 and Peter Malfertheiner

Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, D-39120 Magdeburg,
1 Max-Planck-Institute for Molecular Physiology, D-44202 Dortmund, Germany and
2 Department of Medicine & Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong

ß-Catenin is critical for intercellular adhesion and also plays a role as a transcription activating protein in the Wnt signalling pathway. Increased protein levels and mutation of the ß-catenin gene have been demonstrated in various cancers; however, the role of ß-catenin in gastric cancer remains largely unknown. Using gastric cancer tissues and normal adjacent gastric mucosa obtained from 20 patients with gastric cancer (eight diffuse-type, 12 intestinal-type) undergoing gastric resection or endoscopy, we assessed the expression of ß-catenin by immunohistochemistry and quantitative PCR analysis. Furthermore, the tumour suppressor gene APC, which down-regulates the ß-catenin levels was analysed for mutations. Overall mRNA levels of ß-catenin were significantly increased in the tumour samples compared with the matched normal gastric mucosa (P < 0.05). Increased ß-catenin mRNA levels were significantly more frequent in intestinal-type gastric cancers as compared to diffuse-type gastric cancers (P < 0.01). Six out of 20 tumours exhibited >6-fold increased ß-catenin mRNA levels as compared with normal mucosa. APC gene mutations were found in four cases. A ß-catenin gene mutation was identified only in one intestinal-type gastric cancer exhibiting a massive overexpression of ß-catenin mRNA in the tumour. In intestinal-type gastric cancers ß-catenin mRNA levels are greatly enhanced. APC and ß-catenin gene mutations are also present primarily in intestinal-type gastric cancers. These findings support the hypothesis that in intestinal-type gastric cancers the accumulation of ß-catenin protein may result from impaired degradation of the ß-catenin protein due to alterations of the ß-catenin and APC genes, as well as from enhanced ß-catenin transcription which is present in the great majority of intestinal-type gastric cancers.


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