Deletion of the KIT gene is associated with liver metastasis and poor prognosis in patients with gastrointestinal stromal tumor in the stomach

  • Authors:
    • Songde Cho
    • Yasuhiko Kitadai
    • Shigeto Yoshida
    • Shinji Tanaka
    • Masaharu Yoshihara
    • Kazuhiro Yoshida
    • Kazuaki Chayama
  • View Affiliations

  • Published online on: June 1, 2006     https://doi.org/10.3892/ijo.28.6.1361
  • Pages: 1361-1367
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Abstract

The goal of this study was to investigate the association of mutations in the KIT gene and the platelet-derived growth factor receptor α (PDGFRA) gene with clinicopathological features of patients with gastrointestinal stromal tumor (GIST) localized in the stomach. We evaluated 56 gastric GISTs for KIT and PDGFRA mutations. DNA was extracted from paraffin-embedded tumor specimens, and exons 9, 11, 13 and 17 of the KIT gene and exons 12 and 18 of the PDGFRA gene were amplified by polymerase chain reaction and sequenced. The genetic features were then compared with the clinicopathological features. Immunohistochemistry was performed for KIT, CD34, Ki-67 (as a marker of cell proliferation) and CD31 (as a marker of microvessel density), and apoptosis was assessed by in situ DNA nick-end labeling. Thirty-four (61%) of the 56 GISTs had a mutation in exon 11 of KIT, and 2 (4%) had a mutation in exon 13 of KIT. Deletions in exon 11 of KIT were the most common mutation encountered in the present study. No mutations were found in exon 9 or 17 of KIT. Six of the 20 GISTs lacking KIT mutations had a mutation in exon 18 of PDGFRA, and 1 had a mutation in exon 12 of PDGFRA. The KIT mutation-positive GISTs showed more frequent liver metastases and higher mortality than KIT mutation-negative GISTs. Our data indicate that KIT mutations, especially deletions in exon 11, are markers of poor prognosis for gastric GISTs.

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June 2006
Volume 28 Issue 6

Print ISSN: 1019-6439
Online ISSN:1791-2423

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Spandidos Publications style
Cho S, Kitadai Y, Yoshida S, Tanaka S, Yoshihara M, Yoshida K and Chayama K: Deletion of the KIT gene is associated with liver metastasis and poor prognosis in patients with gastrointestinal stromal tumor in the stomach. Int J Oncol 28: 1361-1367, 2006.
APA
Cho, S., Kitadai, Y., Yoshida, S., Tanaka, S., Yoshihara, M., Yoshida, K., & Chayama, K. (2006). Deletion of the KIT gene is associated with liver metastasis and poor prognosis in patients with gastrointestinal stromal tumor in the stomach. International Journal of Oncology, 28, 1361-1367. https://doi.org/10.3892/ijo.28.6.1361
MLA
Cho, S., Kitadai, Y., Yoshida, S., Tanaka, S., Yoshihara, M., Yoshida, K., Chayama, K."Deletion of the KIT gene is associated with liver metastasis and poor prognosis in patients with gastrointestinal stromal tumor in the stomach". International Journal of Oncology 28.6 (2006): 1361-1367.
Chicago
Cho, S., Kitadai, Y., Yoshida, S., Tanaka, S., Yoshihara, M., Yoshida, K., Chayama, K."Deletion of the KIT gene is associated with liver metastasis and poor prognosis in patients with gastrointestinal stromal tumor in the stomach". International Journal of Oncology 28, no. 6 (2006): 1361-1367. https://doi.org/10.3892/ijo.28.6.1361