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Article

Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma

  • Authors:
    • Chengwei Zhang
    • Haipeng Yu
    • Haiyan Xu
    • Lanlan Yang
  • View Affiliations / Copyright

    Affiliations: Department of Anesthesiology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China, Department of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, P.R. China, Department of Physiology, College of Basic Medical Sciences, Jilin University, Changchun, Jilin 130021, P.R. China, Department of Biliary and Pancreatic Internal Medicine, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
  • Pages: 3050-3058
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    Published online on: September 21, 2015
       https://doi.org/10.3892/ol.2015.3736
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Abstract

The present study investigated the expression of secretory phospholipase A2-Group IIA (sPLA2-II) in gastric adenocarcinoma, in order to evaluate the correlation between sPLA2‑II expression, and the clinicopathological features and prognosis of patients with gastric adenocarcinoma. Between January 2007 and April 2010, data were collected from 65 patients (44 males, 21 females; age range, 30‑79 years; mean 66.7 ± 10.7 years). All patients exhibited a pathologically confirmed diagnosis of gastric adenocarcinoma. Endoscopic biopsy specimens of normal gastric mucosa from 11 of these patients were used as controls. Patients were subsequently followed‑up at 3‑month intervals, and survival data were recorded until April 2010. Expression of sPLA2‑II in 65 gastric adenocarcinoma and 11 normal gastric mucosa specimens was evaluated via immunohistochemistry. A semi‑quantitative method, consisting of evaluation of staining percentage and intensity, was utilized for immunohistochemical scoring, and the receiver operating characteristic curve method was applied to select a cut‑off score for high and low sPLA2‑II expression. The value of 8 was selected as the cut‑off score, with maximum sensitivity and specificity. High sPLA2‑II expression was observed in stage III/IV cases (83.3%; 40/48) and poorly differentiated cells (94.1%; 32/34), while sPLA2‑II expression levels were observed to be significantly lower in stage I/II cases (52.9%; 9/17) and well and moderately differentiated cells (54.8%; 17/31; P=0.021 and P<0.001, respectively). There were no significant correlations observed between sPLA2‑II expression and any other clinicopathological parameters, including gender, age, tumor diameter and Helicobacter pylori infection. Patients exhibiting low sPLA2‑II expression experienced significantly improved overall survival (OS) and disease‑free survival (DFS), compared with those exhibiting high sPLA2‑II expression (P=0.043 and P=0.035, respectively). Multivariate analysis confirmed that high sPLA2‑II expression may be an independent prognostic factor for OS [relative risk, 2.849; 95% confidence interval (CI), 1.088‑7.459; P=0.033] and DFS (relative risk, 2.735; 95% CI, 1.104‑6.776; P=0.030) in gastric adenocarcinoma. Therefore, sPLA2‑II may be correlated with the histogenesis of gastric adenocarcinoma, and increased sPLA2‑II expression may be an indicator of poor prognosis.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang C, Yu H, Xu H and Yang L: Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma. Oncol Lett 10: 3050-3058, 2015.
APA
Zhang, C., Yu, H., Xu, H., & Yang, L. (2015). Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma. Oncology Letters, 10, 3050-3058. https://doi.org/10.3892/ol.2015.3736
MLA
Zhang, C., Yu, H., Xu, H., Yang, L."Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma". Oncology Letters 10.5 (2015): 3050-3058.
Chicago
Zhang, C., Yu, H., Xu, H., Yang, L."Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma". Oncology Letters 10, no. 5 (2015): 3050-3058. https://doi.org/10.3892/ol.2015.3736
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang C, Yu H, Xu H and Yang L: Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma. Oncol Lett 10: 3050-3058, 2015.
APA
Zhang, C., Yu, H., Xu, H., & Yang, L. (2015). Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma. Oncology Letters, 10, 3050-3058. https://doi.org/10.3892/ol.2015.3736
MLA
Zhang, C., Yu, H., Xu, H., Yang, L."Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma". Oncology Letters 10.5 (2015): 3050-3058.
Chicago
Zhang, C., Yu, H., Xu, H., Yang, L."Expression of secreted phospholipase A2-Group IIA correlates with prognosis of gastric adenocarcinoma". Oncology Letters 10, no. 5 (2015): 3050-3058. https://doi.org/10.3892/ol.2015.3736
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