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Molecular Oncology, Markers, Clinical Correlates |
Department of Surgery I, National Defense Medical College, Tokorozawa 359-8513, Japan
Although recent
studies have demonstrated that cyclooxygenase (COX)-2 is overexpressed
in various cancers including gastric cancer, the mechanisms underlying
the contribution of COX-2 to tumorigenesis and tumor promotion still
remain unclear. To determine the role of COX-2, we investigated the
COX-2 expression, the prostaglandin (PG) levels, and the microvessel
density in 42 patients with primary gastric adenocarcinoma. COX-2
protein was overexpressed in 31 (74%) of 42 gastric cancers based on
an immunoblot analysis. The intensity of COX-2 expression was found to
significantly correlate with lymph node involvement. The COX-2
overexpressed cases showed significantly elevated levels of
prostaglandin E2 (PGE2) in cancer
tissues in comparison with the normal gastric mucosa by an immunoassay
(201 ± 90 versus 161 ± 57 ng/mg protein;
P < 0.05). However, the COX-2 overexpression was
not related to the levels of thromboxane B2 and
6-keto-prostaglandin F1
. The density of
microvessel immunostained with CD34 was significantly higher in
patients demonstrating COX-2 overexpression than in those without such
expression (63 ± 21 versus 45 ± 17/200 x; P < 0.01). Our data thus suggested COX-2
overexpression to be associated with increased PGE2
biosynthesis and angiogenesis in gastric cancer, which indicates that
COX-2 may play a role in the development of gastric cancer.
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