Clinicopathologic significance of Her-2 and P53 expressions in gastric cancer

Asian J Surg. 2023 Jan;46(1):526-531. doi: 10.1016/j.asjsur.2022.06.039. Epub 2022 Jun 24.

Abstract

Background: To detect the expression of HER-2 and P53 patients with gastric cancer and to analyze their correlation.

Methods: A total of 249 gastric cancer patients with complete clinical data who received surgical treatment from China-Japan Union Hospital of Jilin University were selected. The expression of Her-2 and P53 were detected by immunohistochemistry using the streptavidin-biotin-peroxidase method. The correlations between HER-2 and P53 in gastric cancer were analyzed.

Results: The positive rate of Her-2 and P53 expression was 37.3% (93/249) and 100% in all the specimens, respectively. The intensity of Her-2 expression was significantly different in patients with different degrees of gastric cancer cell differentiation (P = 0.012). Meanwhile, the expression of her-2 was closely related to whether the pathological type of gastric cancer was a signet-ring cell carcinoma (P = 0.022). Different percentage of positive P53 expression was closely related to the grade of tumor differentiation (P = 0.035) and positive Ki67 expression (P = 0.001). There was a significant positive correlation between HER-2 and P53 expression in gastric cancer (P = 0.003). These findings suggest that HER-2 and P53 have synergistic effects in gastric cancer.

Conclusion: Her-2 and P53 are important markers for invasion and metastasis of gastric cancer. Combined detection of P53 and Her-2 expression in gastric cancer tissue can be used to assess prognosis and screen cancer patients at high risk of metastasis.

Keywords: Clinicopathologic; Gastric cancer; Her-2; P53.

MeSH terms

  • Biomarkers, Tumor / genetics
  • Biomarkers, Tumor / metabolism
  • Carcinoma, Signet Ring Cell* / genetics
  • Carcinoma, Signet Ring Cell* / metabolism
  • Carcinoma, Signet Ring Cell* / surgery
  • Humans
  • Immunohistochemistry
  • Prognosis
  • Stomach Neoplasms* / genetics
  • Stomach Neoplasms* / metabolism
  • Stomach Neoplasms* / surgery
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Protein p53 / metabolism

Substances

  • Biomarkers, Tumor
  • ERBB2 protein, human
  • Tumor Suppressor Protein p53
  • TP53 protein, human