Role of Glucocorticoid Receptor in Serosa-Involved Gastric Carcinoma After Gastrectomy

Glucocorticoid receptor (GR) was first found in the cytosol of gastric cancer tissue more than 15 years ago. At present, most gastric cancers are diagnosed at the advanced stage. To elucidate the role of GR in gastric cancer, the GR levels of the cancer tissue of 75 consecutive patients with grossly...

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Published inJournal of gastrointestinal surgery Vol. 10; no. 5; pp. 706 - 711
Main Authors Yeh, Dah-Cherng, Cheng, Shao-Bin, Yu, Cheng-Chan, Ho, William-Lin, Wu, Cheng-Chung, Liu, Tse-Jia, P'eng, Fang-Ku
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2006
Springer Nature B.V
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Abstract Glucocorticoid receptor (GR) was first found in the cytosol of gastric cancer tissue more than 15 years ago. At present, most gastric cancers are diagnosed at the advanced stage. To elucidate the role of GR in gastric cancer, the GR levels of the cancer tissue of 75 consecutive patients with grossly serosa-involved gastric carcinoma were determined by the dextran-coated charcoal method. The clinicopathologic characteristics and long-term survival duration were compared in patients with GR-positive and GR-negative cancer cells. We found that GR could be detected in the cytosol of cancer cells in 31 (41.3%) of the gastric cancer patients with a median concentration of 18.5 (range, 1.03–73.9) fmol/mg protein. No significant differences could be found in any clinicopathologic characteristic between the patients with GR-positive and GR-negative cancers. After multivariate analysis, gross Borrmann's type, metastatic lymph node number, and GR positivity were the independent prognostic factors after gastrectomy for serosa-involved gastric carcinoma. GR-positive gastric cancer had a worse survival rate than GR-negative gastric cancer. Multimodality adjuvant therapies should be considered in patients with GR-positive serosa-involved gastric carcinoma.
AbstractList Glucocorticoid receptor (GR) was first found in the cytosol of gastric cancer tissue more than 15 years ago. At present, most gastric cancers are diagnosed at the advanced stage. To elucidate the role of GR in gastric cancer, the GR levels of the cancer tissue of 75 consecutive patients with grossly serosa-involved gastric carcinoma were determined by the dextran-coated charcoal method. The clinicopathologic characteristics and long-term survival duration were compared in patients with GR-positive and GR-negative cancer cells. We found that GR could be detected in the cytosol of cancer cells in 31 (41.3%) of the gastric cancer patients with a median concentration of 18.5 (range, 1.03-73.9) fmol/mg protein. No significant differences could be found in any clinicopathologic characteristic between the patients with GR-positive and GR-negative cancers. After multivariate analysis, gross Borrmann's type, metastatic lymph node number, and GR positivity were the independent prognostic factors after gastrectomy for serosa-involved gastric carcinoma. GR-positive gastric cancer had a worse survival rate than GR-negative gastric cancer. Multimodality adjuvant therapies should be considered in patients with GR-positive serosa-involved gastric carcinoma.[PUBLICATION ABSTRACT]
Glucocorticoid receptor (GR) was first found in the cytosol of gastric cancer tissue more than 15 years ago. At present, most gastric cancers are diagnosed at the advanced stage. To elucidate the role of GR in gastric cancer, the GR levels of the cancer tissue of 75 consecutive patients with grossly serosa-involved gastric carcinoma were determined by the dextran-coated charcoal method. The clinicopathologic characteristics and long-term survival duration were compared in patients with GR-positive and GR-negative cancer cells. We found that GR could be detected in the cytosol of cancer cells in 31 (41.3%) of the gastric cancer patients with a median concentration of 18.5 (range, 1.03-73.9) fmol/mg protein. No significant differences could be found in any clinicopathologic characteristic between the patients with GR-positive and GR-negative cancers. After multivariate analysis, gross Borrmann's type, metastatic lymph node number, and GR positivity were the independent prognostic factors after gastrectomy for serosa-involved gastric carcinoma. GR-positive gastric cancer had a worse survival rate than GR-negative gastric cancer. Multimodality adjuvant therapies should be considered in patients with GR-positive serosa-involved gastric carcinoma.
Author Cheng, Shao-Bin
Yu, Cheng-Chan
Wu, Cheng-Chung
P'eng, Fang-Ku
Ho, William-Lin
Liu, Tse-Jia
Yeh, Dah-Cherng
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CitedBy_id crossref_primary_10_1111_j_1440_1746_2007_05140_x
crossref_primary_10_1007_s12253_009_9154_0
crossref_primary_10_3390_cancers13071649
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Keywords glucocorticoid receptor
Serosa-involved gastric carcinoma
gastrectomy
prognosis
Language English
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Snippet Glucocorticoid receptor (GR) was first found in the cytosol of gastric cancer tissue more than 15 years ago. At present, most gastric cancers are diagnosed at...
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elsevier
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SubjectTerms Adult
Aged
Aged, 80 and over
Cancer
Female
Gastrectomy
glucocorticoid receptor
Humans
Male
Medical research
Middle Aged
Multivariate analysis
Prognosis
Proportional Hazards Models
Receptors, Glucocorticoid - metabolism
Serosa-involved gastric carcinoma
Serous Membrane - metabolism
Stomach Neoplasms - metabolism
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Survival Rate
Title Role of Glucocorticoid Receptor in Serosa-Involved Gastric Carcinoma After Gastrectomy
URI https://dx.doi.org/10.1016/j.gassur.2005.10.004
https://www.ncbi.nlm.nih.gov/pubmed/16713543
https://www.proquest.com/docview/1112381243/abstract/
https://search.proquest.com/docview/67996193
Volume 10
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