Serum OPN expression for identification of gastric cancer and atrophic gastritis and its influencing factors

Most studies have found that osteopontin (OPN) expression level is related to the poor prognosis of gastric cancer. However, few studies have examined the relationship between OPN expression and gastric precancerous diseases, and the potential role of OPN in the formation and development of GC. We i...

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Veröffentlicht in:PloS one 2014-12, Vol.9 (12), p.e114005-e114005
Hauptverfasser: Chen, Tiejun, Sun, Liping, He, Caiyun, Gong, Yuehua, Xu, Qian, Yuan, Yuan
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Sun, Liping
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Gong, Yuehua
Xu, Qian
Yuan, Yuan
description Most studies have found that osteopontin (OPN) expression level is related to the poor prognosis of gastric cancer. However, few studies have examined the relationship between OPN expression and gastric precancerous diseases, and the potential role of OPN in the formation and development of GC. We investigated the relationships between serum OPN levels and the risks of gastric cancer (GC) and its precancerous disease, to explore the diagnostic efficacy of serum OPN level for GC and atrophic gastritis and its influencing factors. A total of 1,452 patients were enrolled, including 609 with mild superficial gastritis (SG), 594 with atrophic gastritis (AG) and 249 with GC. The levels of serum OPN and serum Helicobacter pylori IgG antibody were detected by enzyme-linked immunosorbent assay. Serum OPN levels increased from mild SG (1.99 ± 1.91 ng/ml) to AG (2.37 ± 2.27 ng/ml) to GC (5.94 ± 4.52 ng/ml) (P ≤ 0.002), along with increasing severity of gastric disease. OPN levels were significantly higher in patients with GC compared with the non-cancer population (2.17 ± 2.10, P < 0.0001). Serum OPN level was positively correlated with age and was higher in men than women, but was not correlated with H. pylori infection status. The area under the receiver operating characteristic curve was 0.805, the optimal cutoff was 2.56 ng/ml and the sensitivity and specificity were 74.3% and 71.8%, respectively, for the ability of serum OPN to discriminate GC. Serum OPN expression was closely related to the risks of GC and AG, and it might be a useful marker for the discrimination of GC. OPN level was positively correlated with age and male sex, but was not affected by H. pylori infection, and it was promoted by smoking and drinking, in patients with mild SG.
doi_str_mv 10.1371/journal.pone.0114005
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However, few studies have examined the relationship between OPN expression and gastric precancerous diseases, and the potential role of OPN in the formation and development of GC. We investigated the relationships between serum OPN levels and the risks of gastric cancer (GC) and its precancerous disease, to explore the diagnostic efficacy of serum OPN level for GC and atrophic gastritis and its influencing factors. A total of 1,452 patients were enrolled, including 609 with mild superficial gastritis (SG), 594 with atrophic gastritis (AG) and 249 with GC. The levels of serum OPN and serum Helicobacter pylori IgG antibody were detected by enzyme-linked immunosorbent assay. Serum OPN levels increased from mild SG (1.99 ± 1.91 ng/ml) to AG (2.37 ± 2.27 ng/ml) to GC (5.94 ± 4.52 ng/ml) (P ≤ 0.002), along with increasing severity of gastric disease. OPN levels were significantly higher in patients with GC compared with the non-cancer population (2.17 ± 2.10, P &lt; 0.0001). Serum OPN level was positively correlated with age and was higher in men than women, but was not correlated with H. pylori infection status. The area under the receiver operating characteristic curve was 0.805, the optimal cutoff was 2.56 ng/ml and the sensitivity and specificity were 74.3% and 71.8%, respectively, for the ability of serum OPN to discriminate GC. Serum OPN expression was closely related to the risks of GC and AG, and it might be a useful marker for the discrimination of GC. OPN level was positively correlated with age and male sex, but was not affected by H. pylori infection, and it was promoted by smoking and drinking, in patients with mild SG.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25479069</pmid><doi>10.1371/journal.pone.0114005</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biocompatibility
Biomarkers
Biomedical materials
Bone density
Cancer
Correlation
Cytokines
Diagnostic systems
Disease
Disease prevention
Education
Endoscopy
Enzyme-linked immunosorbent assay
Enzymes
Etiology
Female
Gastric cancer
Gastritis
Gastritis, Atrophic - blood
Gastritis, Atrophic - genetics
Gene Expression Regulation
Guanylate cyclase
Health aspects
Health risks
Helicobacter infections
Helicobacter pylori
Helicobacter pylori - pathogenicity
Hospitals
Humans
IgG antibody
Immunoglobulin G
Infections
Laboratories
Male
Medical diagnosis
Medical prognosis
Medical screening
Medicine and Health Sciences
Metastasis
Middle Aged
Osteopontin
Osteopontin - blood
Patients
Prognosis
Signal transduction
Smoking
Stomach cancer
Stomach Neoplasms - blood
Stomach Neoplasms - genetics
Surgery
Womens health
title Serum OPN expression for identification of gastric cancer and atrophic gastritis and its influencing factors
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