Loss of p16/CDKN2A tumor suppressor protein in gastric adenocarcinoma is associated with epstein-barr virus and anatomic location in the body of the stomach

Gastric adenocarcinomas (n = 125) were analyzed by immunohistochemistry for the presence of p16, the CDKN2A gene product. This protein was lost in 31 of 125 cases (25%), and loss was associated with location of the tumor in the body of the stomach ( P = .001). Loss of p16 was also associated with th...

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Veröffentlicht in:Human pathology 2000, Vol.31 (1), p.45-50
Hauptverfasser: Schneider, Barbara G., Gulley, Margaret L., Eagan, Phyllis, Bravo, Juan Carlos, Mera, Robertino, Geradts, Joseph
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container_issue 1
container_start_page 45
container_title Human pathology
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creator Schneider, Barbara G.
Gulley, Margaret L.
Eagan, Phyllis
Bravo, Juan Carlos
Mera, Robertino
Geradts, Joseph
description Gastric adenocarcinomas (n = 125) were analyzed by immunohistochemistry for the presence of p16, the CDKN2A gene product. This protein was lost in 31 of 125 cases (25%), and loss was associated with location of the tumor in the body of the stomach ( P = .001). Loss of p16 was also associated with the presence of Epstein-Barr virus (EBV) in tumor cells as determined by in situ hybridization ( P = .022). This effect may relate to anatomic site, because EBV-associated tumors originate more frequently in the body of the stomach. When p16 status was evaluated for ethnic origin of the patient (non-Hispanic white, Hispanic, or black), a strong trend ( P = .057) was found for African-American patients to have fewer p16-negative tumors than other patients. This also may relate to anatomic location, because fewer tumors from black patients arose in the body of the stomach ( P = .022). No significant associations were detected between p16 status and histological subtype (intestinal v diffuse), the presence of microsatellite instability, grade or stage of the tumor, or age, gender, or survival of the patient. In conclusion, p16 loss is quite common in gastric adenocarcinoma, and such loss is more common in EBV-infected tumors arising in the body of the stomach.
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This protein was lost in 31 of 125 cases (25%), and loss was associated with location of the tumor in the body of the stomach ( P = .001). Loss of p16 was also associated with the presence of Epstein-Barr virus (EBV) in tumor cells as determined by in situ hybridization ( P = .022). This effect may relate to anatomic site, because EBV-associated tumors originate more frequently in the body of the stomach. When p16 status was evaluated for ethnic origin of the patient (non-Hispanic white, Hispanic, or black), a strong trend ( P = .057) was found for African-American patients to have fewer p16-negative tumors than other patients. This also may relate to anatomic location, because fewer tumors from black patients arose in the body of the stomach ( P = .022). No significant associations were detected between p16 status and histological subtype (intestinal v diffuse), the presence of microsatellite instability, grade or stage of the tumor, or age, gender, or survival of the patient. 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Abdomen ; Herpesvirus 4, Human - isolation &amp; purification ; Hispanic ; Humans ; Immunohistochemistry ; In Situ Hybridization ; Medical sciences ; microsatellite instability ; RNA, Viral - metabolism ; Stomach - pathology ; Stomach Neoplasms - metabolism ; Stomach Neoplasms - pathology ; Stomach Neoplasms - virology ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors</subject><ispartof>Human pathology, 2000, Vol.31 (1), p.45-50</ispartof><rights>2000 W.B. Saunders Company. 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This protein was lost in 31 of 125 cases (25%), and loss was associated with location of the tumor in the body of the stomach ( P = .001). Loss of p16 was also associated with the presence of Epstein-Barr virus (EBV) in tumor cells as determined by in situ hybridization ( P = .022). This effect may relate to anatomic site, because EBV-associated tumors originate more frequently in the body of the stomach. When p16 status was evaluated for ethnic origin of the patient (non-Hispanic white, Hispanic, or black), a strong trend ( P = .057) was found for African-American patients to have fewer p16-negative tumors than other patients. This also may relate to anatomic location, because fewer tumors from black patients arose in the body of the stomach ( P = .022). No significant associations were detected between p16 status and histological subtype (intestinal v diffuse), the presence of microsatellite instability, grade or stage of the tumor, or age, gender, or survival of the patient. In conclusion, p16 loss is quite common in gastric adenocarcinoma, and such loss is more common in EBV-infected tumors arising in the body of the stomach.</description><subject>Adenocarcinoma - metabolism</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - virology</subject><subject>African American</subject><subject>Biological and medical sciences</subject><subject>Cyclin-Dependent Kinase Inhibitor p16 - metabolism</subject><subject>ethnicity</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Herpesvirus 4, Human - isolation &amp; purification</subject><subject>Hispanic</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>In Situ Hybridization</subject><subject>Medical sciences</subject><subject>microsatellite instability</subject><subject>RNA, Viral - metabolism</subject><subject>Stomach - pathology</subject><subject>Stomach Neoplasms - metabolism</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - virology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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subjects Adenocarcinoma - metabolism
Adenocarcinoma - pathology
Adenocarcinoma - virology
African American
Biological and medical sciences
Cyclin-Dependent Kinase Inhibitor p16 - metabolism
ethnicity
Gastroenterology. Liver. Pancreas. Abdomen
Herpesvirus 4, Human - isolation & purification
Hispanic
Humans
Immunohistochemistry
In Situ Hybridization
Medical sciences
microsatellite instability
RNA, Viral - metabolism
Stomach - pathology
Stomach Neoplasms - metabolism
Stomach Neoplasms - pathology
Stomach Neoplasms - virology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Loss of p16/CDKN2A tumor suppressor protein in gastric adenocarcinoma is associated with epstein-barr virus and anatomic location in the body of the stomach
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