J Korean Cancer Assoc.  1999 Oct;31(5):887-897.

Genetic Alterations of p16Ink4A and p15Ink4B in Gastric Carcinomas

Affiliations
  • 1Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National Univerisity, Seoul, Korea.
  • 2Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
  • 3Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea.
  • 4Inje University, Paik Hospital, Seoul, Korea.

Abstract

PURPOSE: p16Ink4A and p15lnk4B, encoded by the genes located on chromosome 9p21, are cyclin-dependent kinase 4 inhibitors and are the upstream regulators of pRB (retinoblastoma protein) function and are involved in the regulation of cell cycle in mammalian cells. It has been demonstrated that p16 and p15 genes are frequently deleted, mutated, and hypermethylated in many malignancies and cancer cell lines. This study was performed to investigate the genetic alteration and immunohistochemical profile of p16 and p15 in gastric carcinomas.
MATERIALS AND METHODS
We examined 30 primary gastric cancer samples using PCR- SSCP (Polymerase chain reaction-single strand conformation polymorphism), DNA sequencing, PCR-based hypermethylation assay, and immunohistochemistry.
RESULTS
No homozygous deletion was detected in either pl6 or p15 gene, and only one gastric carcinoma sample showed mutation of p16 gene and p15 gene. However, hyper-methylation of 5' CpG islands was observed in 53.6% of exon1 of p16 gene and in 46.4% of exon 1 of pl5 gene. By immunohistochemistry of p16, nuclear under-expression was observed in 58.6%, whereas nuclear over-expression was detected in 31% of formalin-fixed, paraffin-embedded gastric cancer tissues.
CONCLUSIONS
Our results suggest that the p16 and p15 tumor suppressor genes may play an important role in gastric carcinogenesis and may be inactivated not by deletions or mutations but mainly by hypermethylation of their 5' CpG islands. There was a good correlation between methylation study and immunohistochemical results in p16 genes.

Keyword

Stomach cancer; p161nk4A; p151nk4B; Methylation; Immunohistochemistry

MeSH Terms

Carcinogenesis
Cell Cycle
Cell Line
CpG Islands
Cyclin-Dependent Kinase 4
Exons
Genes, p16
Genes, Tumor Suppressor
Immunohistochemistry
Methylation
Polymorphism, Single-Stranded Conformational
Sequence Analysis, DNA
Stomach Neoplasms
Cyclin-Dependent Kinase 4
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