Comparison of clinicopathological parameters with the presence of Epstein-Barr virus and the absence of DNA mismatch repair proteins in gastric adenocarcinomas.

IF 0.9 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Asian Biomedicine Pub Date : 2025-04-30 eCollection Date: 2025-04-01 DOI:10.2478/abm-2025-0011
Özge Eyeoğlu, Serra Kayaçetin
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引用次数: 0

Abstract

Background: High mortality and poor prognosis are seen in gastric adenocarcinomas (GAs). Therefore, investigation of the factors related to GA prognosis is important.

Objective: To investigate the association between clinicopathological parameters and DNA mismatch repair (MMR) proteins as well as Epstein-Barr virus (EBV) in GAs.

Methods: Expression of MMR proteins and EBV positivity of 77 patients diagnosed with GA were evaluated using immunohistochemistry. Survival data of the patients were also considered.

Results: Significant correlations were found between EBV positivity and gender, perineural invasion (PNI), and histological type. PNI was less common in EBV-positive patients, and EBV positivity was highly correlated with lymphoid stromal adenocarcinoma. Tumor budding was significantly correlated with histological type and grade, lymphovascular invasion (LVI), PNI, lymph node metastasis, and post-diagnosis survival time. Moreover, tumor-stroma ratio was correlated with tumor stage. Additionally, tumor location, histological grade, tumor budding, PNI, and pathological stage were associated with survival. Also, EBV positivity was significantly associated with histological type, PNI, tumor location, and gender. However, MMR and EBV positivity were not significantly correlated to tumor microenvironment and prognosis. It was noteworthy that the mortality rate was much higher in patients with PNI compared with those without PNI.

Conclusion: Our findings support that the tumor microenvironment is significantly associated with GA prognosis.

胃腺癌中Epstein-Barr病毒存在与DNA错配修复蛋白缺失的临床病理参数比较
背景:胃腺癌(GAs)死亡率高,预后差。因此,研究影响GA预后的相关因素具有重要意义。目的:探讨GAs临床病理参数与DNA错配修复(MMR)蛋白及eb病毒(EBV)的关系。方法:应用免疫组化方法对77例GA患者进行MMR蛋白表达及EBV阳性检测。患者的生存数据也被考虑在内。结果:EBV阳性与性别、围神经浸润(PNI)、组织学类型有显著相关性。PNI在EBV阳性患者中较少见,EBV阳性与淋巴样间质腺癌高度相关。肿瘤出芽与组织学类型、分级、淋巴血管侵袭(LVI)、PNI、淋巴结转移及诊断后生存时间有显著相关性。肿瘤间质比与肿瘤分期相关。此外,肿瘤位置、组织学分级、肿瘤出芽、PNI和病理分期与生存相关。此外,EBV阳性与组织学类型、PNI、肿瘤位置和性别显著相关。然而,MMR和EBV阳性与肿瘤微环境和预后无显著相关性。值得注意的是,PNI患者的死亡率比非PNI患者高得多。结论:我们的研究结果支持肿瘤微环境与GA预后显著相关。
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来源期刊
Asian Biomedicine
Asian Biomedicine 医学-医学:研究与实验
CiteScore
1.20
自引率
0.00%
发文量
24
审稿时长
6-12 weeks
期刊介绍: Asian Biomedicine: Research, Reviews and News (ISSN 1905-7415 print; 1875-855X online) is published in one volume (of 6 bimonthly issues) a year since 2007. [...]Asian Biomedicine is an international, general medical and biomedical journal that aims to publish original peer-reviewed contributions dealing with various topics in the biomedical and health sciences from basic experimental to clinical aspects. The work and authorship must be strongly affiliated with a country in Asia, or with specific importance and relevance to the Asian region. The Journal will publish reviews, original experimental studies, observational studies, technical and clinical (case) reports, practice guidelines, historical perspectives of Asian biomedicine, clinicopathological conferences, and commentaries Asian biomedicine is intended for a broad and international audience, primarily those in the health professions including researchers, physician practitioners, basic medical scientists, dentists, educators, administrators, those in the assistive professions, such as nurses, and the many types of allied health professionals in research and health care delivery systems including those in training.
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