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Change of SPARC expression after chemotherapy in gastric cancer. | LitMetric

Change of SPARC expression after chemotherapy in gastric cancer.

Cancer Biol Med

Department of Gastrointestinal Medical Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China.

Published: March 2015

AI Article Synopsis

  • The study investigates how chemotherapy affects the expression of SPARC, a tumor biomarker, in gastric cancer.
  • SPARC was found to be highly expressed in gastric cancer tissue and its levels were linked to tumor characteristics like depth of invasion and stage.
  • After chemotherapy, fewer patients showed high SPARC expression, indicating the need to reassess SPARC levels post-treatment as it may be an important factor for prognosis.

Article Abstract

Objective: The expression of tumor biomarkers may change after chemotherapy. However, whether secreted protein acidic and rich in cysteine (SPARC) expression changes after chemotherapy in gastric cancer (GC) is unclear. This study investigated the influence of chemotherapy on SPARC expression in GC.

Methods: Immunohistochemistry was used to analyze SPARC expression in 132 GC cases (including 54 cases with preoperative chemotherapy and 78 cases without preoperative chemotherapy). SPARC expression of postoperative specimens with and without preoperative chemotherapy was assessed to analyze the influence of chemotherapy on SPARC expression.

Results: SPARC was highly expressed in GC compared with the desmoplastic stroma surrounding tumor cells and noncancerous tissues. High SPARC expression was correlated with invasion depth, lymph node, and TNM stage. After chemotherapy, a lower proportion of high SPARC expression was observed in patients with preoperative chemotherapy than in the controls. For 54 patients with preoperative chemotherapy, gross type, histology, depth of invasion, lymph node, TNM stage, and SPARC expression were related to overall survival. Further multivariate analysis showed that lymph node, histology, and SPARC expression after chemotherapy were independent prognostic factors.

Conclusion: SPARC expression may change after chemotherapy in GC. SPARC expression should be reassessed for patients with GC after chemotherapy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383841PMC
http://dx.doi.org/10.7497/j.issn.2095-3941.2014.0023DOI Listing

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