Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype

Background and purpose: Given the role of cancer stem cells in cancer, the aim of this study was to determine the expression of LGR5 marker in gastric cancer and its association with cagA genotype of Helicobacter pylori infection. Materials and methods: A case-control study was performed in gastric...

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Main Authors: Fatemeh Montazer, Hossein Lamsehchi, Reza Valadan, Akbar Hedayatizadeh-Omran, Mohammad Eslamijouybari, Ghasem Janbabai, Omolbanin Amjadi, Mohadeseh Ahmadi, Reza Alizadeh-Navaei
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2021-05-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-16580-en.html
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author Fatemeh Montazer
Hossein Lamsehchi
Reza Valadan
Akbar Hedayatizadeh-Omran
Mohammad Eslamijouybari
Ghasem Janbabai
Omolbanin Amjadi
Mohadeseh Ahmadi
Reza Alizadeh-Navaei
author_facet Fatemeh Montazer
Hossein Lamsehchi
Reza Valadan
Akbar Hedayatizadeh-Omran
Mohammad Eslamijouybari
Ghasem Janbabai
Omolbanin Amjadi
Mohadeseh Ahmadi
Reza Alizadeh-Navaei
author_sort Fatemeh Montazer
collection DOAJ
description Background and purpose: Given the role of cancer stem cells in cancer, the aim of this study was to determine the expression of LGR5 marker in gastric cancer and its association with cagA genotype of Helicobacter pylori infection. Materials and methods: A case-control study was performed in gastric biopsy specimens from antrum and body during endoscopic examination of patients attending Sari Touba Clinic, 2017-2018. After reviewing the patient records, the samples from those aged 50 and higher were studied. Case group included gastric cancer specimens with H. pylori infection (n=30) and control group included non-cancerous samples with H. pylori infection (n=30). LGR5 expression and presence of cagA were evaluated by IHC and PCR methods, respectively. Results: The mean ages of gastric cancer and control group were 69.5±10.1 and 62.3±7.8, respectively (P= 0.003). Twenty three patients (76.7%) in cancer group and 24 patients (80%) in control group were positive for cagA genotype. Overexpression of LGR5 was observed in 15 patients (51.7%) with gastric cancer and 11 patients (39.3%) in control group (P= 0.429).  LGR5 was also overexpressed in 18 cases (40.9%) with cagA positive genotype and 8 cases (61.5%) with negative cagA genotype (P=0.22). Conclusion: High expression of LGR5 was observed in half of patients with gastric cancer but it was not significantly associated with cagA H.pylori genotype.
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spelling doaj.art-28d21d6b899b4cc58028e8595766eea72023-01-25T05:14:14ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792021-05-013119793100Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA GenotypeFatemeh Montazer0Hossein Lamsehchi1Reza Valadan2Akbar Hedayatizadeh-Omran3Mohammad Eslamijouybari4Ghasem Janbabai5Omolbanin Amjadi6Mohadeseh Ahmadi7Reza Alizadeh-Navaei8 Assistant Professor, Department of Pathology, Iran University of Medical Sciences, Tehran, Iran General Practitioner, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Immunology, Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute ,Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Professor, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran MSc in Molecular and Cell Biology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran MSc in Biotechnology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Given the role of cancer stem cells in cancer, the aim of this study was to determine the expression of LGR5 marker in gastric cancer and its association with cagA genotype of Helicobacter pylori infection. Materials and methods: A case-control study was performed in gastric biopsy specimens from antrum and body during endoscopic examination of patients attending Sari Touba Clinic, 2017-2018. After reviewing the patient records, the samples from those aged 50 and higher were studied. Case group included gastric cancer specimens with H. pylori infection (n=30) and control group included non-cancerous samples with H. pylori infection (n=30). LGR5 expression and presence of cagA were evaluated by IHC and PCR methods, respectively. Results: The mean ages of gastric cancer and control group were 69.5±10.1 and 62.3±7.8, respectively (P= 0.003). Twenty three patients (76.7%) in cancer group and 24 patients (80%) in control group were positive for cagA genotype. Overexpression of LGR5 was observed in 15 patients (51.7%) with gastric cancer and 11 patients (39.3%) in control group (P= 0.429).  LGR5 was also overexpressed in 18 cases (40.9%) with cagA positive genotype and 8 cases (61.5%) with negative cagA genotype (P=0.22). Conclusion: High expression of LGR5 was observed in half of patients with gastric cancer but it was not significantly associated with cagA H.pylori genotype.http://jmums.mazums.ac.ir/article-1-16580-en.htmlgastric cancerhelicobacter pylorilgr5
spellingShingle Fatemeh Montazer
Hossein Lamsehchi
Reza Valadan
Akbar Hedayatizadeh-Omran
Mohammad Eslamijouybari
Ghasem Janbabai
Omolbanin Amjadi
Mohadeseh Ahmadi
Reza Alizadeh-Navaei
Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
Journal of Mazandaran University of Medical Sciences
gastric cancer
helicobacter pylori
lgr5
title Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
title_full Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
title_fullStr Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
title_full_unstemmed Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
title_short Association of LGR5 Expression with Gastric Cancer and Helicobacter pylori CagA Genotype
title_sort association of lgr5 expression with gastric cancer and helicobacter pylori caga genotype
topic gastric cancer
helicobacter pylori
lgr5
url http://jmums.mazums.ac.ir/article-1-16580-en.html
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