The clinical significance of ARID1A mutations in gastric cancer patients

Background: ARID1A is a key component of the SWI/SNF chromatin remodeling complex, which has been identified in various cancers. Loss of ARID1A expression is correlated with poor prognosis in gastric cancer (GC); however, the clinical relevance of ARID1A mutations in GC has not yet been reported. Ma...

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Main Authors: Chia-Hung Wu, Chien-Hsun Tseng, Kuo-Hung Huang, Wen-Liang Fang, Ming-Huang Chen, Anna Fen-Yau Li, Chew-Wun Wu
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2020-01-01
Series:Formosan Journal of Surgery
Subjects:
Online Access:http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=3;spage=93;epage=100;aulast=Wu
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author Chia-Hung Wu
Chien-Hsun Tseng
Kuo-Hung Huang
Wen-Liang Fang
Ming-Huang Chen
Anna Fen-Yau Li
Chew-Wun Wu
author_facet Chia-Hung Wu
Chien-Hsun Tseng
Kuo-Hung Huang
Wen-Liang Fang
Ming-Huang Chen
Anna Fen-Yau Li
Chew-Wun Wu
author_sort Chia-Hung Wu
collection DOAJ
description Background: ARID1A is a key component of the SWI/SNF chromatin remodeling complex, which has been identified in various cancers. Loss of ARID1A expression is correlated with poor prognosis in gastric cancer (GC); however, the clinical relevance of ARID1A mutations in GC has not yet been reported. Materials and Methods: A total of 518 GC patients receiving gastrectomy were enrolled. The analysis of 13 mutations of the ARID1A gene using mass spectrometric single-nucleotide polymorphism genotyping technology was conducted. The clinicopathological features of GC with and without ARID1A mutations were compared. Results: Among the 518 GC patients, 59 (11.4%) had ARID1A mutations. For diffuse-type GC, patients with ARID1A-mutated tumors were older and had fewer poorly differentiated tumors, fewer incidence of Epstein–Barr virus infection, a higher likelihood of ARID1A expression loss, more microsatellite instability-high tumors, a lower prevalence of peritoneal recurrence, and better survival rates than those with ARID1A nonmutant tumors. For intestinal-type GC, patients with ARID1A-mutant tumors had more PI3K/AKT pathway genetic mutations than patients with ARID1A nonmutant tumors. Multivariate analysis showed that ARID1A mutations are an independent prognostic factor in diffuse-type GC. Conclusion: ARID1A mutations are associated with a better prognosis in diffuse-type GC.
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spelling doaj.art-ec173d65914c4cb3973a12cac4b1fdea2023-09-02T20:15:32ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2020-01-015339310010.4103/fjs.fjs_66_19The clinical significance of ARID1A mutations in gastric cancer patientsChia-Hung WuChien-Hsun TsengKuo-Hung HuangWen-Liang FangMing-Huang ChenAnna Fen-Yau LiChew-Wun WuBackground: ARID1A is a key component of the SWI/SNF chromatin remodeling complex, which has been identified in various cancers. Loss of ARID1A expression is correlated with poor prognosis in gastric cancer (GC); however, the clinical relevance of ARID1A mutations in GC has not yet been reported. Materials and Methods: A total of 518 GC patients receiving gastrectomy were enrolled. The analysis of 13 mutations of the ARID1A gene using mass spectrometric single-nucleotide polymorphism genotyping technology was conducted. The clinicopathological features of GC with and without ARID1A mutations were compared. Results: Among the 518 GC patients, 59 (11.4%) had ARID1A mutations. For diffuse-type GC, patients with ARID1A-mutated tumors were older and had fewer poorly differentiated tumors, fewer incidence of Epstein–Barr virus infection, a higher likelihood of ARID1A expression loss, more microsatellite instability-high tumors, a lower prevalence of peritoneal recurrence, and better survival rates than those with ARID1A nonmutant tumors. For intestinal-type GC, patients with ARID1A-mutant tumors had more PI3K/AKT pathway genetic mutations than patients with ARID1A nonmutant tumors. Multivariate analysis showed that ARID1A mutations are an independent prognostic factor in diffuse-type GC. Conclusion: ARID1A mutations are associated with a better prognosis in diffuse-type GC.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=3;spage=93;epage=100;aulast=Wuarid1a expressionarid1a mutation diffuse-typegastric cancerprognostic factor
spellingShingle Chia-Hung Wu
Chien-Hsun Tseng
Kuo-Hung Huang
Wen-Liang Fang
Ming-Huang Chen
Anna Fen-Yau Li
Chew-Wun Wu
The clinical significance of ARID1A mutations in gastric cancer patients
Formosan Journal of Surgery
arid1a expression
arid1a mutation
diffuse-type
gastric cancer
prognostic factor
title The clinical significance of ARID1A mutations in gastric cancer patients
title_full The clinical significance of ARID1A mutations in gastric cancer patients
title_fullStr The clinical significance of ARID1A mutations in gastric cancer patients
title_full_unstemmed The clinical significance of ARID1A mutations in gastric cancer patients
title_short The clinical significance of ARID1A mutations in gastric cancer patients
title_sort clinical significance of arid1a mutations in gastric cancer patients
topic arid1a expression
arid1a mutation
diffuse-type
gastric cancer
prognostic factor
url http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=3;spage=93;epage=100;aulast=Wu
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