Expression of Alpha Methylacyl CoA Racemase (AMACR) in Gastric Adenocarcinoma and Its Correlation with Helicobacter pylori Infection
Introduction: Gastric cancer develops in a multistep progression and is determined by genetic and environmental factors. Overexpression of Alpha Methylacyl CoA Racemase (AMACR) is useful in diagnosis of prostate cancer. There is plenty of genetic alteration that occurs in gastric adenocarcinoma....
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-10-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/8721/19539_CE(RA1)_F(T)_PF1(AHAK)_PFA(AK)_PF2(P_PR).pdf |
Summary: | Introduction: Gastric cancer develops in a multistep progression
and is determined by genetic and environmental factors. Overexpression of Alpha Methylacyl CoA Racemase (AMACR) is
useful in diagnosis of prostate cancer. There is plenty of genetic
alteration that occurs in gastric adenocarcinoma. The present
study was planned to determine if AMACR can be used as a
diagnostic marker in gastric adenocarcinoma similar to prostate
cancer.
Aim: To study the expression of AMACR in gastric adenocarcinoma and correlate its expression with density of Helicobacter
pylori.
Materials and Methods: This cross-sectional, prospective study
was conducted from August 2013-2015. Fifty gastric cancer
biopsies were taken. Adjacent biopsy from normal/reactive
mucosa was also taken from 21 cases. Samples were stained
with H&E for morphological details, Loeffler’s methylene blue for
Helicobacter pylori and immunohistochemistry (IHC) was done to
check for the expression of AMACR proteins.
Statistical analysis was done using chi square test, Spearman's
correlation coefficient and Fisher’s exact test. The p-value ≤ 0.05
was taken as critical level of significance.
Results: Overexpression of AMACR was observed in 88.89%
of intestinal type and 78.05% of diffuse type adenocarcinoma.
AMACR expression was significantly less in adjacent reactive/
dysplastic mucosa. Helicobacter pylori were seen in 8/9 (88.89%)
and 35/41(85.36%) cases of intestinal adenocarcinoma and
diffuse adenocarcinoma respectively. When grades of Helicobacter
pylori were compared with the positivity of AMACR, no significant
association and correlation was found.
Conclusion: The expression of AMACR in neoplastic tissue
was significantly higher as compared to adjacent dysplastic,
reactive or normal tissue. Thus, IHC for AMACR can be used for
differentiating the cases of reactive atypia from early neoplastic
lesions similar to its role in prostatic tissue. Helicobacter pylori
does not affect the expression of AMACR in neoplastic gastric
lesions. |
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ISSN: | 2249-782X 0973-709X |