Expression of chemotherapy resistance associated proteins including excision repair cross⁃complementation group 1 in gastric cancer patients with perineural invasion
Objective:To investigate the expressions of proteins associated with chemotherapy resistance including excision repair cross-complementation group 1(ERCC1) in gastric cancer patients perineural invasion(PNI). Methods:A retrospective study was conducted in 242 patients with gastric adenocarcinoma. The expressions of tubulin β3,thymidylate synthase(TS),P-glycoprotein,topoisomerase 2-alpha(TOP2A) and ERCC1 were detected by immunohistochemistry in paraffin-embedded tumor tissues and were compared between patients with and without PNI. Results:PNI was detected in 108 patients(44.6%),and the proportions of patients with the longest diameter of tumor ≥5 cm,poor histological differentiation,lymphovascular invasion and TNM stages of Ⅲ~Ⅳ were significantly higher in these patients than those in patients without PNI(P < 0.05). The high expression rate of ERCC1 in patients with PNI was significantly higher than those in those without PNI(63.9% vs. 46.5%,P < 0.05),and this difference was mainly found in subgroups of male(64.8% vs. 43.1%,P=0.026) and poor differentiation(76.3% vs. 42.9%,P=0.006). The high expression rates of tubulin β3,TS,P-glycoprotein and TOP2A were not significantly different between these two groups(P > 0.05). Conclusion:Gastric cancer patients with PNI had an increased expression level of ERCC1 protein,indicating the possible mechanism of poor chemotherapy effect induced by PNI.