Expression of the phosphoinositide 3-kinase p110δ isoform and its clinicopathological significance in gastric cancer

Byounghoon Ji, Hyoun Wook Lee, Eun Hee Lee, Moon Il Park, Mee Seon Kim, Kyungeun Kim, Mee Sook Roh, Seok Hyun Kim, Jun Ho Ji, Kwang Min Kim, Jieun Oh, Yong Seok Kim, Seong Hee Choi

Research output: Contribution to journalArticlepeer-review

Abstract

Protein p110δ is an isoform of the catalytic subunit of class I phosphoinositide 3-kinases (PI3Ks). PI3Ks are involved in the regulation of cell survival, growth, proliferation, and migration, and have been implicated in the oncogenesis of hematologic malignancies. In this study, we evaluated the expression of p110δ in gastric cancer (GC) and its association with various clinicopathological factors and patient survival. One hundred seventy-four GC cases, included in our previous tissue microarray blocks, were immunohistochemically stained for p110δ. Of the 174 tumors, 158 (90.8%) were positive for p110δ. The rate of p110δ positive GCs was significantly higher in those with diffuse type (P=0.018), larger tumor size (P=0.002), lymphovascular invasion (P=0.012), and advanced pT (P < 0.001), pN (P < 0.001), and TNM stages (P < 0.001). In addition, the p110δ-positive group had poorer overall survival (P=0.002) and recurrence-free survival (P=0.075) than that of the negative group. However, multivariate analysis showed that p110δ was not an independent prognostic factor. Our results suggest that p110δ can play an important role in GC oncogenesis and is a promising therapeutic target in GC. Additional studies on the use of p110δ-specific inhibitors, and the possibility of p110δ immunostaining as a prognostic or predictive biomarker in solid cancers, including GC, are recommended.

Original languageEnglish
Pages (from-to)9415-9421
Number of pages7
JournalInternational Journal of Clinical and Experimental Pathology
Volume9
Issue number9
StatePublished - 2016

Keywords

  • Gastric cancer
  • Immunohistochemistry
  • P110δ
  • PI3K
  • Prognosis

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