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Zagazig University Medical Journal
Zagazig University Medical Journal
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| Abstract: |
Background: The signaling pathway of Wnt/β-catenin is considered a hallmark of
cancer development in gastric cancer. It facilitates cancer stem progression, thus
leading to metastasis and therapy response resistance. Therefore, the therapeutic
prospect of agents that target this signaling pathway in carcinoma is a challenge.
Aim: evaluate the relationships between clinicopathological characteristics of gastric
cancer patients, diseaseprogression and therapy response with HMGA1, c-CBL and
TNFRSF11B expressions.
Results: The expressions of HMGA1, in gastric cancer were correlated with the
tumor size, LN metastases, stage, mortality and recurrence P (0.038, <0.001,0.006,
0.006 and 0.004) respectively ,the expression of TNFRSF11B was significantly
correlated with age, grade, stage ,LN metastases, stage AJCC, mortality and
recurrence P (0.024, <0.001, 0.01, <0.001, 0.003, 0.002 and 0.003) respectively, low
expression of c-CBL was significantly linked with size of tumor, grade, stage, LN
metastasis and AJCC staging. Moreover, the OS of patients with high HMGA1 and
TNFRSF11B strong tumors was significantly lower than that of patients with
negative tumors (p =, 005 Vs p=0.004) respectively. However, the expression of low
c-CBL in GC was correlated with de-differentiation, advanced stage, lymph nodes
metastasis, and distant metastases (p=0.004). However, High c-CBL expression was
linked with no tumor recurrence (p=0.002) and favorable survival rates (p<0.001).
Up-regulation of HMGA1 and TNFRSF11B had a significant association with poor
clinical response to the therapy respectively. However, that high c-CBL expression is
related to good response to therapy (p=0.002).
Conclusions: The HMGA1 and TNFRSF11B over expression hadan essential role in
gastric cancer development and progression. c-CBL expression negatively correlates
with tumor infiltration and
metastasis in lymph node, so they play role in prognosis and clinicalresponse
prediction in GC patients.
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