TY - JOUR
T1 - A GG allele of 3′-side AKT1 SNP is associated with decreased AKT1 activation and better prognosis of gastric cancer
AU - Wang, Xiaoting
AU - Lin, Youdong
AU - Lan, Fenghua
AU - Yu, Yinghao
AU - Ouyang, Xuenong
AU - Wang, Xuzhou
AU - Huang, Qiaojia
AU - Wang, Lie
AU - Tan, Jianming
AU - Zheng, Feng
PY - 2014/8
Y1 - 2014/8
N2 - Purpose: v-akt Murine thymoma viral oncogene homolog (AKT) pathway is critically involved in cancer cell growth, invasion, and survival. We examined the correlation between the genetic variations in molecules of AKT pathway and clinical outcomes of gastric cancer. Patients and methods: Six single nucleotide polymorphisms (SNPs) located in the four core genes of AKT pathway, namely the PIK3CA, PTEN, AKT1, and mTOR, were determined in 221 patients with stage T2 and T3 gastric cancer. Additionally, the activation of AKT1 in gastric cancer tissues was examined by immunostaining. The correlation between SNPs, AKT activation, and the progress of gastric cancer was analyzed after an average of 51-month follow-up. Results: The overall recurrence and survival rate in this study group were 54.8 and 46.6 %, respectively. The recurrence rate was reduced 30.4 %, and the survival rate was increased 33.7 % in patients with GG allele of a 3′-side AKT1 SNP (rs2498804). Significantly, GG allele was associated with lower AKT1 activation in gastric cancer tissues. On the contrary, CC allele of PTEN (rs701848) was associated with the increased risk of recurrence (hazard ratio [HR] 2.06, 95 % CI 1.19-3.58) and patient death (HR 2.01, 95 % CI 1.15-3.53). Conclusions: The genetic variants in the PI3K/PTEN/AKT especially the GG allele in 3′ side of AKT1 are closely related to clinical outcomes of gastric cancer.
AB - Purpose: v-akt Murine thymoma viral oncogene homolog (AKT) pathway is critically involved in cancer cell growth, invasion, and survival. We examined the correlation between the genetic variations in molecules of AKT pathway and clinical outcomes of gastric cancer. Patients and methods: Six single nucleotide polymorphisms (SNPs) located in the four core genes of AKT pathway, namely the PIK3CA, PTEN, AKT1, and mTOR, were determined in 221 patients with stage T2 and T3 gastric cancer. Additionally, the activation of AKT1 in gastric cancer tissues was examined by immunostaining. The correlation between SNPs, AKT activation, and the progress of gastric cancer was analyzed after an average of 51-month follow-up. Results: The overall recurrence and survival rate in this study group were 54.8 and 46.6 %, respectively. The recurrence rate was reduced 30.4 %, and the survival rate was increased 33.7 % in patients with GG allele of a 3′-side AKT1 SNP (rs2498804). Significantly, GG allele was associated with lower AKT1 activation in gastric cancer tissues. On the contrary, CC allele of PTEN (rs701848) was associated with the increased risk of recurrence (hazard ratio [HR] 2.06, 95 % CI 1.19-3.58) and patient death (HR 2.01, 95 % CI 1.15-3.53). Conclusions: The genetic variants in the PI3K/PTEN/AKT especially the GG allele in 3′ side of AKT1 are closely related to clinical outcomes of gastric cancer.
KW - AKT1 SNP (rs2498804)
KW - Clinical outcome
KW - Gastric cancer
KW - PI3K/PTEN/AKT/mTOR
KW - SNPs
UR - https://www.scopus.com/pages/publications/84904300803
U2 - 10.1007/s00432-014-1663-x
DO - 10.1007/s00432-014-1663-x
M3 - 文章
C2 - 24737346
AN - SCOPUS:84904300803
SN - 0171-5216
VL - 140
SP - 1399
EP - 1411
JO - Journal of Cancer Research and Clinical Oncology
JF - Journal of Cancer Research and Clinical Oncology
IS - 8
ER -
