Prognostic Significance of HMGA1, c-CBL and TNFRSF11B Expression in Gastric Adenocarcinoma

Faculty Medicine Year: 2024
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Zagazig University Medical Journal Zagazig University Medical Journal Volume:
Keywords : Prognostic Significance , HMGA1, c-CBL , TNFRSF11B Expression    
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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