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Query: UMLS:C0024623 (
gastric cancer
)
36,219
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Cyclooxygenases catalyze the initial, rate-limiting steps of prostaglandin synthesis from arachidonic acid. Two isoforms of this enzyme exist in mammalian and avian species: COX-1 and
COX-2
. COX-1 is constitutively expressed and is the major isoform of gastrointestinal tissue.
COX-2
is induced in response to inflammatory stimuli.
COX-2
has been implicated in carcinogenesis of several neoplasms. Furthermore,
COX-2
over-expression has been noted in many solid tumours and has been correlated with a worse prognosis in colorectal cancer, non-small-cell lung cancer, mesothelioma and
gastric cancer
. In this review, the most recent findings on the mechanisms by which
COX-2
promote tumorigenesis are discussed, with particular emphasis on the studies involving spontaneous canine neoplasms.
...
PMID:COX-2 overexpression in canine tumors: potential therapeutic targets in oncology. 1613 11
It is known that hepatocyte growth factor binding to its receptor regulates
gastric cancer
progression and metastasis. HGF was found to up-regulate the expression of cyclooxygenase-2 gene and increases prostaglandin (PG) synthesis in gastric mucosa cells. Overexpression of
COX-2
and increased PG secretion have also been found to be involved in the regulation of growth and metastasis of
gastric cancer
. Results from this study showed that c-Met and
COX-2
are expressed in 28 cases (93.3%) and 16 cases (53.3%) of 30 human
gastric cancer
tissues, respectively. Expressions of c-Met positively correlated with that of
COX-2
(r=0.41; P=0.024). Using in vivo and in vitro models to further examine the interaction between c-MET and
COX-2
, we found that HGF stimulated the growth of SC-M1 cells in a dose-dependent manner.
COX-2
-specific inhibitor-NS398 inhibited the growth of human
gastric cancer
SC-M1 cells as well as HGF stimulated the growth of SC-M1 cells in a dose-dependent manner. HGF treatment of SC-M1 cells increased the secretion of PGE2 and this stimulation was blocked by NS398. In vivo SC-M1 tumor model showed that HGF stimulated the tumor growth and NS398 retarded the tumor growth. These results suggest that
COX-2
-specific inhibitors may play some role on the therapy of
gastric cancer
patients with high serum HGF level and overexpression of c-Met in tumor.
...
PMID:Effects of COX-2 inhibitor on growth of human gastric cancer cells and its relation to hepatocyte growth factor. 1624 30
Several observations imply that atypical rheumatic manifestations may be associated with occult neoplasia. A 71-year-old woman was admitted to the hospital three times in 2 years. Initially, she was admitted for investigation of an iron-deficient anemia associated with upper intestinal tract symptoms. Endoscopy revealed hiatus hernia, esophagitis, and duodenal ulcer with a Helicobacter pylori infection, but there were no signs of malignancy, and the patient received appropriate drug treatment. Two years later, she presented with arthralgias concerning the upper and lower limbs in an asymmetrical distribution, low fever, and persistence of the anemia, despite the treatment she had received and the fact that her gastrointestinal symptoms had long ceased. Immunological assays showed no specific rheumatic disorder, and the patient was discharged after showing significant improvement with the use of
COX-2
selective NSAIDs. Finally, 4 months later, she was readmitted with worsening of the arthralgias, arthritis in the right radiocarpal joint, and severe anemia. Hematemesis that occurred during her hospital stay led to an emergency endoscopy and the diagnosis of gastric adenocarcinoma. Only a few cases have been reported so far concerning rheumatic manifestations as signs of an occult
gastric cancer
. Thus, there must be some degree of suspicion when dealing with patients with anemia and rheumatic symptoms that cannot be classified into a particular rheumatologic entity, because they might conceal a gastrointestinal malignancy not yet evident.
...
PMID:Rheumatic-like syndrome as a symptom of underlying gastric cancer. 1657 85
Numerous cellular and molecular events have been described in development of
gastric cancer
. In this article, we overviewed roles of Helicobacter pylori (H pylori) infection on some of the important events in gastric carcinogenesis and discussed whether these cellular and molecular events are reversible after cure of the infection. There are several bacterial components affecting gastric epithelial kinetics and promotion of gastric carcinogenesis. The bacterium also increases risks of genetic instability and mutations due to NO and other reactive oxygen species. Epigenetic silencing of tumor suppressor genes such as RUNX3 may alter the frequency of phenotype change of gastric glands to those with intestinal metaplasia. Host factors such as increased expression of growth factors, cytokines and
COX-2
have been also reported in non-cancerous tissue in H pylori-positive subjects. It is noteworthy that most of the above phenomena are reversed after the cure of the infection. However, some of them including overexpression of
COX-2
continue to exist and may increase risks for carcinogenesis in metaplastic or dysplastic mucosa even after successful H pylori eradication. Thus, H pylori eradication may not completely abolish the risk for gastric carcinogenesis. Efficiency of the cure of the infection in suppressing
gastric cancer
depends on the timing and the target population, and warrant further investigation.
...
PMID:Helicobacter pylori eradication to prevent gastric cancer: underlying molecular and cellular mechanisms. 1658 33
Helicobacter pylori infection is recognized as the major cause of gastritis and
gastric cancer
; however, its role in the development of gastroesophageal reflux disease and Barrett's adenocarcinoma is unclear. The expression of NF-kappaB, AP-1, and
COX-2
may be important in inflammation and tumorigenesis in the esophagus. The aim of this study was to examine the effect of live H pylori or H pylori extract (HPE) on these factors in the esophageal epithelial cell lines SKGT-4 and OE33. NF-kappaB and AP-1 activity were assessed by gel shift assay and
COX-2
by Western blotting. Coculture of SKGT-4 and OE33 with live H pylori and HPE induced NF-kappaB and AP-1 DNA-binding activity, and also decreased IkappaB-alpha levels. Treatment with the specific MEK1/2 MAPK inhibitor PD98059, but not the p38 MAPK inhibitor SB203580, inhibited NF-kappaB and AP-1 activity. The antioxidant vitamin C inhibited H pylori-induced NF-kappaB activation, but increased AP-1 expression. Moreover, HPE induced
COX-2
expression and IL-8 production, and PD98059 inhibited
COX-2
expression, ERK1/2 phosphorylation, and IL-8 production. These data demonstrate that both live H pylori and HPE induce NF-kappaB and AP-1 expression in esophageal epithelial cells. The induction of such transcription factors may play a role in the specific immune response within Barrett's mucosa and may indirectly cause inflammation of the gastric cardia and the distal esophagus.
...
PMID:Helicobacter pylori extract induces nuclear factor-kappa B, activator protein-1, and cyclooxygenase-2 in esophageal epithelial cells. 1662 21
Gastric adenomas are rare neoplastic growths characterized by localized polypoid proliferations of dysplastic epithelium that tend to progress to infiltrating adenocarcinoma. Therefore, the identification of molecular markers that could reliably recognize adenomas at risk of progression is advocated in the clinical management. In this study we investigated, in a series of gastric adenoma specimens from an area at high risk of
gastric cancer
, the relationship between clinicopathological characteristics of adenoma and Helicobacter pylori infection, APC mutational status, and
COX-2
and the down-stream enzyme mPGES1 expression. Helicobacter pylori infection, detected in 24%, and 33% by histology and PCR analyses, respectively, did not show any relationship with growth pattern, localization, size, dysplasia grade and presence of synchronous cancer. Pathogenetic mutations of MCR region (codons 1269-1589) of the APC gene were detected only in one case corresponding to a single, small size, low grade, H. pylori-negative adenoma. The expression of
COX-2
largely matched that of mPGES(1). Both were overexpressed in 79% of cases showing a relationship with high-grade dysplasia, size >10 mm and presence of a synchronous carcinoma. In conclusion,
COX-2
may play a key role in the development and progression of gastric adenoma and could be an attractive target in the management of gastric adenoma at major risk of cancer development.
...
PMID:Gastric adenomas: relationship between clinicopathological findings, Helicobacter pylori infection, APC mutations and COX-2 expression. 1676 Feb 71
The antioxidant ferulic and caffeic acid phenolics are ubiquitous in plants and abundant in fruits and vegetables. We have synthesized a series of ferulic and caffeic acid esters and tested for tumor cell proliferation, cyclooxygenase enzymes (COX-1 and -2) and lipid peroxidation inhibitory activities in vitro. In the tumor cell proliferation assay, some of these esters showed excellent growth inhibition of colon cancer cells. Among the phenolics esters assayed, compounds 10 (C12-caffeate), 11 (C16-caffeate), 21 (C8-ferulate), and 23 (C12-ferulate) showed strong growth inhibition with IC50 values of 16.55, 13.46, 18.67, and 7.57 microg/mL in a breast cancer cell line; 9.65, 7.45, 17.05, and 4.35 microg/ mL in a lung cancer cell line; 5.78, 3.5, 4.29, and 2.46 microg/mL in a colon cancer cell line; 12.04, 12.21, 14.63, and 8.09 microg/ mL in a central nervous system cancer cell line; and 8.62, 7.76, 11.0, and 5.37 in a
gastric cancer
cell line. In COX enzyme inhibitory assays, ferulic and caffeic acid esters significantly inhibited both COX-1 and
COX-2
enzymes. Caffeates 5-10 (C4-C12), inhibited COX-1 enzyme between 50% and 90% and
COX-2
enzyme by about 70%, whereas ferulates 15-21 (C3-C8) inhibited COX-1 and
COX-2
enzymes by 85-95% 25 microg/mL. Long-chain caffeates 11-14 (C16-C22) and short-chain ferulates 15-20 (C3-C5) were the most active in lipid peroxidation inhibition and showed 60-70% activity at 5 microg/mL concentration.
...
PMID:Impact of alkyl esters of caffeic and ferulic acids on tumor cell proliferation, cyclooxygenase enzyme, and lipid peroxidation. 1684 20
It has been reported that p53 mutation may contribute to upregulate cyclooxygenase (COX)-2 expression that is observed in malignant tissues. These molecules are involved in carcinogenesis by affecting tumor cell proliferation. The aim of this study was to examine the relationship between
COX-2
or p53 expression and clinico-pathological characteristics including tumor cell proliferation in
gastric cancer
.
COX-2
and p53 expressions were investigated with immunostaining, in tissue specimens obtained from 119 patients who underwent surgery for
gastric cancer
. The Ki-67 labeling index (LI) was counted by Ki-67 immunostaining.
COX-2
and p53 expressions correlated significantly with depth of tumor invasion. However, there was no association between
COX-2
or p53 expression and survival. p53 expression did not correlate with
COX-2
expression. There was no significant difference in various clinicopathological variables between Ki-67 LI subgroups. The mean Ki-67 LI value of
COX-2
positive tumors was significantly higher than that of negative tumors. The mean Ki-67 LI value of p53 positive tumors was not significantly higher than that of negative tumors. The mean Ki-67 LI value of both
COX-2
and p53 positive tumors was significantly higher than that of both negative tumors. These results imply that
COX-2
expression is associated with tumor cell proliferation of
gastric cancer
.
...
PMID:Expression of cyclooxygenase-2, p53 and Ki-67 in gastric cancer. 1704 22
Recent studies have suggested that K-ras play an important role in the induction of
COX-2
expression in tumor cells. In the present study, tumor samples of 89
gastric cancer
patients were prepared in tissue microarrays and they were stained by immunohistochemistry with antibodies against
COX-2
and K-ras. We investigated the relationship between the protein expressions of
COX-2
and K-ras in
gastric cancer
and their significance as prognostic markers in
gastric cancer
patients. The over expression rate of
COX-2
and K-ras in
gastric cancer
was 61.8% and 61.8% (55/89) of all the patients, respectively. There was a significant positive correlation between
COX-2
and K-ras expression in
gastric cancer
.
COX-2
and K-ras positivity were correlated with depth of invasion and lymph node metastasis, respectively. K-ras positivity was correlated with growth pattern. Patients with
COX-2
and K-ras positive tumors had a poorer prognosis than those with
COX-2
and K-ras negative tumors. Over expression of
COX-2
and K-ras were closely correlated to prognostic of patients with
gastric cancer
and they educed synergistic effect with carcinogenesis and development in
gastric cancer
.
...
PMID:Correlation of COX-2 and K-ras expression to clinical outcome in gastric cancer. 1711 48
In this study, we analyzed the mechanisms of the apoptotic effects of celecoxib on
COX-2
deficient
gastric cancer
cell line, MGC-803. We found celecoxib treatment induced caspase-dependent apoptosis in MGC-803 cells. Celecoxib inhibited Ser473 Akt and Ser9 GSK3beta phosphorylation and induced upregulation of nonsteroidal anti-inflammatory drugs-activated gene-1 (NAG-1) expression. The effects of celecoxib on NAG-1 expression were abolished by pretreatment with GSK3beta inhibitor, SB216763. Furthermore, GSK3beta gene silencing by siRNA inhibited the celecoxib-induced NAG-1 expression. Our study demonstrated that Akt/GSK3beta/NAG-1 signal pathway may represent as the major mechanism of the
COX-2
-independent effects of celecoxib on
gastric cancer
cells.
...
PMID:Celecoxib induces apoptosis in COX-2 deficient human gastric cancer cells through Akt/GSK3beta/NAG-1 pathway. 1725 45
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