Background
Gastric cancer (GC) is a world health problem and it is the third leading cause of cancer deaths worldwide. The current practice for prognosis assessment in GC is based on radiological and pathological criteria and they may not result in an accurate prognosis. The aim of this study is to evaluate expression and copy number variation of the ADAR gene in advanced GC and clarify its correlation with survival and histopathological characteristics.
Methods
Forty two patients with stage III and IV GC were included in this study. ADAR gene expression and copy number variation were measured by real-time PCR and Quantitative multiplex fluorescent-PCR, respectively. Survival analysis performed based on the Kaplan–Meier method and Mantel–Cox test.
Results
ADAR mRNA was significantly overexpressed in the tumor tissues when compared to the adjacent normal tissues (p <0.01). Also, ADAR expression level in stage IV was higher than stage III. 40% of patients showed amplification in ADAR gene and there was a positive correlation between ADAR copy number and expression. Increased ADAR expression was clearly correlated with poorer survival outcomes and Mantel–Cox test showed statistically significant differences between low and high expression groups (p <0.0001). ADAR overexpression and amplification were significantly associated with metastasis, size and stage of tumor.
Conclusions
Together, our data indicate that amplification leads to over expression of ADAR and it could be used as a prognostic biomarker for disease progression, especially for the metastatic process in GC.
Keywords
Gastric cancer, ADAR gene, Overexpression, Amplification, Prognosis

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On 06 May, 2020
On 04 May, 2020
Received 04 May, 2020
Received 30 Apr, 2020
On 23 Apr, 2020
Invitations sent on 22 Apr, 2020
On 21 Apr, 2020
On 20 Apr, 2020
On 20 Apr, 2020
Posted 27 Jan, 2020
On 05 Mar, 2020
Received 04 Mar, 2020
On 04 Mar, 2020
Received 22 Feb, 2020
On 08 Feb, 2020
Invitations sent on 05 Feb, 2020
On 22 Jan, 2020
On 22 Jan, 2020
On 21 Jan, 2020
On 21 Jan, 2020
On 06 May, 2020
On 04 May, 2020
Received 04 May, 2020
Received 30 Apr, 2020
On 23 Apr, 2020
Invitations sent on 22 Apr, 2020
On 21 Apr, 2020
On 20 Apr, 2020
On 20 Apr, 2020
Posted 27 Jan, 2020
On 05 Mar, 2020
Received 04 Mar, 2020
On 04 Mar, 2020
Received 22 Feb, 2020
On 08 Feb, 2020
Invitations sent on 05 Feb, 2020
On 22 Jan, 2020
On 22 Jan, 2020
On 21 Jan, 2020
On 21 Jan, 2020
Background
Gastric cancer (GC) is a world health problem and it is the third leading cause of cancer deaths worldwide. The current practice for prognosis assessment in GC is based on radiological and pathological criteria and they may not result in an accurate prognosis. The aim of this study is to evaluate expression and copy number variation of the ADAR gene in advanced GC and clarify its correlation with survival and histopathological characteristics.
Methods
Forty two patients with stage III and IV GC were included in this study. ADAR gene expression and copy number variation were measured by real-time PCR and Quantitative multiplex fluorescent-PCR, respectively. Survival analysis performed based on the Kaplan–Meier method and Mantel–Cox test.
Results
ADAR mRNA was significantly overexpressed in the tumor tissues when compared to the adjacent normal tissues (p <0.01). Also, ADAR expression level in stage IV was higher than stage III. 40% of patients showed amplification in ADAR gene and there was a positive correlation between ADAR copy number and expression. Increased ADAR expression was clearly correlated with poorer survival outcomes and Mantel–Cox test showed statistically significant differences between low and high expression groups (p <0.0001). ADAR overexpression and amplification were significantly associated with metastasis, size and stage of tumor.
Conclusions
Together, our data indicate that amplification leads to over expression of ADAR and it could be used as a prognostic biomarker for disease progression, especially for the metastatic process in GC.
Keywords
Gastric cancer, ADAR gene, Overexpression, Amplification, Prognosis

Figure 1

Figure 2

Figure 3

Figure 4
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