|Table of Contents|

Expression and significance of FXR and CDX2 in gastric mucosal intestinal metaplasia and gastric carcinoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2020 06
Page:
967-972
Research Field:
Publishing date:

Info

Title:
Expression and significance of FXR and CDX2 in gastric mucosal intestinal metaplasia and gastric carcinoma
Author(s):
Shi Miao1Sun Nina2Liu Caifang2Ni Zhen34Han Chuan35Zhang Jian3Yuan Ting36Shi Yongquan3
1.Department of Gastroenterology,the Second Affiliated Hospital of Xi'an Medical University,Shaanxi Xi'an 710038,China;2.The First Affiliated Hospital of Xi'an Medical University,Shaanxi Xi'an 710000,China;3.State Key Laboratory of Cancer Biology & Xijin
Keywords:
bile acidfarnesoid X receptor(FXR)caudal type homeobox 2(CDX2)intestinal metaplasiagastric carcinoma
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2020.06.020
Abstract:
Objective:To investigate the expression and significance of farnesoid X receptor (FXR) and caudal type homeobox 2(CDX2) in the gastric mucosal intestinal metaplasia (IM) and gastric carcinoma.Methods:Immunohistochemical staining was used to detect the expression of FXR and CDX2 in 30 cases of chronic gastritis,50 cases of IM and 60 cases of gastric cancer.The chi-square test was used to compare the expression differences of FXR and CDX2 in each group,and the relationship between the expression of FXR and CDX2 and the clinicopathological parameters of intestinal metaplasia and gastric cancer patients was analyzed.Spearman rank correlation test was used to analyze the correlation between the FXR and CDX2 expression.Results:The high expression rates of FXR in IM and gastric cancer tissues were 58.0% and 38.3%,respectively,which were significantly higher than those in chronic gastritis (13.3%) (P<0.05).Compared with IM tissues,FXR expression was significantly decreased in gastric cancer tissues (P=0.040).High expression of FXR was associated with IM degree (moderate to severe of degree)(P=0.025) of patients with IM.High expression of FXR was associated with differentiation status (moderate or well of differentiation) (P=0.003) of patients with gastric cancer.The high expression rates of CDX2 in IM and gastric cancer tissues were 46.0% and 26.7%,respectively,which were significantly higher than those in chronic gastritis (6.7%) (P<0.05).Compared with IM tissues,CDX2 expression was significantly decreased in gastric cancer tissues (P=0.035).High expression of CDX2 was associated with IM degree (moderate to severe of degree) (P=0.004) of patients with IM.High expression of CDX2 was associated with differentiation status (moderate or well of differentiation) (P<0.001) of patients with gastric cancer.There was a significant positive correlation between FXR and CDX2 expression in chronic gastritis,IM and gastric cancer tissues (P<0.001).Conclusion:FXR and CDX2 are up-regulated in IM and gastric cancer tissues and have a significant positive correlation.They may be involved in the occurrence and development of IM and gastric cancer.

References:

[1]Yang L,Zheng R,Wang N,et al.Incidence and mortality of stomach cancer in China,2014[J].Chin J Cancer Res,2018,30(3):291-298.
[2]ZHENG RS,SUN KX,ZHANG SW,et al.Analysis of the prevalence of malignant tumors in China in 2015[J].Chin J Oncol,2019,41(1):19-28.[郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28.]
[3]Correa P.A human model of gastric carcinogenesis[J].Cancer Res,1988,48(13):3554-3560.
[4]Li D,Bautista Mc,Jiang SF,et al.Risks and predictors of gastric adenocarcinoma in patients with gastric intestinal metaplasia and dysplasia:A population-based study[J].Am J Gastroenterol,2016,111(8):1104-1113.
[5]Song H,Ekheden IG,Zheng Z,et al.Incidence of gastric cancer among patients with gastric precancerous lesions:Observational cohort study in a low risk Western population[J].BMJ,2015(351):h3867.
[6]Barros R,Freund JN,David L,et al.Gastric intestinal metaplasia revisited:Function and regulation of CDX2[J].Trends Mol Med,2012,18(9):555-563.
[7]Mizoshita T,Inada K,Tsukamoto T,et al.Expression of Cdx1 and Cdx2 mRNAs and relevance of this expression to differentiation in human gastrointestinal mucosa-with special emphasis on participation in intestinal metaplasia of the human stomach[J].Gastric Cancer,2001,4(4):185-191.
[8]Silberg DG,Sullivan J,Kang E,et al.Cdx2 ectopic expression induces gastric intestinal metaplasia in transgenic mice[J].Gastroenterology,2002,122(3):689-696.
[9]Mutoh H,Hakamata Y,Sato K,et al.Conversion of gastric mucosa to intestinal metaplasia in Cdx2-expressing transgenic mice[J].Biochem Biophys Res Commun,2002,294(2):470-479.
[10]Jiang JX,Liu Q,Zhao B,et al.Risk factors for intestinal metaplasia in a southeastern Chinese population:An analysis of 28,745 cases[J].J Cancer Res Clin Oncol,2017,143(3):409-418.
[11]Karimi P,Islami F,Anandasabapathy S,et al.Gastric cancer:Descriptive epidemiology,risk factors,screening,and prevention[J].Cancer Epidemiol Biomarkers Prev,2014,23(5):700-713.
[12]Li S,Chen X,Zhou L,et al.Farnesoid X receptor signal is involved in deoxycholic acid-induced intestinal metaplasia of normal human gastric epithelial cells[J].Oncol Rep,2015,34(5):2674-2682.
[13]Jia W,Xie G,Jia W.Bile acid-microbiota crosstalk in gastrointestinal inflammation and carcinogenesis[J].Nat Rev Gastroenterol Hepatol,2018,15(2):111-128.
[14]Donkers JM,Roscam Abbing RLP,van de Graaf SFJ,et al.Developments in bile salt based therapies:A critical overview[J].Biochem Pharmacol,2019(161):1-13.
[15]Zhou H,Ni Z,Li T,et al.Activation of FXR promotes intestinal metaplasia of gastric cells via SHP-dependent upregulation of the expression of CDX2[J].Oncol Lett,2018,15(5):7617-7624.
[16]Liu X,Chen B,You W,et al.The membrane bile acid receptor TGR5 drives cell growth and migration via activation of the JAK2/STAT3 signaling pathway in non-small cell lung cancer[J].Cancer Lett,2018(412):194-207.
[17]QIAN H,WANG H,NIU GL,et al.Clinicopathological significance and correlation of EGFR and CDX2 expression in colorectal adenocarcinoma[J].China Journal of Modern Medicine,2018,28(28):39-44.[钱红,王辉,牛国梁,等.结直肠腺癌EGFR、CDX2表达的临床病理意义及相互关系[J].中国现代医学杂志,2018,28(28):39-44.]
[18]Satoh K,Mutoh H,Eda A,et al.Aberrant expression of CDX2 in the gastric mucosa with and without intestinal metaplasia:Effect of eradication of Helicobacter pylori[J].Helicobacter,2002,7(3):192-198.
[19]Dixon MF,Genta RM,Yardley JH,et al.Classification and grading of gastritis.The updated Sydney System.International Workshop on the Histopathology of Gastritis,Houston 1994[J].Am J Surg Pathol,1996,20(10):1161-1181.
[20]CHEN J,XU ZY.Expression and correlation of SOX9 and CDX2 genes in gastric mucosal lesions[J].International Journal of Digestive Diseases,2018,38(05):340-343.[陈吉,徐征宇.胃黏膜病变过程中SOX9、CDX2基因的表达及相关性研究[J].国际消化病杂志,2018,38(05):340-343.]
[21]MIN YL.The role and mechanism of HNF4α on CDX2 in bile acid induced gastric intestinal metaplasia[D].Yinchuan:Ningxia Medical University,2018.[闵亚莉.HNF4α在胆汁酸诱导的胃黏膜肠上皮化生中对CDX2的作用及机制[D].银川:宁夏医科大学,2018.]
[22]Lee BH,Kim N,Lee HS,et al.The role of CDX2 in intestinal metaplasia evaluated using immunohistochemistry[J].Gut Liver,2012,6(1):71-77.
[23]ZHANG D,KE L,SHI YQ.Attach importance to follow-up and detection of intestinal metaplasia of gastric mucosa[J].Chinese Journal of Digestion,2015,35(3):155-157.[张迪,柯丽,时永全.重视胃黏膜肠上皮化生的随访与检测[J].中华消化杂志,2015,35(3):155-157.]
[24]Mutoh H,Sakurai S,Satoh K,et al.Development of gastric carcinoma from intestinal metaplasia in Cdx2-transgenic mice[J].Cancer Res,2004,64(21):7740-7747.
[25]Liu Q,Teh M,Ito K,et al.CDX2 expression is progressively decreased in human gastric intestinal metaplasia,dysplasia and cancer[J].Mod Pathol,2007,20(12):1286-1297.
[26]Qin R,Wang NN,Chu J,et al.Expression and significance of homeodomain protein Cdx2 in gastric carcinoma and precancerous lesions[J].World J Gastroenterol,2012,18(25):3296-3302.
[27]Deuschle U,Schüler J,Schulz A,et al.FXR controls the tumor suppressor NDRG2 and FXR agonists reduce liver tumor growth and metastasis in an orthotopic mouse xenograft model[J].PLoS One,2012,7(10):e43044.
[28]SU LN,LIU XQ,LV LF,et al.Expression and significance of FXR in gastric mucosal intestinal metaplasia and gastric cancer[J].Advances in Modern Biomedicine,2014,14(10):1875-1878.[苏林娜,刘向强,吕丽芬,等.FXR在胃粘膜肠化生及胃癌中的表达及其意义研究[J].现代生物医学进展,2014,14(10):1875-1878.]
[29]De Gottardi A,Dumonceau JM,Bruttin F,et al.Expression of the bile acid receptor FXR in Barrett's esophagus and enhancement of apoptosis by guggulsterone in vitro[J].Mol Cancer,2006(5):48.
[30]Erice O,Labiano I,Arbelaiz A,et al.Differential effects of FXR or TGR5 activation in cholangiocarcinoma progression[J].Biochim Biophys Acta Mol Basis Dis,2018,1864(4 Pt B):1335-1344.
[31]Matsuhisa T,Arakawa T,Watanabe T,et al.Relation between bile acid reflux into the stomach and the risk of atrophic gastritis and intestinal metaplasia:A multicenter study of 2283 cases[J].Dig Endosc,2013,25(5):519-525.
[32]Tatsugami M,Ito M,Tanaka S,et al.Bile acid promotes intestinal metaplasia and gastric carcinogenesis[J].Cancer Epidemiol Biomarkers Prev,2012,21(11):2101-2107.
[33]Yu JH,Zheng JB,Qi J,et al.Bile acids promote gastric intestinal metaplasia by upregulating CDX2 and MUC2 expression via the FXR/NF-κB signalling pathway[J].Int J Oncol,2019,54(3):879-892.

Memo

Memo:
National Natural Science Foundation of China(No.81873554);国家自然科学基金项目(编号:81873554);陕西省创新能力支撑计划项目(编号:2018TD-003)
Last Update: 2020-01-21