Alteration of P53, hMLH1, and HER2 Gene in Bangladeshi Gastric Cancer Patients: Their Association with H. pylori Infection and Clinicopathological Factors.

Background: Gene alterations are required for the development of gastric cancer, which are influenced by environmental and host factors. We conducted the present study to find the status of Helicobacter pylori (H. pylori) infection and its association with altered genes P53, hMLH1, and HER2 in gastr...

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Published in:Middle East Journal of Cancer Vol. 12; no. 3; pp. 332 - 342
Main Authors: Rahman, M. Mizanur, Sultana, Gazi Nurun Nahar, Sarker, Mohammed Abu Kawsar, Hossain, Md. Monoar, Alam, Mohd. Sahajadul, Rahman, Md. Anisur, Ahad, Abdul, Islam, Md. Monzurul, Begum, Rokeya
Format: research tables/charts Journal Article
Published: Middle East Journal of Cancer Jul2021
Online Access:View this record in EBSCOhost
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      jtl: Middle East Journal of Cancer
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      dt: Jul2021
      vid: 12
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      pub: Middle East Journal of Cancer
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        10.30476/mejc.2020.84147.1207
        152750336
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        atl: Alteration of P53, hMLH1, and HER2 Gene in Bangladeshi Gastric Cancer Patients: Their Association with H. pylori Infection and Clinicopathological Factors.
      aug:
        au:
          Rahman, M. Mizanur
          Sultana, Gazi Nurun Nahar
          Sarker, Mohammed Abu Kawsar
          Hossain, Md. Monoar
          Alam, Mohd. Sahajadul
          Rahman, Md. Anisur
          Ahad, Abdul
          Islam, Md. Monzurul
          Begum, Rokeya
        affil: National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh
      sug:
        subj:
          Stomach Neoplasms Familial and Genetic
          Cancer Patients Bangladesh
          Gene Rearrangement
          Mutation
          Human
          Cross Sectional Studies
          Sequence Analysis
          Bangladesh
          Immunochemistry
          Helicobacter Infections Complications
          Antibodies, Bacterial
          Genetic Screening
          Chi Square Test
          Regression
          Descriptive Statistics
          Odds Ratio
      ab: Background: Gene alterations are required for the development of gastric cancer, which are influenced by environmental and host factors. We conducted the present study to find the status of Helicobacter pylori (H. pylori) infection and its association with altered genes P53, hMLH1, and HER2 in gastric cancer patients and to analyze their correlation with clinical, pathological, and environmental factors. Method: This was a cross-sectional study. For genetic (P53 and hMLH1) study of the gastrectomized tissue DNA extraction and optimization, we performed PCR amplification and DNA sequencing. HER2 was studied by immunochemical technique. The results were matched with tumor status, age and sex, smoking, and H. pylori antibody status of the patients to find their association. Results: The mean age of the patients was 52.91 (±13.94) years. Among the 45 patients selected for genetic tests, 12 aged 40 or more and 33 aged over 40. Among the genes, 33(73.3%) in P53 and 17(37.7%) in hMLH1 were mutated and 11(24.2%) in HER2 were found to be overexpressed. Chi square and regression analysis showed that they all had associations with H. pylori positivity (P < 0.05, odds ratio >1). hMLH1 was associated with the location of the tumor, smoking, sex, blood group, and age, and P53 was found to be affected by extra salt intake, sex, blood group, and age of the patients (P ≤ 0.05 ). Conclusion: Genetic mutation was found in nearly all the patients with gastric cancer, which was significantly associated with H. pylori infection. Mass eradication of this organism might play a role in reducing cancer incidence in Bangladesh.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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