Klinik Araştırma

Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study

Cilt: 35 Sayı: 1 28 Şubat 2025
Abdi İbrahim Sönmez *, Alper Sevinc , İbrahim Sarı , İrfan Koruk , Musa Aydınlı , Serdar Öztuzcu , Beyhan Cengiz
PDF İndir
EN

Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study

Öz

ABSTRACT BACKGROUND: Stomach cancer is one of the most common gastrointestinal tract tumors. Its incidence varies according to ethnic group, geographical conditions, dietary habits, economic status, lifestyle and Helicobacter pylori prevalence. Genetic factors play a major role in the pathogenesis of gastric cancer, and the human epidermal growth factor receptor 2 Her2/neu (c-erb B2) gene is one of these factors. METHOD: The objective of this study is to compare any correlation between the amplification level of Her2/neu gene in gastric cancer by real-time polymerase chain reaction (RT-PCR) with Her2 protein overexpression obtained from the same tissue and studied with immunohistochemisry (IHC), and in the event of positivity, to determine its relationshipwith other known prognostic factors such as age, gender, stage, tumor localization and histological type. RESULTS: IHC results indicated Her2 overexpression in 5 (10%) patients and RT-PCRindicated amplification also in 5 (10%) patients. There was no significant correlation between the results determined by the two methods (p> 0.05). Additionally, no statistically significant difference was detected between prognostic factors and gene expressions in tumor tissues (p> 0.05). CONCLUSION: Her2 gene amplification and protein overexpression can potentially contribute to tumor development. Further studies are needed to evaluate false negativity, investigate patient survival in terms of its contribution to prognosis, and corroborate our hypothesis.

Anahtar Kelimeler

Gastric cancer, Her2 (c-erb B2), RT-PCR, IHC

Destekleyen Kurum

yok

Teşekkür

We thank Esma Özkara from biology department for all help in our study.

Kaynakça

  1. 1. Machlowska J, Baj J, Sitarz M, Maciejewski R, Sitarz R. Gastric Cancer: Epidemiology, Risk Factors, Classification, Genomic Characteristics and Treatment Strategies. Int J Mol Sci. 2020 Jun 4;21(11):4012.
  2. 2. Gravalos C, Jimeno A. Her2 in gastric cancer: a new prognostic factor and a novel therapeutic target. Ann Oncol. 2008;19(9): 1523-1529.
  3. 3. Smyth EC, Nilsson M, Grabsch HI, van Grieken NC, Lordick F. Gastric cancer. Lancet. 2020 Aug 29;396(10251):635-648.
  4. 4. Yang WJ, Zhao HP, Yu Y, Wang JH, Guo L, Liu JY, et al. Updates on global epidemiology, risk, and prognostic factors of gastric cancer. World J Gastroenterol. 2023 Apr 28;29(16):2452-2468.
  5. 5. Nemtsova MV, Kuznetsova EB, Bure IV. Chromosomal Instability in Gastric Cancer: Role in Tumor Development, Progression, and Therapy. Int J Mol Sci. 2023 Nov 30;24(23):16961.
  6. 6. Christodoulidis G, Koumarelas KE, Kouliou MN, Thodou E, Samara M. Gastric Cancer in the Era of Epigenetics. Int J Mol Sci. 2024 Mar 16;25(6):3381.
  7. 7. Friedlaender A, Subbiah V, Russo A, Banna GL, Malapelle U, Rolfo C et al. EGFR and HER2 exon 20 insertions in solid tumors: from biology to treatment. Nat Rev Clin Oncol. 2022 Jan;19(1):51-69.
  8. 8. Valenza C, Guidi L, Battaiotto E, Trapani D, Sartore Bianchi A, Siena S et al. Targeting HER2 heterogeneity in breast and gastrointestinal cancers. Trends Cancer. 2024 Feb;10(2):113-123.
  9. 9. Okines AF, Cunningham D. Transtuzumab in gastric cancer. Eur J Cancer 2010;46(11): 1949-1959.
  10. 10. Kang Y, Bang Y, Lordick F, Park SR, Sawaki A, Chung HC, et al. Incidence of gastric and gastro-esophageal cancer in the ToGA trial: correlation with HER2 positivity 2008 Gastrointestinal Cancers Symposium. 75 (Abstr 11).

Kaynak Göster

APA
Sönmez, A. İ., Sevinc, A., Sarı, İ., Koruk, İ., Aydınlı, M., Öztuzcu, S., & Cengiz, B. (2025). Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study. Genel Tıp Dergisi, 35(1), 21-30. https://doi.org/10.54005/geneltip.1441657
AMA
1.Sönmez Aİ, Sevinc A, Sarı İ, vd. Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study. Genel Tıp Derg. 2025;35(1):21-30. doi:10.54005/geneltip.1441657
Chicago
Sönmez, Abdi İbrahim, Alper Sevinc, İbrahim Sarı, vd. 2025. “Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study”. Genel Tıp Dergisi 35 (1): 21-30. https://doi.org/10.54005/geneltip.1441657.
EndNote
Sönmez Aİ, Sevinc A, Sarı İ, Koruk İ, Aydınlı M, Öztuzcu S, Cengiz B (01 Şubat 2025) Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study. Genel Tıp Dergisi 35 1 21–30.
IEEE
[1]A. İ. Sönmez vd., “Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study”, Genel Tıp Derg, c. 35, sy 1, ss. 21–30, Şub. 2025, doi: 10.54005/geneltip.1441657.
ISNAD
Sönmez, Abdi İbrahim - Sevinc, Alper - Sarı, İbrahim - Koruk, İrfan - Aydınlı, Musa - Öztuzcu, Serdar - Cengiz, Beyhan. “Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study”. Genel Tıp Dergisi 35/1 (01 Şubat 2025): 21-30. https://doi.org/10.54005/geneltip.1441657.
JAMA
1.Sönmez Aİ, Sevinc A, Sarı İ, Koruk İ, Aydınlı M, Öztuzcu S, Cengiz B. Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study. Genel Tıp Derg. 2025;35:21–30.
MLA
Sönmez, Abdi İbrahim, vd. “Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study”. Genel Tıp Dergisi, c. 35, sy 1, Şubat 2025, ss. 21-30, doi:10.54005/geneltip.1441657.
Vancouver
1.Abdi İbrahim Sönmez, Alper Sevinc, İbrahim Sarı, İrfan Koruk, Musa Aydınlı, Serdar Öztuzcu, Beyhan Cengiz. Evaluation of Her2 Positivity in Gastric Cancer Using Two Different Methods: A Prospective Study. Genel Tıp Derg. 01 Şubat 2025;35(1):21-30. doi:10.54005/geneltip.1441657