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Clinical characteristics and prognostic significance of TCGA and ACRG classification in gastric cancer among the Chinese population

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机构: [1]Department of Thoracic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031 [2]Third Department of General Surgery,The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, P.R. China [3]Department of Clinical Nutrition, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, P.R. China
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关键词: gastric cancer Asian Cancer Research Group The Cancer Genome Atlas Consortium next-generation sequencing immunohistochemical staining prognosis

摘要:
Molecular classifications of gastric cancer (GC) by the Asian Cancer Research Group (ACRG) and The Cancer Genome Atlas Consortium (TCGA) are useful for diagnosis and treatment of GC. However, their clinical significance is unknown. The present study aims to explore the associations between subtypes of GC and prognosis of patients with GC. Immunohistochemistry (IHC) was used in the ACRG molecular classification of GC, while next-generation sequencing technology was used in TCGA molecular classification. The results indicated that, out of a total of 65 cases of GC, some were classified as Epstein-Barr virus positive type (9.2%, 6 of 65), some as microsatellite instability (MSI) type (23.1%, 15 of 65), some as gene stable type (21.5%, 14 of 65) and some as chromosome instability type (46.2%, 30 of 65) according to TCGA typing standard. Of the total 65 GC cases, some were classified as MSI (21.5%, 14 of 65), some as microsatellite stable/epithelial-mesenchymal transition (MSS/EMT; 20.0%, 13 of 65), some as MSS/tumor protein 53 active (TP53(+); 15.4%, 10 of 65) and some as MSS/TP53 inactive (43.1%, 28 of 65) according to ACRG typing standard. ARCG molecular subtype (P=0.010) and Lauren classification (P=0.011) were independently correlated with the overall survival of patients with GC. In conclusion, TCGA classification based on a Chinese population is the same as TCGA typing based on a European population in terms of proportion and clinical characteristics, but there are differences in gene amplification and gene mutation. ACRG molecular classification could be performed by IHC analysis and may be a valuable independent prognostic marker for patients with GC.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
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出版当年[2020]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Q4 ONCOLOGY
最新[2023]版:
Q2 MEDICINE, RESEARCH & EXPERIMENTAL Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Thoracic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031 [2]Third Department of General Surgery,The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, P.R. China
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通讯机构: [2]Third Department of General Surgery,The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, P.R. China [*1]Third Department of General Surgery, The Fourth Hospital of Hebei Medical University, 14 Jiankang Road, Shijiazhuang, Hebei 050011, P.R. China
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