Molecular and histological evaluation of tumor necrosis factor-alpha expression in Helicobacter pylori-mediated gastric carcinogenesis

  • Cinghu Senthilkumar
  • , Sivasithambaram Niranjali
  • , Venkatraman Jayanthi
  • , Thiyagarajan Ramesh
  • , Halagowder Devaraj

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Purpose: Helicobacter pylori (H. pylori) is considered to be a major factor contributing to gastric mucosal damage by stimulating mucosal macrophage production of inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α), but the inflammatory responses within the gastric mucosa in vivo are not well known. Therefore, this study was designed to investigate the expression of TNF-α induced by H. pylori infection which is involved in the tumor initiation and promotion of gastric carcinogenesis. Methods: This study was carried out in 200 patients, consisting of normal gastric mucosa (n = 20), mucosa with chronic gastritis (n = 63), intestinal metaplasia (n = 20), dysplasia (n = 11), and gastric adenocarcinoma (n = 86), in which the H. pylori status has been analyzed. The expression of TNF-α was studied at mRNA as well as protein level using RT-PCR and western blotting, respectively. The localization of TNF-α was also studied semiquantitatively by immunohistochemistry. Results: The RT-PCR and western blotting results of TNF-α mRNA and protein expressions were significantly increased in chronic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma patients, respectively. Immunohistochemical study also showed the increased expression of TNF-α in the similar way. Conclusion: Over expression of TNF-α showed a significant severity-dose-response as risk markers from preneoplastic lesions to gastric cancer.

Original languageEnglish
Pages (from-to)577-583
Number of pages7
JournalJournal of Cancer Research and Clinical Oncology
Volume137
Issue number4
DOIs
StatePublished - Apr 2011
Externally publishedYes

Keywords

  • Gastric cancer
  • Helicobacter pylori
  • Tumor necrosis factor-alpha

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