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Updated: Sep 29, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
ras Gene mutations and expression of Ras signal transduction mediators in gastric adenocarcinomas
Jinyoung Yoo1, Sonya Y Park, Robert A Robinson
1Department of Pathology, St Vincent's Hospital, Catholic University, Suwon, Kyungkido, South Korea.
Objective:
To investigate ras gene alteration in human gastric adenocarcinomas and its potential relationship to ras signal transduction mediators.
Design:
Genomic DNA from 104 gastric tumors were analyzed by sequencing of polymerase chain reaction-amplified products for the presence of ras mutations. All the samples were further investigated with the use of immunohistochemical analysis for ERK1 and ERK2.
Setting:
Tertiary care teaching hospital.
Patients:
Seventy patients from a Korean population and 34 from a Midwestern US population composed of white Americans and African Americans.
Results:
Fifteen tumors (14%) were positive for either H-ras or K-ras mutation: 9 (13%) of 70 Korean patients and 6 (18%) of 34 US patients. Seven (78%) of the 9 mutated tumors from Korean patients and all 6 (100%) from the US patients were intestinal-type lesions. Either ERK1 and/or ERK2 was overexpressed in 68 samples (65%). No association was established between ras mutations and overexpression of ERK1/2. However, the correlation between ERK1/2 and progression (early vs late) was statistically significant (P =.007).
Conclusions:
These data suggest that ras mutations are uncommon in gastric adenocarcinomas and that differing racial and/or geographic mechanisms may not underlie ras gene alteration. Most ras mutations were, however, observed in the group of intestinal-type samples, supporting the different genetic mechanisms of carcinogenesis between the intestinal- and diffuse-type tumors. It is noteworthy that enhanced ERK1/2 activity could be one of the characteristics of tumor invasiveness in gastric cancers.
Insights
Ras gene mutations are uncommon in gastric adenocarcinomas, with most found in intestinal-type tumors. Enhanced ERK1/2 activity may indicate tumor invasiveness in gastric cancer.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Background:
- Ras gene mutations are implicated in various cancers.
- Understanding ras gene alterations in gastric adenocarcinoma is crucial for targeted therapies.
- Signal transduction pathways involving ERK1 and ERK2 play roles in cell proliferation and differentiation.
Purpose of the Study:
- To investigate the frequency and patterns of ras gene alterations in human gastric adenocarcinomas.
- To explore the potential relationship between ras gene mutations and ras signal transduction mediators, specifically ERK1 and ERK2.
- To examine racial and geographic variations in ras gene alterations in gastric cancer.
Main Methods:
- Genomic DNA from 104 gastric tumors (70 Korean, 34 US) was analyzed for ras mutations using polymerase chain reaction (PCR) and sequencing.
- Immunohistochemical analysis was performed to detect the expression of ERK1 and ERK2.
- Statistical analysis was used to assess correlations between ras mutations, ERK1/2 expression, and clinicopathological features.
Main Results:
- Ras mutations (H-ras or K-ras) were detected in 14% of gastric tumors (13% in Korean, 18% in US patients).
- The majority of ras mutations (78-100%) occurred in intestinal-type gastric lesions.
- ERK1 and/or ERK2 overexpression was observed in 65% of samples, but no direct association with ras mutations was found. However, ERK1/2 expression correlated significantly with tumor progression (P =.007).
Conclusions:
- Ras mutations are relatively infrequent in gastric adenocarcinomas and do not appear to be driven by distinct racial or geographic mechanisms.
- The higher prevalence of ras mutations in intestinal-type tumors suggests different carcinogenic pathways compared to diffuse-type tumors.
- Enhanced ERK1/2 activity may be a characteristic feature associated with tumor invasiveness in gastric cancers, independent of ras mutation status.
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