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Updated: May 24, 2026

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
Published on: May 10, 2024
Genetic susceptibility on CagA-interacting molecules and gene-environment interaction with phytoestrogens: a putative
Jae Jeong Yang1, Lisa Y Cho, Kwang-Pil Ko
1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Objectives:
To evaluate whether genes that encode CagA-interacting molecules (SRC, PTPN11, CRK, CRKL, CSK, c-MET and GRB2) are associated with gastric cancer risk and whether an interaction between these genes and phytoestrogens modify gastric cancer risk.
Methods:
In the discovery phase, 137 candidate SNPs in seven genes were analyzed in 76 incident gastric cancer cases and 322 matched controls from the Korean Multi-Center Cancer Cohort. Five significant SNPs in three genes (SRC, c-MET and CRK) were re-evaluated in 386 cases and 348 controls in the extension phase. Odds ratios (ORs) for gastric cancer risk were estimated adjusted for age, smoking, H. pylori seropositivity and CagA strain positivity. Summarized ORs in the total study population (462 cases and 670 controls) were presented using pooled- and meta-analysis. Plasma concentrations of phytoestrogens (genistein, daidzein, equol and enterolactone) were measured using the time-resolved fluoroimmunoassay.
Results:
SRC rs6122566, rs6124914, c-MET rs41739, and CRK rs7208768 showed significant genetic effects for gastric cancer in both the pooled and meta-analysis without heterogeneity (pooled OR = 3.96 [95% CI 2.05-7.65], 1.24 [95% CI = 1.01-1.53], 1.19 [95% CI = 1.01-1.41], and 1.37 [95% CI = 1.15-1.62], respectively; meta OR = 4.59 [95% CI 2.74-7.70], 1.36 [95% CI = 1.09-1.70], 1.20 [95% CI = 1.00-1.44], and 1.32 [95% CI = 1.10-1.57], respectively). Risk allele of CRK rs7208768 had a significantly increased risk for gastric cancer at low phytoestrogen levels (p interaction<0.05).
Conclusions:
Our findings suggest that SRC, c-MET and CRK play a key role in gastric carcinogenesis by modulating CagA signal transductions and interaction between CRK gene and phytoestrogens modify gastric cancer risk.
Insights
Genes SRC, c-MET, and CRK are linked to gastric cancer risk. The CRK gene
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Gastric cancer is a significant global health concern.
- Helicobacter pylori CagA protein is a key virulence factor in gastric carcinogenesis.
- Genes encoding CagA-interacting molecules are potential risk factors for gastric cancer.
Purpose of the Study:
- To investigate the association between seven CagA-interacting molecule genes (SRC, PTPN11, CRK, CRKL, CSK, c-MET, GRB2) and gastric cancer risk.
- To determine if phytoestrogens modify the risk of gastric cancer associated with these genes.
Main Methods:
- Candidate single nucleotide polymorphisms (SNPs) in seven genes were analyzed in a Korean cohort.
- Case-control study involving 462 gastric cancer cases and 670 controls.
- Pooled and meta-analysis were used to estimate odds ratios (ORs) for gastric cancer risk.
- Plasma phytoestrogen concentrations were measured.
Main Results:
- SNPs in SRC (rs6122566, rs6124914), c-MET (rs41739), and CRK (rs7208768) were significantly associated with gastric cancer risk.
- The risk allele of CRK rs7208768 showed increased gastric cancer risk at low phytoestrogen levels.
- No significant heterogeneity was observed in the meta-analysis.
Conclusions:
- SRC, c-MET, and CRK genes play a role in gastric carcinogenesis through modulation of CagA signal transduction.
- The interaction between the CRK gene and phytoestrogens influences gastric cancer risk.
- These findings highlight potential genetic and environmental factors in gastric cancer development.
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