title: Expression of NF-kappaB and human telomerase reverse transcriptase in gastric cancer and precancerous lesions.
abstract: OBJECTIVE
  To investigate the expression of NF-kappaBp65 protein and human telomerase reverse transcriptase (hTERT) and their correlation in gastric cancer and precancerous lesions.
  
  
  METHODS
  Forty-one patients with primary gastric cancer, 15 with dysplasia, 23 intestinal metaplasia and 10 with normal gastric mucosa were included in this study. Expression of NF-kappaBp65 protein, hTERT mRNA and protein were determined by immunohistochemistry and in situ hybridization.
  
  
  RESULTS
  The rate of p65 expression in normal gastric mucosa, intestinal metaplasia, dysplasia and carcinoma was 0%, 34.78%, 53.33% and 60.98%, respectively, while the rate of hTERT mRNA expression was 10.00%, 39.13%, 66.67% and 85.37% and the rate of hTERT protein expression was 0%, 30.43%, 60.00% and 78.05%, respectively. All the three parameters were significantly increased in dysplasia and carcinoma compared to normal mucosa, while the expression levels were also significantly higher in carcinoma than in intestinal metaplasia (P<0.05). In gastric cancer tissues, nuclear staining rates of p65 and hTERT protein were both significantly associated with the degree of differentiation, lymph node metastasis, clinical stage and invasion depth (P<0.05). However, hTERT mRNA expression was only significantly associated with clinical stage. There was a positive correlation between p65 and hTERT mRNA (rs=0.661-0.752, P<0.01), and between hTERT protein and hTERT mRNA (rs=0.609-0.750, P<0.01).
  
  
  CONCLUSIONS
  NF-kappaBp65 and hTERT expressions are upregulated at the early stage of gastric carcinogenesis. NF-kappaB activation may contribute to hTERT expression and thereby enhance telomerase activity, which represents an important step in carcinogenesis progress.
authors.affiliation: Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: He-Sheng
authors.initials: HS
authors.lastname: Luo
authors.forename: Bao-Ping
authors.initials: BP
authors.lastname: Yu
mesh_terms: D004268:DNA-Binding Proteins; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology / Q000503:physiopathology; D015972:Gene Expression Regulation, Neoplastic; D006801:Humans; D017403:In Situ Hybridization; D008297:Male; D008875:Middle Aged; D016328:NF-kappa B / Q000235:genetics*; D011230:Precancerous Conditions / Q000473:pathology / Q000503:physiopathology*; D012333:RNA, Messenger / Q000032:analysis; D013274:Stomach Neoplasms / Q000473:pathology / Q000503:physiopathology*; D019098:Telomerase / Q000235:genetics*; D051996:Transcription Factor RelA
chemical_list: D004268:DNA-Binding Proteins; D016328:NF-kappa B; D012333:RNA, Messenger; D051996:Transcription Factor RelA; D019098:Telomerase