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Molecular Alterations in Gastric Intestinal Metaplasia
 
 
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Review

Molecular Alterations in Gastric Preneoplastic Lesions and Early Gastric Cancer

by
Serena Battista
1,*,†,
Maria Raffaella Ambrosio
2,†,
Francesco Limarzi
3,†,
Graziana Gallo
4,† and
Luca Saragoni
3,†
1
Pathology Department, “S. Maria della Misericordia Hospital”, Friuli-Venezia Giulia, 33100 Udine, Italy
2
Pathology Department, “Az. USL, Tuscany North-West”, Tuscany, 56121 Pisa, Italy
3
Pathology Department, “G.B. Morgagni-L. Pierantoni Hospital”, Emilia-Romagna, 47121 Forlì, Italy
4
Pathology Department, “M. Bufalini Hospital”, Emilia Romagna, 47521 Cesena, Italy
*
Author to whom correspondence should be addressed.
On behalf of the Italian Research Group for Gastric Cancer (GIRCG).
Int. J. Mol. Sci. 2021, 22(13), 6652; https://doi.org/10.3390/ijms22136652
Submission received: 13 May 2021 / Revised: 11 June 2021 / Accepted: 15 June 2021 / Published: 22 June 2021
(This article belongs to the Special Issue Molecular Alterations in GastroIntestinal Pre-invasive Lesions)

Abstract

Prognosis of gastric cancer is dramatically improved by early diagnosis. Correa’s cascade correlates the expression of some molecular markers with the progression of preneoplastic lesions toward carcinoma. This article reviews the diagnostic and prognostic values of molecular markers in complete (MUC2) and incomplete (MUC2, MUC5AC, and MUC6) intestinal metaplasia, gastric dysplasia/intra-epithelial neoplasia, and early gastric cancer. In particular, considering preinvasive neoplasia and early gastric cancer, some studies have demonstrated a correlation between molecular alterations and prognosis, for example, mucins phenotype in gastric dysplasia, and GATA6, TP53 mutation/LOH and MUC6 in early gastric cancer. Moreover, this review considers novelties from the literature regarding the (immuno)histochemical characterization of diffuse-type/signet ring cell gastric cancer, with particular attention to clinical outcomes of patients. The aim of this review is the evaluation of the state of the art regarding suitable biomarkers used in the pre-surgical phase, which can distinguish patients with different prognoses and help decide the best therapeutic strategy.
Keywords: gastric preinvasive neoplasia; early gastric cancer; signet ring cell gastric carcinoma; mucins expression; molecular markers gastric preinvasive neoplasia; early gastric cancer; signet ring cell gastric carcinoma; mucins expression; molecular markers

Share and Cite

MDPI and ACS Style

Battista, S.; Ambrosio, M.R.; Limarzi, F.; Gallo, G.; Saragoni, L. Molecular Alterations in Gastric Preneoplastic Lesions and Early Gastric Cancer. Int. J. Mol. Sci. 2021, 22, 6652. https://doi.org/10.3390/ijms22136652

AMA Style

Battista S, Ambrosio MR, Limarzi F, Gallo G, Saragoni L. Molecular Alterations in Gastric Preneoplastic Lesions and Early Gastric Cancer. International Journal of Molecular Sciences. 2021; 22(13):6652. https://doi.org/10.3390/ijms22136652

Chicago/Turabian Style

Battista, Serena, Maria Raffaella Ambrosio, Francesco Limarzi, Graziana Gallo, and Luca Saragoni. 2021. "Molecular Alterations in Gastric Preneoplastic Lesions and Early Gastric Cancer" International Journal of Molecular Sciences 22, no. 13: 6652. https://doi.org/10.3390/ijms22136652

APA Style

Battista, S., Ambrosio, M. R., Limarzi, F., Gallo, G., & Saragoni, L. (2021). Molecular Alterations in Gastric Preneoplastic Lesions and Early Gastric Cancer. International Journal of Molecular Sciences, 22(13), 6652. https://doi.org/10.3390/ijms22136652

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