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Erschienen in: Virchows Archiv 5/2016

07.03.2016 | Original Article

A high number of IgG4-positive cells in gastric cancer tissue is associated with tumor progression and poor prognosis

verfasst von: Kozo Miyatani, Hiroaki Saito, Yuki Murakami, Joji Watanabe, Hirohiko Kuroda, Tomoyuki Matsunaga, Yoji Fukumoto, Tomohiro Osaki, Yuji Nakayama, Yoshihisa Umekita, Masahide Ikeguchi

Erschienen in: Virchows Archiv | Ausgabe 5/2016

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Abstract

IgG4-related disease is a newly defined disease characterized by elevated serum IgG4 levels and infiltration of affected organs by IgG4-positive plasma cells. Recently, increased IgG4 levels were reported to be closely related with malignancy. To assess the relationship between IgG4 and the progression of gastric cancer, we immunohistochemically stained in this study gastric cancer tissue samples for IgG4-positive cells using an anti-IgG4 antibody. In addition, pre- and postoperative serum concentrations of IgG4 were measured, using an enzyme-linked immunosorbent assay. In gastric cancer samples, the number of CD138-positive plasma cells was significantly lower and the number of IgG4-positive cells significantly higher than in non-cancerous gastric mucosa. The number of IgG4-positive cells was significantly correlated with gross tumor appearance, tumor depth, lymph node metastasis, venous invasion, and lymphatic invasion. Prognosis was significantly poorer in patients with a high number of IgG4-positive cells than in those with a low number. Multivariate analysis indicated that both the number of IgG4-positive cells and the depth of tumor invasion were independently prognostic of survival. In conclusion, in gastric cancer, the number of IgG4-positive cells is increased and this is closely associated with gastric cancer progression.
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Metadaten
Titel
A high number of IgG4-positive cells in gastric cancer tissue is associated with tumor progression and poor prognosis
verfasst von
Kozo Miyatani
Hiroaki Saito
Yuki Murakami
Joji Watanabe
Hirohiko Kuroda
Tomoyuki Matsunaga
Yoji Fukumoto
Tomohiro Osaki
Yuji Nakayama
Yoshihisa Umekita
Masahide Ikeguchi
Publikationsdatum
07.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Virchows Archiv / Ausgabe 5/2016
Print ISSN: 0945-6317
Elektronische ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-016-1914-0

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