Lower sympathetic nervous system density and β-adrenoreceptor expression are involved in gastric cancer progression

Go Eun Bae, Hyun Soo Kim, Kyu Yeoun Won, Gou Young Kim, Ji Youn Sung, Sung Jig Lim

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Background/Aim: Identifying the role of the sympathetic nervous system (SNS) in tumor progression is among the most important challenges in cancer research. This study aimed to investigate the role of the SNS and β-adrenoreceptor in gastric cancer progression. Materials and Methods: The density of SNS was quantified by immunohistochemical staining for tyrosine hydroxylase in 115 surgically-resected gastric cancer specimens. Immunostaining for β1- and β2-adrenoreceptor was also performed to examine the β-adrenoreceptor expression status in gastric cancer. Then the association of protein expression status with histological grade, pathological tumor stage (pT), and pathological node stage of gastric cancer was investigated. Results: The SNS density of pT4 tumors was significantly lower than that of pT1-3 tumors. The SNS density was positively correlated with β1-adrenoreceptor expression status. In addition, lower β1-adrenoreceptor expression was significantly associated with increased lymph node metastasis. Reduced β2-adrenoreceptor staining proportion was significantly associated with worse histological grade. Furthermore, the proportion of β2- adrenoreceptor staining was significantly lower in tumors with diffuse-type histology, than those with intestinal-type histology. Conclusion: A lower SNS density and β- adrenoreceptor expression was associated with an aggressive oncogenic behavior including worse histological grade, advanced pT, and increased lymph node metastasis. SNS and β-adrenergic pathway are involved in the negative regulation of gastric cancer progression.

Original languageEnglish
Pages (from-to)231-236
Number of pages6
JournalAnticancer research
Issue number1
Publication statusPublished - 2019 Jan

Bibliographical note

Funding Information:
This work was supported by a grant from Kyung Hee University in 2015 (KHU-20152150).

Publisher Copyright:
© 2019 International Institute of Anticancer Research. All Rights Reserved.

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research


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