Tumor Biology

, Volume 35, Issue 7, pp 7047–7056 | Cite as

Expression of BAMBI and its combination with Smad7 correlates with tumor invasion and poor prognosis in gastric cancer

  • Yining Zhang
  • Zhaojin Yu
  • Qinghuan Xiao
  • Xuren Sun
  • Zhi Zhu
  • Junyan Zhang
  • Huimian Xu
  • Minjie Wei
  • Mingjun Sun
Research Article


Bone morphogenetic proteins and activin membrane-bound inhibitor (BAMBI) and drosophila mothers against decapentaplegic protein 7 (Smad7) are known to negatively regulate the transforming growth factor-β (TGF-β) signaling and play an important role in the progression of many malignant tumors. However, it remains unclear whether expression of BAMBI alone or in combination with Smad7 is associated with the progression of gastric cancer. In the present study, we investigated the expression of BAMBI and Smad7 in 276 cancer tissues and 263 tumor-adjacent tissues from gastric cancer patients, using tissue-microarray-based immunohistochemistry. The expression of BAMBI and Smad7 was significantly higher in cancer tissues than in tumor-adjacent tissues. The expression of BAMBI was significantly correlated with increased depth of invasion (P = 0.010), lymphatic invasion (P < 0.001), lymph node metastasis (P = 0.001), TNM stage (P = 0.008), and decreased differentiation (P = 0.046). The expression of BAMBI was associated with a significantly shorter overall survival (OS) (P = 0.006) and disease-free survival (DFS) (P = 0.011). The combined expression of BAMBI and Smad7 was associated with more invasion and metastasis as well as less survival time in gastric cancer patients. The univariate analysis showed that the expression of BAMBI alone or in combination with Smad7 was significantly associated with the OS and DFS. These findings suggest that BAMBI and Smad7 may cooperatively inhibit the TGF-β signaling, and thus promote the progression of gastric cancer.


BAMBI Smad7 Gastric cancer Immunohistochemistry Prognosis 



Bone morphogenetic proteins and activin membrane-bound inhibitor


Confidence interval




Disease-free survival


Overall survival


Relative risk


Drosophila mothers against decapentaplegic protein 7


Transforming growth factor-β


Wingless and INT-1



We would like to thank Dr. Lin Zhao from the Department of Pharmacology, School of Pharmaceutical Sciences, China Medical University for the help to statistical analysis. This study was supported, in part, by grants from Research Fund for the Doctoral Program in College of Chinese Education Department (No. 20102104110004) and scientific and technological projects of Liaoning Province Science and Technology Department (Nos. 2009225011-2 and 2013225049).

Conflicts of interest



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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2014

Authors and Affiliations

  • Yining Zhang
    • 1
  • Zhaojin Yu
    • 2
  • Qinghuan Xiao
    • 2
  • Xuren Sun
    • 3
  • Zhi Zhu
    • 3
  • Junyan Zhang
    • 3
  • Huimian Xu
    • 3
  • Minjie Wei
    • 2
    • 4
  • Mingjun Sun
    • 1
  1. 1.Department of Gastrointestinal EndoscopyThe First Affiliated Hospital of China Medical UniversityShenyang CityChina
  2. 2.Department of Pharmacology, School of Pharmaceutical SciencesChina Medical UniversityShenyangChina
  3. 3.Department of Surgical OncologyThe First Affiliated Hospital of China Medical UniversityShenyangChina
  4. 4.Institute of Pathology and PathophysiologyChina Medical UniversityShenyangChina

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