Tumor Biology

, Volume 37, Issue 5, pp 6125–6133 | Cite as

Decreased expression of BRCA1-associated protein 1 predicts unfavorable survival in gastric adenocarcinoma

  • Shumei Yan
  • Fan He
  • Rongzhen Luo
  • Huini Wu
  • Mayan Huang
  • Chunyu Huang
  • Yong Li
  • Zhiwei Zhou
Original Article


BRCA1-associated protein 1 (BAP1) has been reported as a novel tumor suppressor, while in gastric adenocarcinoma, the function of this protein was still await to be uncovered. Based on a large group of patients with gastric adenocarcinoma, our study aimed to have a further understanding about the correlation of BAP1 expression and patients’ clinical outcomes. We performed quantitative PCR and Western blot to examine BAP1 expression in 38 cases of gastric adenocarcinoma samples and adjacent non-cancerous tissues. Immunochemistry was used to evaluate BAP1 expression in a large cohort of 474 paraffin-embedded specimens. The clinical and prognostic significance of BAP1 expression was statistically analyzed. Postoperative survival between groups was using Kaplan-Meier analysis. BAP1 was overexpressed in paracancerous normal mucosa compared with gastric cancer. Decreased BAP1 expression was associated with higher histologic grade (P = 0.044), tumor infiltration (P < 0.001), metastasis status (P = 0.023), and TNM stage (P < 0.001). Patients with low expression of BAP1 had shorter overall survival compared with those with high expression (P < 0.001). Patients’ survival in stage N0 could be stratified by the expression of BAP1. Multivariate analysis showed that in gastric adenocarcinoma, BAP1 expressing level was an independent prognostic factor (RR = 0.575, P < 0.001). Decreased expression of BAP1 suggests pessimistic prognosis for gastric adenocarcinoma patients. Further studies are warranted.


BAP1 Gastric adenocarcinoma Prognosis 



BRCA1-associated protein 1






Reverse transcription polymerase chain reaction


Western blot



This work was worked supported by the National Natural Science Foundation of China (No. 81172565 and No. 81202135).

Conflicts of interest


Supplementary material

13277_2015_3983_Fig5_ESM.jpg (24 mb)
Supplementary Figure 1

OS and FP curves for 593 gastric adenocarcinoma patients according to their BAP1 expression status (output from online Kaplan Meier plotter database). A. OS curves: patients with low (n=296) and high (n=297) expression levels of BAP1 respectively. B. FP curves: the first time when tumor progression was detected among patients with low and high expression levels of BAP1 respectively (JPEG 23.9 MB)


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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  1. 1.State Key Laboratory of Oncology in South China, Department of Pathology, Collaborative Innovation Center for Cancer MedicineSun Yat-sen University Cancer CenterGuangzhouChina
  2. 2.Department of Molecular OncologyH. Lee Moffitt Cancer Center & Research InstituteTampaUSA
  3. 3.Department of Biological ScienceUniversity of IllinoisChicagoUSA
  4. 4.Department of EndoscopySun Yat-sen University Cancer CenterGuangzhouChina
  5. 5.State Key Laboratory of Oncology in South China, Department of Gastric and Pancreatic Surgery, Collaborative Innovation Center for Cancer MedicineSun Yat-sen University Cancer CenterGuangzhouChina

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