Abstract
Background
Surgical impact may be associated with enhanced tumor growth and chemoresistance. This study aimed to evaluate the effect of surgical impact on the mRNA expression of survivin, epidermal growth factor receptor (EGFR), and human epidermal receptor (HER2) in tumors after pneumoperitoneum versus laparotomy.
Methods
Nude mice were inoculated intraperitoneally with human gastric cancer cells (MKN45). Then laparotomy, carbon dioxide (CO2) pneumoperitoneum, and anesthesia alone were performed randomly, after which EGFR, HER2, and survivin mRNA expression using reverse transcription-polymerase chain reaction (RT-PCR) was evaluated.
Results
The expression of EGFR and HER2 mRNA increased significantly after the experiment. However, it was higher after laparotomy than after CO2 pneumoperitoneum at almost all examined time points. Survivin mRNA expression increased significantly in the first 48 h, then returned to the control level. It was higher after laparotomy than after CO2 pneumoperitoneum 48 h after the surgical procedures.
Conclusion
The expression of EGFR, HER2, and survivin increased after each surgical procedure. However it was lower after CO2 pneumoperitoneum than after laparotomy. This might be associated with changes in the chemosensitivity of the remnant cancer cells after surgery, supporting the use of minimally invasive surgery for cancer.
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Acknowledgment
This work was supported in part by a Grant-in-Aid for Scientific Research (no. 050916) from the Ministry of Education, Science, Culture, and Sports, Japan.
Disclosures
Anwar Tawfik Amin, Norio Shiraishi, Shigeo Ninomiya, Masaaki Tajima, Masafumi Inomata, and Seigo Kitano have no conflict of interest or financial ties to disclose.
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Amin, A.T., Shiraishi, N., Ninomiya, S. et al. Increased mRNA expression of epidermal growth factor receptor, human epidermal receptor, and survivin in human gastric cancer after the surgical stress of laparotomy versus carbon dioxide pneumoperitoneum in a murine model. Surg Endosc 24, 1427–1433 (2010). https://doi.org/10.1007/s00464-009-0793-8
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DOI: https://doi.org/10.1007/s00464-009-0793-8