Genetic variants in cyclooxygenase-2: Expression and risk of gastric cancer and its precursors in a Chinese population

Gastroenterology. 2006 Jun;130(7):1975-84. doi: 10.1053/j.gastro.2006.03.021.


Background & aims: To screen the genetic variants in cyclooxygenase-2 (COX-2), and evaluate their effects on COX-2 expression and risk of gastric cancer (GC) and its precursors, a population-based study was conducted in Linqu County, Shangdong Province, an area of China, a high-risk area of GC.

Methods: Genotypes were determined by polymerase chain reaction (PCR)-based denaturing high-performance liquid chromatography analysis in 248 GC cases and 1523 subjects with precancerous gastric lesions. COX-2 expression was detected by immunohistochemical analysis of biopsy specimens of 593 subjects selected at random from 1523 subjects. COX-2 transcriptional activity was examined by luciferase reporter gene assay.

Results: We found an increased risk of GC in subjects with -1195 AA genotype (adjusted odds ratio [OR], 2.33; 95% confidence interval [CI]: 1.45-3.75). Stratified analysis indicated that an elevated risk of GC was observed in subjects carrying the AA genotype and Helicobacter pylori infection (OR, 3.88; 95% CI: 1.46-10.34) or smoking (OR, 7.02; 95% CI: 2.19-22.48), and a high expression of COX-2 was found in subjects with AA genotype (OR, 1.84; 95% CI: 1.09-3.10) compared with GG genotype. The prevalence of COX-2 expression positivity varied markedly by histologic status, and the OR (OR, 5.35; 95% CI: 2.64-10.8) was significantly increased for dysplasia compared with superficial gastritis/chronic atrophic gastritis. Furthermore, tissue homogenate with H pylori infection could significantly stimulate COX-2 promoter activity driven by -1195A compared with the -1195G containing counterparts.

Conclusions: These findings suggest that COX-2 polymorphisms may play an important role, at least in part, in developing GC in this high-risk population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Base Sequence
  • China / epidemiology
  • Confidence Intervals
  • Cross-Sectional Studies
  • Cyclooxygenase 2 / genetics*
  • Female
  • Gene Expression Regulation, Neoplastic
  • Genetic Predisposition to Disease / epidemiology*
  • Genetic Testing
  • Genetic Variation
  • Genotype
  • Helicobacter Infections / epidemiology
  • Helicobacter Infections / genetics*
  • Helicobacter Infections / pathology
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Neoplasm Staging
  • Odds Ratio
  • Polymerase Chain Reaction
  • Precancerous Conditions / genetics
  • Precancerous Conditions / pathology
  • Prevalence
  • Risk Assessment
  • Sex Distribution
  • Stomach Neoplasms / epidemiology*
  • Stomach Neoplasms / genetics*
  • Stomach Neoplasms / pathology


  • Cyclooxygenase 2