Abstract. The highest risk areas of gastric cancer are currently Japan, Korea and China; Qinghai, a high-altitude area, has one of the highest gastric cancer rates in China. The incidence of gastric cancer is higher in the Tibetan ethnic group compared to that in the Han ethnic group in Qinghai. This study was conducted to determine the clinical characteristics of mitochondrial DNA (mtDNA) mutations and copy numbers among Tibetans with gastric cancer residing at high altitudes and investigate the association between adaptations to hypoxic conditions and oncogenesis. A total of 23 Tibetan gastric cancer patients and 40 matched controls were recruited in this study. Leukocyte mtDNA genes and copy numbers were analyzed. The haplogroups were classified based on mitochondrial gene sequences. A total of 56.5% of the study participants had used alcohol at some point in their lives and 73.9% were positive for Helicobacter pylori (H. pylori). Eight mutations in 8 mitochondrial genes were identified in 43.4% of the Tibetan cancer patient group. There were no significant differences in leukocyte mtDNA copy number levels based on smoking status, alchohol consumption, obesity or H. pylori infection between the control and cancer groups. Statistical differences were also not found between gastric cancer patients with and those without mtDNA mutations. The majority of Tibetan patients with gastric cancer belonged to the mitochondrial haplogroup M9. In conclusion, Tibetans with gastric cancer residing at high altitudes exhibited a wide spectrum of mtDNA mutations. However, leukocyte mtDNA copy numbers in stage II gastric cancer were not statistically different compared to those in healthy Tibetans.
IntroductionDespite a sharp decline in the incidence and mortality rates of gastric cancer, this condition remains the second leading cause of cancer-related mortality worldwide, following lung cancer. Gastric cancer is frequently diagnosed at an advanced stage. The 5-year survival rate is ~20% in developing countries (1). There is a wide variation in the incidence of gastric cancer in different geographical regions. The highest risk areas with an age-standardized incidence rate are Japan, Korea and China (2). The distribution of gastric cancer is not uniform across China. In particular, gastric cancer is the leading type of cancer in Qinghai, a high-altitude area in Northwest China. Moreover, the Chinese National Cancer Center in 2012 reported that Qinghai has one of the highest rates of gastric cancer in China. The incidence of gastric cancer is higher in the Tibetan compared to that in the Han ethnic group in Qinghai, a finding that has attracted significant attention over the last few years.The marked variation of gastric cancer risk in different geographical areas and the striking differences in potential environmental risk factors between regions prompted the investigation of gastric cancer etiology. Mitochondria are semi-autonomous organelles within cells that play an essential role in cellular energy metabolism, generation of...