Our previous studies demonstrated that expression and interaction of p16 with anion exchanger 1 (AE1) in gastric cancer cells is correlated with progression and shorter survival of the cancer. In this article, the effects of gastrin on p16 and AE1 and its implication in prevention and treatment of gastric cancer were studied by molecular biology techniques, animal experiment and clinical analysis. The results showed that expression of p16 in human gastric body carcinoma was downregulated along with the progression of the cancer, suggesting the reverse correlations between gastrin and p16 in vivo. Further experiments indicated that gastrin suppressed the expression of p16 via the p16 promoter and thereafter resulted in the degradation of AE1 in gastric cancer cells. Silencing of AE1 or p16 significantly inhibited the proliferation of the cancer cells. Using a xenograft tumor model in nude mice, we showed that experimental systemic hypergastrinemia induced by the administration of omeprazole led to decreased expression of AE1 and p16 as well as to a marked growth inhibition of SGC7901 tumors. It is concluded that a moderate plasma gastrin level is beneficial to the growth inhibition of gastric cancer by suppressing the expression of AE1 and p16. This finding may have an important implication for the prevention and treatment of cancers arise in the gastric antrum.Anion exchanger 1 (AE1) is abundantly expressed in erythrocytes and efficiently contributes to intracellular pH regulation and homeostasis of erythrocytes by catalyzing the reversible exchange of Cl À /HCO À 3 across the plasma membrane.
1,2Structural analysis has revealed that AE1 consists of a N-terminal cytoplasmic domain, a multispanning membrane domain and an acidic short C-terminal cytoplasmic domain.
3The C-terminal region of AE1 contains the binding sites for tumor suppressor p16, which has been reported in our previous paper.
4The p16 negatively regulates the cell cycle. Abnormal expression of p16 has been demonstrated in a variety of cancer cells.5-8 Functional inactivation of the p16 gene induced by several factors has been shown in many different types of human carcinomas.9-11 However, recent studies revealed that overexpression of the p16 protein in cytoplasm of cancer cells is associated with the tumor progression and poor prognosis, suggesting that cytoplasmic distribution of p16 might indicate an inactive form of the protein. [12][13][14][15] Our previous studies demonstrated that expression and interaction of p16 with AE1 in gastric cancer cells is correlated with progression and shorter survival of the cancer.12,16 Thus, how AE1/p16 becomes involved in the carcinogenesis of gastric cancer needs further elucidation.Gastrin is expressed primarily in G cells located in the gastric antrum and to a lesser in the duodenum and is involved in gastric acid production. 17 Another physiologic role of gastrin is in regulating the proliferation of gastric mucosal cells which has led to investigations into its effects on stimulating tumor cell growth.1...