RT Journal Article SR Electronic T1 Clinicopathological Correlations of Autophagy-related Proteins LC3, Beclin 1 and p62 in Gastric Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 129 OP 136 VO 36 IS 1 A1 GO MASUDA A1 MASAKAZU YASHIRO A1 KISHU KITAYAMA A1 YUICHIRO MIKI A1 HIROAKI KASASHIMA A1 HARUHITO KINOSHITA A1 TAMAMI MORISAKI A1 TATSHUNARI FUKUOKA A1 TSUYOSHI HASEGAWA A1 KATSUNOBU SAKURAI A1 TAKAHIRO TOYOKAWA A1 NAOSHI KUBO A1 HIROAKI TANAKA A1 KAZUYA MUGURUMA A1 OHIRA MASAICHI A1 KOSEI HIRAKAWA YR 2016 UL http://ar.iiarjournals.org/content/36/1/129.abstract AB Aim: This study evaluated the clinicopathological significance of autophagy, an intracellular degradation system, in gastric cancer. Materials and Methods: The expression levels of three autophagy-related proteins, namely light chain 3 (LC3), Beclin 1 and p62, were analyzed by immunohistochemistry using samples from 510 patients with primary gastric cancer. Results: LC3, Beclin 1, and p62 expression was positive in 79 (15.5%), 126 (24.7%) and 251 (49.2%) out of 510 carcinomas, respectively. Autophagy was defined when samples were positive for at least two out of the three proteins. Autophagy-positive cases were 113 (22.1%) out of the 510. Autophagy determined by LC3, Beclin 1, and p62 significantly correlated with lymph node metastasis, vessel invasion, and hepatic metastasis. A Kaplan–Meier survival curve showed that autophagy was significantly associated with poor survival of patients with gastric cancer, especially for those with disease at stage I. Multivariate analysis indicated that autophagy was an independent prognostic factor. Conclusion: Autophagy promotes the progression of gastric cancer at an early clinical stage.