Digestive Diseases and Sciences

, Volume 56, Issue 6, pp 1645–1655 | Cite as

Increased Expression of Cellular Repressor of E1A-Stimulated Gene (CREG) in Gastric Cancer Patients: A Mechanism of Proliferation and Metastasis in Cancer

  • Ling Xu
  • Feng Wang
  • Hua Liu
  • Xuan-Fu Xu
  • Wen-Hui Mo
  • Yu-Jing Xia
  • Rong Wan
  • Xing-Peng Wang
  • Chuan-Yong Guo
Original Article



The cellular repressor of E1A-stimulated genes (CREG), a secreted glycoprotein, has been studied with human embryonic carcinoma cells, vascular smooth muscle cells, and NIH3T3 fibroblasts. However, its relationship to tumor cell proliferation and metastasis has not been examined in human gastric cancers (GC) until now.


To investigate the expression of CREG in GC and its association with GC cell proliferation and metastasis.


Forty-two cases of GCs, matched normal gastric tissues, and the human gastric cancer cell lines BGC-823, SGC-7901, MKN45, normal gastric mucosa cell line GES, and HUVEC cell line ECV304 were used to analyze CREG expression at the level of mRNA and protein. The expression of CREG was then further examined by immunohistochemistry in 42 GC tissues, and the correlation between the level of CREG and the pathological and clinical data was evaluated. Finally, we down-regulated the expression of CREG in GC cells with specific siRNA, and assessed the role of CREG in the proliferation and metastasis/invasion of the GC cell line.


The level of CREG was found to be higher in malignant GC tissues and cells compared to adjacent normal tissues and normal gastric cells (p < 0.001). Additionally, the expression levels of CREG were positively correlated with tumor clinical stage (p = 0.001), tumor metastasis (p < 0.001), and stages of tumor infiltration (p = 0.019). Furthermore, by using siRNA, we found that the down-regulated expression of CREG inhibited the proliferation of GC cells (p < 0.05), and migration of both GC cells (p = 0.001).


Our data suggest that CREG plays an important role in gastric cancer cell proliferation and metastasis and that CREG may be a potential therapeutic target for GC.


CREG Stomach neoplasm Neoplasm metastasis Small interfering RNA 



This research was supported in part by grants from Biomedical Project Science Technology Committee of Shanghai (08411963000). The authors thank Miss Yong Hua for excellent advice and critical reading of this paper and Miss Natchar Ratanasirigulchai for proofreading of the manuscript.

Supplementary material

10620_2010_1510_MOESM1_ESM.pdf (49 kb)
Supplementary material 1 (PDF 48 kb)


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Ling Xu
    • 1
  • Feng Wang
    • 1
  • Hua Liu
    • 1
  • Xuan-Fu Xu
    • 1
  • Wen-Hui Mo
    • 1
  • Yu-Jing Xia
    • 1
  • Rong Wan
    • 1
  • Xing-Peng Wang
    • 1
  • Chuan-Yong Guo
    • 1
  1. 1.Department of Gastroenterology, Shanghai Tenth People’s HospitalTongji University School of MedicineShanghaiChina

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