Studies in gastric carcinogenesis. IV. O6-methylguanine and its repair in normal and atrophic biopsy specimens of human gastric mucosa. Correlation of O6-alkylguanine-DNA alkyltransferase activities in gastric mucosa and circulating lymphocytes

DNA extracted from biopsies of normal or atrophic gastric mucosa obtained from 20 individuals was analysed for the presence of the precarcinogenic alkylation lesion O6-methylguanine by a recently developed, highly sensitive assay based on repair by the Escherichia coli O6-alkylguanine-DNA alkyltransferase (AGT) enzyme in competition with a radiolabelled oligonucleotide containing O6-methylguanine (O6-meG). With a limit of detection of 0.5 fmol O6-meG in 10 micrograms DNA, only one DNA sample (derived from a region of the stomach with advanced chronic atrophic gastritis) was found marginally positive, containing 0.52 fmol/10 micrograms DNA (8.3 X 10(-8) mol O6-meG/mol guanine). Measurements of AGT in 49 biopsies of normal, atrophic, hyperplastic or dysplastic mucosa obtained from the gastric antrum or corpus of 18 individuals did not reveal any significant effects of mucosal histology on AGT. The average AGT value found was 6.9 +/- 3.5 (SD) fmol/micrograms DNA, which is lower than the values reported for a number of other human tissues (liver, small intestine and lung). Measurement of AGT levels in gastric mucosa and circulating lymphocytes of the same individuals revealed a positive correlation (P less than 0.005), suggesting that lymphocytes may serve as a useful surrogate marker for AGT activity in gastric mucosa in studies of the epidemiology of this important repair enzyme.

Mucosal hyperplastic polyps of the stomach. Do they have any potential to malignancy?

Gastric mucosal polyps were studied in gastric biopsies, taken from 481 patients who had been operated on for benign peptic ulcer. The material was classified according to the type of operation in the following 4 groups: Billroth-II resection, gastroenterostomy, pyloroplasty with vagotomy and Billroth-I resection. As control group served 1520 nonoperated patients with no ulcer or malignancy. The diagnosed polyps were classified in inflammatory, hyperplastic and neoplastic. Neoplastic polyps were observed only in the nonoperated stomachs with an incidence of 0.5%. The incidence of the hyperplastic polyps was 12.1% for Billroth-II resection, 14.9% for gastroenterostomy and 2.6% for the control group, with a significant difference between the operated and the nonoperated stomachs. The hyperplastic polyps constituted the commonest histological type of polyp in all the groups. The majority of them was observed close to the gastroenterostomy and it seems that there is a relation between their frequency and the time elapsed after the operation. A high degree of epithelial dysplasia in hyperplastic polyps was found in 22.2% of Billroth-II resection patients, in 6.3% of gastroenterostomy patients and in only 2.6% of the control group, with a significant difference between the operated and the nonoperated stomachs.