Abstract
Our previous studies revealed that cytokine induced apoptosis inhibitor 1 (CIAPIN1), which was
reported to be essential in mouse definitive hematopoiesis, was related to multidrug resistance in
gastric cancer cells and that the distribution of CIAPIN1 in normal human tissues was similar to the
distribution of Ras. This study aimed to explore whether CIAPIN1 plays a role in gastric
carcinogenesis. Expression of CIAPIN1 in normal, inflammatory gastric mucosa, gastric precancerous
lesions and gastric adenocarcinoma was detected by immunohistochemistry and Western blotting and,
influence of CIAPIN1 on the proliferation of gastric cancer cells was investigated by ectopic
expression of CIAPIN1 and RNA interference (RNAi). Our immunohistochemical results
demonstrated that the expression of CIAPIN1 in gastric antral mucosa was progressively reduced
along the sequence of normal/inflammatory gastric mucosa-atrophy-intestinal
metaplasia-dysplasia-adenocarcinoma. The downregulation of CIAPIN1 in cancerous tissues was
further confirmed by Western blotting. No relationship between the expression level of CIAPIN1 and
the clinicopathological parameters such as age, gender, differentiation, TNM stage and the existence
of metastasis was found in gastric cancer patients. In in vitro cellular experiments, ectopic expression
of CIAPIN1 by cDNA transfection resulted in suppression of cell proliferation and inhibition of cell
cycle progression while knockdown of CIAPIN1 with siRNA accelerated cell proliferation and
promoted cell cycle progression in SGC7901 and MKN28 gastric cancer cells. These results suggest
that downregulated CIAPIN1 expression may contribute to gastric carcinogenesis by accelerating cell
proliferation and promoting cell cycle progression.