Evidence map›Paper›PMID 42650134›Full record

ArticleGenes2026

Gene Variations in RNA Modification Pathway Linked to Poor Survival After Gastric Cancer Surgery.

Kağan Gökçe, Mehrdad Sheikhvatan

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In one paragraph

Article in Genes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Kağan GökçeDepartment of General Surgery, Faculty of Medicine, Surgical Oncology, Istanbul Okan University, Istanbul 34959, Turkey.ORCID 0000-0003-4712-0512
Mehrdad SheikhvatanDepartment of Medical Biology and Genetics, Faculty of Medicine, Istanbul Okan University, Istanbul 34959, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesN6-methyladenosine (m6A) RNA modification is a major epitranscriptomic regulator of mRNA stability and translation. Genetic variants in the m6A pathway may influence gastric cancer progression, but their prognostic significance after curative gastrectomy remains uncertain.

methodsThis retrospective study included 226 patients with gastric adenocarcinoma who underwent curative gastrectomy. Single nucleotide polymorphisms in five m6A-related genes (METTL3, METTL14, FTO, ALKBH5, and YTHDF1) were genotyped. Overall survival (OS) and disease-free survival (DFS) were analyzed using Kaplan-Meier and log-rank tests. Multivariable Cox regression was performed after adjustment for age, sex, tumor stage, lymph node status, and adjuvant therapy.

resultsDuring a median follow-up of 38 months, 78 patients (34.5%) died and 92 (40.7%) experienced recurrence. High-risk m6A genotypes were associated with significantly poorer survival. The 5-year OS was 68.2% in the low-risk group versus 41.5% in the high-risk group (

conclusionGenetic variants in the m6A RNA modification pathway are independently associated with poorer survival after curative gastrectomy and may serve as prognostic biomarkers for risk stratification and personalized management in gastric cancer.

Indexed as

AdenocarcinomaPolymorphism, Single NucleotideStomach NeoplasmsAdenosineAgedAlpha-Ketoglutarate-Dependent Dioxygenase FTODisease-Free SurvivalEpitranscriptomeFemaleGastrectomyHumansMaleMiddle AgedPrognosisRetrospective StudiesRNA MethylationAdenosineAlpha-Ketoglutarate-Dependent Dioxygenase FTOFTO protein, humanN-methyladenosinedisease-free survivalgastrectomygastric cancergenetic polymorphismm6A modificationoverall survival

Identifiers

PMID42650134
PMCPMC13511760

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