Twenty gastric carcinoma cases were studied for the detection of CD44
aberrant transcripts using a cDNA/PCR/blot-hybridization technique whi
ch can detect splice variants containing an aberrant exon 11 of the CD
44 gene. All the tumor tissues as well as their metastatic foci demons
trated overexpression of CD44 splice variants of more than 1.0 kbp tha
n corresponding normal gastric mucosas. Six out of nine (66.7%) well-d
ifferentiated or intestinal type gastric cancers overexpressed more th
an three aberrant transcripts, whereas ten out of eleven (90.9%) poorl
y differentiated or diffuse type cancers overexpressed single or two l
ower molecular weight variants. These results indicate that the detect
ion of CD44 transcription variants can serve as a powerful tool for th
e diagnosis of gastric cancer. It is also suggested from the differenc
e in variant expression pattern that well-differentiated type and poor
ly differentiated type gastric carcinomas have different genetic pathw
ays.