The cytochromes P450 have a central role in the oxidative activation a
nd detoxification of a wide range of xenobiotics, including many carci
nogens and several anti-cancer drugs. Thus the cytochrome P450 enzyme
system has important roles in both tumour development and influencing
the response of tumours to chemotherapy. Stomach cancer is one of the
commonest tumours of the alimentary tract and environmental factors, i
ncluding dietary factors, have been implicated in the development of t
his tumour, This type of tumour has a poor prognosis and responds poor
ly to current therapies. In this study, the presence and cellular loca
lization of several major forms of P450, CYP1A, CYP2E1 and CYP3A have
been investigated in stomach cancer and compared with their expression
in normal stomach. There was enhanced expression of CYP1A and CYP3A i
n stomach cancer with CYP1A present in 51% and CYP3A present in 28% of
cases. In contrast, no P450 was identified in normal stomach. The pre
sence of CYP1A and CYP3A in stomach cancer provides further evidence f
or the enhanced expression of specific forms of cytochrome P450 in tum
ours and may be important therapeutically for the development of antic
ancer drugs that are activated by these forms of P450.