GAST (gastrin)

2011-04-01   Celia Chao  , Mark R Hellmich  

Department of Surgery, Sealy Center for Cancer Cell Biology, University of Texas Medical Branch, Galveston, TX 77555, USA

Identity

HGNC
LOCATION
17q21.2
IMAGE
Atlas Image
LEGEND
Chromosome 17 - NC_000017.10.
LOCUSID
ALIAS
GAS
FUSION GENES

DNA/RNA

Note

The 4.3 kb gene for human gastrin contains two introns and 3 exons that encode preprogastrin, the gastrin precursor. It is located on chromosome 17(q21), and consists of three exons that contain the code sequence for a prepropeptide of 101 amino acid residues with a calculated molecular mass of 11.4 kDa (see diagram below). The primary structure of human preprogastrin protein consists of an N-terminal 21-amino acid signal sequence followed by a spacer peptide, a bioactive domain, and finally a hexapeptide C-terminal flanking peptide (CTFP). Upon initiation of translation, the signal sequence facilitates the translocation of the elongating polypeptide into the endoplasmic reticulum (ER), where it is subsequently removed by a membrane-bound signal peptidase that cleaves the growing polypeptide chain between alanine residue 21 and serine 22 to generate the 80 amino acid peptide, progastrin. Progastrin is further processed (see protein section below) into the two principal C-terminal alpha-amidated forms of circulating gastrin generated from the proteolytic cleavage of progastrin are gastrin-17 (G17) and gastrin-34 (G34).
Atlas Image
Schematic representation of the preprogastrin gene, its mRNA, and the peptide precursor preprogastrin. The gene is transcribed as a 303 nucleotide RNA transcript and the mRNA is processed into a 101 amino acid (aa) preprohormone. The preprogastrin peptide consists of a 21-aa signal sequence, which is co-translationally cleaved, a N-terminal spacer, the active peptide and the C-terminal flanking peptide (CTFP). Progastrin is formed after removal of the signal peptide.

Proteins

Note

It should be noted that the numbering system of critical amino acid residues involved in peptide cleavage and post-translational modifications of gastrin varies within the scientific literature. This is due to the fact that the numbering system of some authors is based on the sequence of preprogastrin, which includes the 21 amino acids of the signal peptide sequence, whereas the numbering system of others is based on the sequence of progastrin. Our description of prohormone processing will be based on the 80 amino acid peptide sequence of progastrin.
After signal peptide cleavage, progastrin undergoes additional post-translational modifications as it transits from the ER through the Golgi to the trans-Golgi network before it is sorted into immature secretory vesicles of the regulated exocytosis (secretory) pathway. The modifications include O-sulfation at tyrosine residue 66 of the propeptide by tyrosylprotein sulfotransferases and/or phosphorylation at serine 75 by a calcium-dependent casein-like kinase. Although O-sulfation is thought to occur primarily in the trans-Golgi network, a recent study provides evidence suggesting that it may continue through later compartments of the regulated secretory pathway.
The extent of gastrin O-sulfation varies with species and cellular localization of peptide synthesis within the GI tract as well as the developmental stage of the tissues. For example, in adult humans, approximately half of the gastrin peptide synthesized in G cells of the antrum and duodenum, and released into the circulation are sulfated, whereas all of the gastrin peptide produced by the fetal pancreas appears to be sulfated. Functionally, sulfation of gastrin enhances endoproteolytic processing of progastrin, and may promote protein-protein interactions and peptide sorting between secretory pathways. However, unlike sulfation of the related peptide, cholecystokinin (CCK), sulfation of gastrin does not significantly affect its affinity for its physiologic receptor.
Phosphorylation of serine 75 of progastrin may promote proteolytic processing at the upstream arginine residues at positions 73 and 74 (arginine 73-arginine 74) releasing the C-terminal flanking peptide, and may affect the conversion of glycine-extended gastrin intermediates to mature C-terminal alpha-amidated peptides. However, since phosphorylation is not essential for progastrin processing, its biological significance remains an enigma.
Following sulfation and/or phosphorylation, progastrin exits the trans-Golgi network and enters immature granules of the regulated secretory pathway. The major proteolytic processing of progastrin to its biologically active peptides occurs in the maturing dense core secretory granules of the regulated pathway. Progastrin is cleaved by two types of proteases: endo- and exopeptidases. Endopeptidases, also known as prohormone convertases (PC), typically cleave polypeptides downstream of two adjacent basic amino acid residues at the general motif (lysine/arginine)-(X)n-(lysine/arginine), where n=0, 2, 4, or 6 and X is any amino acid, but usually not a Cysteine. PC1/3 and PC2 are involved in progastrin processing.
The two principal biologically active forms of circulating gastrin are gastrin-17 (G17) and gastrin-34 (G34). In rodent and human G cells of antrum and proximal duodenum, approximately 95% of the progastrin is processed to partially sulfated G17 (85%) and G34 (10%). Although G17 is the predominant product, G34 is the major circulating form of gastrin due to its slower rate of clearance. In both humans, the half-life of circulating G34 is approximately five times longer than that of G17.
The proteolytic processing of progastrin involves convertase-specific cleavage at three dibasic consensus sites. PC1/3 is active early in the secretory pathway in granules with a neutral pH (i.e., pH ≈ 7) and cleaves the prohormone after the arginine 36-arginine 37 and arginine 73-arginine 74 sequences, releasing the C-terminal flanking peptide, and generating G34. The post-cleavage residual basic residues are then removed by carboxypeptidase E, generating what are commonly referred to as the glycine-extended gastrins (i.e., G34-Glycine). In contrast to PC1/3, PC2 is mainly active in mature granules at an acidic pH (i.e., pH ≈ 5). Cleavage of G34-glycine by PC2 after the dibasic amino acid sequence lysine 53-lysine 54 produces G17-glycine. These glycine-extended peptides are substrates for the peptidyl-glycine alpha-amidating monooxygenase (PAM) that utilizes the glycyl residue as an amide donor to alpha-amidate the carboxyl group of the C-terminus of the peptide. The ratio of amidated gastrins to processing intermediates varies considerably across tissues and cell types. Processing intermediates are quite scarce in the gastric antrum, making up only about 1-5% of gastrin gene products, while in the duodenum the value has been reported to be as high as 20%. Carboxyl-terminus alpha-amidation is a prerequisite for high affinity binding of gastrin to its cognate receptor, CCK2 receptor.
Atlas Image
Processing of gastrin. The numbering system of critical amino acid residues involved in peptide cleavage and post-translational modifications of gastrin varies within the scientific literature. This is due to the fact that the numbering system of some authors is based on the sequence of preprogastrin, which includes the 21 amino acids of the signal peptide sequence, whereas the numbering system of others is based on the sequence of progastrin. The numbers at the top of the diagram represents the amino acid (aa) sequence for preprogastrin; the numbers at the bottom of the diagram represents the aa sequence for progastrin. The signal peptide is cleaved co-translationally in the rough ER by signal peptidase. In the Trans-Golgi-Network (TGN), progastrin is modified by sulfation at Tyr 66 and phosphorylation of Ser 75 by a casein-like kinase. Prohormone convertases (PC) and carboxypeptidase E (CPE) sequentially convert the prohormone to the glycine-extended forms (G71-Gly, G34-Gly, G17-Gly). Abbreviations: CTFP: C-terminal flanking peptide, TPST: tyrosyl-protein sulfotransferase, PAM: peptidyl-alpha-amidating-monooxygenase.

Mutations

Note

There are no known mutations in the gastrin gene causing a pathologic entity. Overexpression of gastrin, or aberrant expression of gastrin, have both been associated with gastric, colorectal, esophageal and pancreatic cancers.

Implicated in

Entity name
Gastrinomas
Note
Gastrinomas are neuroendocrine tumors that can arise from the stomach, duodenum or pancreas. Patients with multiple endocrine neoplasia type 1 (MEN1) have a mutation in the menin gene and are at very high risk for developing gastrinomas. In patients with hypergastrinemia due to pernicious anemia or MEN1, tissue and plasma levels of PAI-2 are elevated. Gastrin directly regulates PAI-2 expression in CCK2 receptor-positive cells, and in neighboring receptor-negative cells, by way of paracrine mediators released from the CCK2 receptor-expressing cells. Direct regulation involves cell automous activation of CRE and AP-1 transcription factors via a PKC, Ras, Raf, RhoA, and the NFkappaB signaling pathways in CCK2 receptor-expressing cells by gastrin. The CRE and AP-1 transcription factors, in turn, regulate expression of the genes for IL-8 and COX2. IL-8 acts through a GACAGA site via the activating signal cointegrator 1 (ASC-1) complex, whereas prostaglandins, resulting from the activation of COX2, target the Myc-associated zinc finger protein (MAZ site via the small GTPase RhoA to stimulate PAI-2 expression in adjacent CCK2 receptor-negative cells.
Entity name
Inflammation-associated carcinomas
Note
In a rat intestinal epithelial cell model, MAPKs mediate CCK2 receptor regulation of cyclooxgenase 2 (COX-2). COX-2 is an inducible enzyme catalyzing the rate-limiting step in prostaglandin synthesis, converting arachidonic acid to prostaglandin H2. A large body of genetic and biochemical evidence support the important role of COX-2 and the subsequent synthesis of prostaglandins in the regulation of inflammation and promotion of tumorigenesis. Gastrin has been shown to increase COX-2 expression in colorectal, gastric, and esophageal cancers.
Entity name
Gastric cancer
Note
Gastric carcinogenesis is a multistep process that arises from superficial gastritis, chronic atrophic gastritis, progressing to intestinal metaplasia, dysplasia, and finally carcinoma. H. pylori is the most common known cause of chronic gastritis in humans, secretes urease, which converts urea to ammonia, and neutralizes the acid in the stomach. H. pylori initiates a host inflammatory response that is associated with the recruitment of mononuclear and polymorphonuclear leukocytes, and bone marrow-derived cells. Specific inflammatory cytokines from immune cells are required for the initiation and promotion of carcinogenesis. In addition to local inflammation, H. pylori induces the systemic elevation of serum gastrin (hypergastrinemia). The combination of achlorhydria and hypergastrinemia, induced by H. pylori infection, results in gastric bacterial overgrowth, lack of parietal cell differentiation, development of gastric metaplasia, and eventual progression to gastric carcinoma.
Entity name
Colorectal cancer
Note
Gastrin and gastrin-like peptides are upregulated locally in 78% of premalignant adenomatous polyps, before the appearance of invasive carcinoma, and gastrin expression has been linked to key mutations in the initiation of colorectal carcinogenesis. When the APCmin-/+ mouse was crossed with a gastrin gene knockout mouse, the hybrid developed fewer intestinal polyps. Gastrin transcription is linked to the Wnt/beta-catenin pathway by a binding site for the transcription factor TCF4 in the gastrin promoter. Induction of the wild-type APC decreased gastrin mRNA expression, while transfection of constitutively active beta-catenin increased gastrin promoter activity.

Article Bibliography

Pubmed IDLast YearTitleAuthors
152691532004Gastrin-induced cyclooxygenase-2 expression in Barrett's carcinogenesis.Abdalla SI et al
190746422009Gastrin activates paracrine networks leading to induction of PAI-2 via MAZ and ASC-1.Almeida-Vega S et al
170154112006Gastrin induces leukocyte-endothelial cell interactions in vivo and contributes to the inflammation caused by Helicobacter pylori.Alvarez A et al
152382412004Gastrins, cholecystokinins and gastrointestinal cancer.Aly A et al
63878821984Measurement and occurrence of sulfated gastrins.Andersen BN et al
13575471992Identification of a cis-regulatory element mediating somatostatin inhibition of epidermal growth factor-stimulated gastrin gene transcription.Bachwich D et al
199527402010Evolution of gastrointestinal hormones: the cholecystokinin/gastrin family.Baldwin GS et al
88986361996Control of preprogastrin messenger RNA translation by gastric acid in the rat.Bate GW et al
124000082002Gastrin mediated cholecystokinin-2 receptor activation induces loss of cell adhesion and scattering in epithelial MDCK cells.Bierkamp C et al
97973701998Modulation of the cleavage of the gastrin precursor by prohormone phosphorylation.Bishop L et al
65744561983Molecular cloning of human gastrin cDNA: evidence for evolution of gastrin by gene duplication.Boel E et al
67280001984Complete tyrosine-O-sulphation of gastrin in neonatal rat pancreas.Brand SJ et al
64906541984Biosynthesis of tyrosine O-sulfated gastrins in rat antral mucosa.Brand SJ et al
199603792010Posttranslational processing of progastrin.Bundgaard JR et al
92726251997Effect of cholecystokinin and gastrin on human peripheral blood lymphocyte functions, implication of cyclic AMP and interleukin 2.Carrasco M et al
191669662009IL1B promoter polymorphism regulates the expression of gastric acid stimulating hormone gastrin.Chakravorty M et al
75173731994Acute responses of rat stomach enterochromaffinlike cells to gastrin: secretory activation and adaptation.Chen D et al
109827702000Glycine-extended gastrin synergizes with gastrin 17 to stimulate acid secretion in gastrin-deficient mice.Chen D et al
13843571992Gastrin induction of histamine release from primary cultures of canine oxyntic mucosal cells.Chuang CN et al
107513192000EGF stimulates gastrin promoter through activation of Sp1 kinase activity.Chupreta S et al
156555242005Gastrin promotes human colon cancer cell growth via CCK-2 receptor-mediated cyclooxygenase-2 induction and prostaglandin E2 production.Colucci R et al
92040021997Modulation of human neutrophil function in vitro by gastrin.De la Fuente M et al
76578151995Specificity of prohormone convertase endoproteolysis of progastrin in AtT-20 cells.Dickinson CJ et al
82298451993Food stimulation of histidine decarboxylase messenger RNA abundance in rat gastric fundus.Dimaline R et al
111819512001The gastrins: their production and biological activities.Dockray GJ et al
161098412005The calcium-sensing receptor acts as a modulator of gastric acid secretion in freshly isolated human gastric glands.Dufner MM et al
203469912010Gastrin response to candidate messengers in intact conscious rats monitored by antrum microdialysis.Ericsson P et al
6212751978Role of gastrin heptadecapeptide in the acid secretory response to amino acids in man.Feldman M et al
208760972010Calcium-sensing receptor is a physiologic multimodal chemosensor regulating gastric G-cell growth and gastrin secretion.Feng J et al
155308492004Involvement of JAK2 upstream of the PI 3-kinase in cell-cell adhesion regulation by gastrin.Ferrand A et al
91695071997EGF receptor activation stimulates endogenous gastrin gene expression in canine G cells and human gastric cell cultures.Ford MG et al
95301581998Impaired gastric acid secretion in gastrin-deficient mice.Friis-Hansen L et al
141593951964THE CONSTITUTION AND PROPERTIES OF TWO GASTRINS EXTRACTED FROM HOG ANTRAL MUCOSA.GREGORY RA et al
122392232002Gastrin stimulates cyclooxygenase-2 expression in intestinal epithelial cells through multiple signaling pathways. Evidence for involvement of ERK5 kinase and transactivation of the epidermal growth factor receptor.Guo YS et al
126129002003Gastrin induces proliferation in Barrett's metaplasia through activation of the CCK2 receptor.Haigh CR et al
150263232004An antiapoptotic role for gastrin and the gastrin/CCK-2 receptor in Barrett's esophagus.Harris JC et al
116877262001Molecular basis of colorectal cancer - role of gastrin and cyclooxygenase-2.Hartwich J et al
78313961995Gastric acid secretion.Hersey SJ et al
68077591982Effects of fundic vagotomy and cholinergic replacement on pentagastrin dose responsive gastric acid and pepsin secretion in man.Hirschowitz BI et al
28568781985Hypergastrinemia develops within 24 hours of truncal vagotomy in dogs.Hollinshead JW et al
24465061987GRP nerves in pig antrum: role of GRP in vagal control of gastrin secretion.Holst JJ et al
198123702009Gastrin induces the interaction between human mononuclear leukocytes and endothelial cells through the endothelial expression of P-selectin and VCAM-1.Ibiza S et al
60873401984Structural analysis of the gene encoding human gastrin: the large intron contains an Alu sequence.Ito R et al
164338862006Consequences of long-term proton pump blockade: insights from studies of patients with gastrinomas.Jensen RT et al
29250531989Progastrin processing during antral G-cell hypersecretion in humans.Jensen S et al
196523642009Inactivating cholecystokinin-2 receptor inhibits progastrin-dependent colonic crypt fission, proliferation, and colorectal cancer in mice.Jin G et al
25632641989Inhibition of gastrin gene expression by somatostatin.Karnik PS et al
19680591990Somatostatin stimulates gastrin mRNA turnover in dog antral mucosa.Karnik PS et al
192083422009Delineation of the chemomechanosensory regulation of gastrin secretion using pure rodent G cells.Kidd M et al
121811952002Regulation of parietal cell migration by gastrin in the mouse.Kirton CM et al
109530282000Gastrin is a target of the beta-catenin/TCF-4 growth-signaling pathway in a model of intestinal polyposis.Koh TJ et al
92879971997Gastrin deficiency results in altered gastric differentiation and decreased colonic proliferation in mice.Koh TJ et al
111929462000Helicobacter pylori, gastrin and cyclooxygenases in gastric cancer.Konturek PC et al
54922641970Studies on serum gastrin levels in pernicious anaemia.Korman MG et al
25834081989Gastrin is a major mediator of the gastric phase of acid secretion in dogs: proof by monoclonal antibody neutralization.Kovacs TO et al
93692301997Disturbed progastrin processing in carboxypeptidase E-deficient fat mice.Lacourse KA et al
35101441986Plasma gastrin and gastric enterochromaffinlike cell activation and proliferation. Studies with omeprazole and ranitidine in intact and antrectomized rats.Larsson H et al
9584271976Pancreatic gastrin in foetal and neonatal rats.Larsson LI et al
89674891996Mononuclear cells and cytokines stimulate gastrin release from canine antral cells in primary culture.Lehmann FS et al
152922192004The murine gastrin promoter is synergistically activated by transforming growth factor-beta/Smad and Wnt signaling pathways.Lei S et al
30116481986The genes for human gastrin and cholecystokinin are located on different chromosomes.Lund T et al
93499811997Role of acetylcholine and gastrin-releasing peptide (GRP) in gastrin secretion.Matsuno M et al
96919171998Coexpression of gastrin and gastrin receptors (CCK-B and delta CCK-B) in gastrointestinal tumour cell lines.McWilliams DF et al
99188601999Sp1 phosphorylation by Erk 2 stimulates DNA binding.Merchant JL et al
98696051999Gastrin induces heparin-binding epidermal growth factor-like growth factor in rat gastric epithelial cells transfected with gastrin receptor.Miyazaki Y et al
161431342005Gastrin suppresses growth of CCK2 receptor expressing colon cancer cells by inducing apoptosis in vitro and in vivo.Müerköster S et al
118048582002Gastrin stimulates the growth of gastric pit cell precursors by inducing its own receptors.Nakajima T et al
97973691998Oncogenic ras induces gastrin gene expression in colon cancer.Nakata H et al
28589781985Vagal regulation of GRP, gastric somatostatin, and gastrin secretion in vitro.Nishi S et al
88437721996Gastrin mediates the gastric mucosal proliferative response to feeding.Ohning GV et al
152922082004Agonist-independent activation of Src tyrosine kinase by a cholecystokinin-2 (CCK2) receptor splice variant.Olszewska-Pazdrak B et al
166184112006Gastrin increases murine intestinal crypt regeneration following injury.Ottewell PD et al
75243501994Gastrin effects on isolated rat enterochromaffin-like cells in primary culture.Prinz C et al
185541812008Prohormone convertases 1/3 and 2 together orchestrate the site-specific cleavages of progastrin to release gastrin-34 and gastrin-17.Rehfeld JF et al
61465511984Stimulation of gastrin secretion in vitro by intraluminal chemicals: regulation by intramural cholinergic and noncholinergic neurons.Saffouri B et al
80742251994Gastrin regulates histidine decarboxylase activity and mRNA abundance in rat oxyntic mucosa.Sandvik AK et al
13489061992Peptone stimulates gastrin secretion from the stomach by activating bombesin/GRP and cholinergic neurons.Schubert ML et al
117139732001Biology and pathology of non-amidated gastrins.Shulkes A et al
147644422004Gastrin regulates the heparin-binding epidermal-like growth factor promoter via a PKC/EGFR-dependent mechanism.Sinclair NF et al
110768812000Gastrin and gastrin receptor activation: an early event in the adenoma-carcinoma sequence.Smith AM et al
47200241973Release of gastrin by epinephrine in man.Stadil F et al
68061401982Effect of individual l-amino acids on gastric acid secretion and serum gastrin and pancreatic polypeptide release in humans.Taylor IL et al
6974271978Effect of selective proximal vagotomy and truncal vagotomy on gastric acid and serum gastrin responses to a meal in duodenal ulcer patients.Thompson JC et al
100757141999RIN ZF, a novel zinc finger gene, encodes proteins that bind to the CACC element of the gastrin promoter.Tillotson LG et al
112085542001Molecular mechanisms for the antiapoptotic action of gastrin.Todisco A et al
93578321997Molecular mechanisms for the growth factor action of gastrin.Todisco A et al
32239641988The human gastrin precursor. Characterization of phosphorylated forms and fragments.Varro A et al
23606361990Modulation of posttranslational processing of gastrin precursor in dogs.Varro A et al
87806001996The gastrin-histamine sequence.Waldum HL et al
48472541974Pure human big gastrin. Immunochemical properties, disappearance half time, and acid-stimulating action in dogs.Walsh JH et al
12624601976Clearance and acid-stimulating action of human big and little gastrins in duodenal ulcer subjects.Walsh JH et al
63221861984Structure of a human gastrin gene.Wiborg O et al
119717602002Gastrin-stimulated gastric epithelial cell invasion: the role and mechanism of increased matrix metalloproteinase 9 expression.Wroblewski LE et al
16921931990Effects of inhibition of gastric secretion on antral gastrin and somatostatin gene expression in rats.Wu SV et al
19747541990Studies of regulation of gastrin synthesis and post-translational processing by molecular biology approaches.Wu SV et al

Other Information

Locus ID:

NCBI: 2520
MIM: 137250
HGNC: 4164
Ensembl: ENSG00000184502

Variants:

dbSNP: 2520
ClinVar: 2520
TCGA: ENSG00000184502
COSMIC: GAST

RNA/Proteins

Gene IDTranscript IDUniprot
ENSG00000184502ENST00000329402P01350
ENSG00000184502ENST00000329402A0A0E3VY36

Expression (GTEx)

0
1

Pathways

PathwaySourceExternal ID
Gastric acid secretionKEGGko04971
Gastric acid secretionKEGGhsa04971
Signal TransductionREACTOMER-HSA-162582
Signaling by GPCRREACTOMER-HSA-372790
GPCR downstream signalingREACTOMER-HSA-388396
G alpha (q) signalling eventsREACTOMER-HSA-416476
Gastrin-CREB signalling pathway via PKC and MAPKREACTOMER-HSA-881907

Protein levels (Protein atlas)

Not detected
Low
Medium
High

References

Pubmed IDYearTitleCitations
372582052023Anatomical basis of gastrin- and CCK-secreting cells and their functions. A review.2
380691712023Elevated Serum Gastrin Is Associated with Melanoma Progression: Putative Role in Increased Migration and Invasion of Melanoma Cells.0
372582052023Anatomical basis of gastrin- and CCK-secreting cells and their functions. A review.2
380691712023Elevated Serum Gastrin Is Associated with Melanoma Progression: Putative Role in Increased Migration and Invasion of Melanoma Cells.0
343411002022Prevalence and predictors of colonoscopic findings in patients with autoimmune gastritis.0
360613512022Correlation Study between Levels of Gastrin, Serum IGF-1, and GHBP and Growth and Development in Children with Short Stature Based on Big Data Analysis.1
343411002022Prevalence and predictors of colonoscopic findings in patients with autoimmune gastritis.0
360613512022Correlation Study between Levels of Gastrin, Serum IGF-1, and GHBP and Growth and Development in Children with Short Stature Based on Big Data Analysis.1
330919622021Hypergastrinemia is associated with an increased risk of gastric adenocarcinoma with proximal location: A prospective population-based nested case-control study.8
337443712021Peptidomics of enteroendocrine cells and characterisation of potential effects of a novel preprogastrin derived-peptide on glucose tolerance in lean mice.5
330919622021Hypergastrinemia is associated with an increased risk of gastric adenocarcinoma with proximal location: A prospective population-based nested case-control study.8
337443712021Peptidomics of enteroendocrine cells and characterisation of potential effects of a novel preprogastrin derived-peptide on glucose tolerance in lean mice.5
322283422020Diagnostic value of serum pepsinogen I, pepsinogen II, and gastrin-17 levels for population-based screening for early-stage gastric cancer.9
327421352020Type I and type II Helicobacter pylori infection status and their impact on gastrin and pepsinogen level in a gastric cancer prevalent area.12
322283422020Diagnostic value of serum pepsinogen I, pepsinogen II, and gastrin-17 levels for population-based screening for early-stage gastric cancer.9

Citation

Celia Chao ; Mark R Hellmich

GAST (gastrin)

Atlas Genet Cytogenet Oncol Haematol. 2011-04-01

Online version: http://atlasgeneticsoncology.org/gene/44214/js/lib/deep-insight-explorer/hgnc