. Age-associated loss of heterozygosity of tumor suppressor genes in the gastric mucosa of humans. Am J Physiol Gastrointest Liver Physiol 282: G932-G936, 2002. First published January 30, 2002 10.1152/ajpgi.00312.2001.-The current study is based on the hypothesis that aging predisposes gastric mucosa to carcinogenesis through altered expression and/or mutations of genes involved in cell growth. To test this hypothesis, we investigated the age-associated changes in mutation of adenomatous polyposis coli (APC), deleted in colorectal cancer (DCC), p53, and K-ras genes in the gastric mucosa of 19 healthy subjects of varying ages (25-91 yr). Specifically, we studied the loss of heterozygosity (LOH) of these genes in cardia, body, and antrum of the stomach. We observed that 3 of 19 subjects (16%) over 60 yr of age show LOH of at least one of the tumor suppressor genes. Among the subjects over 60 yr of age, the incidence of LOH is 38% (3/8). Two of three subjects had mutations in more than one tumor suppressor gene. In all three affected subjects, mutation in APC, DCC, or p53 was located mainly in the body of the stomach, suggesting increased susceptibility of this region to neoplastic changes. However, no LOH of K-ras was observed in these subjects. Our observation that subjects over 60 yr of age show mutation in one or more of the tumor suppressor genes suggests an age-related increase in predisposition of the stomach to neoplasia. aging; mutations; p53; adenomatous polyposis coli; deleted in colorectal cancer; K-ras; neoplasia ALTHOUGH EARLIER OBSERVATIONS in the mouse suggest that proliferative activity of the small intestine either decreases (16,24) or remains unchanged (17) with aging, recent morphological and biochemical studies from our own and other laboratories have demonstrated that in barrier-reared Fischer 344 rats, aging is associated with increased mucosal proliferative activity in the stomach and small and large intestines (3,14,21,22,(27)(28)(29). In both gastric and colonic mucosa, the age-related rise in proliferation could partly be attributed to enhanced transition from G 1 to S phase as well as progression through the S phase of the cell cycle (42,44). Moreover, in the gastric mucosa, aging is also associated with increased activation of extracellular regulatory kinases and c-Jun NH 2 -terminal kinase and transcriptional activity of AP1 and nuclear factor B (43). These changes are also accompanied by increased activation and expression of epidermal growth factor (EGF) receptor (37,38