Plasminogen activator activity was investigated in extracts of 42 surgically removed gastric carcinomas. The mean levels of total plasminogen activator (total-PA) and urokinase-type plasminogen activator (u-PA) activities in the gastric carcinomas were significantly higher than those in the background normal tissues (p < 0.001). On electrophoresis, gastric cancers were found to contain U-PA as the predominant PA, this being confirmed using zymography by direct inhibition with anti-urokinase antibody. Assessment of the relationship between PA activity and biological behavior of gastric cancer revealed total-PA and U-PA levels to be significantly higher in differentiated than in undifferentiated tumors (p < 0.001), and in aneuploid than in diploid ones (p < 0.01). Immunohistochemical staining showed that the proportion of U-PApositive cancer cells in the carcinoma tissues also correlated with activity as measured by the azocaseinolytic method. These findin suggest that the study of PA contents in gastric cancer, comEned with a nuclear DNA ploidy and immunohistochemical analysis, might be useful for understanding the biological characteristics of the tumor.Plasminogen activators (PAS) are a class of serine proteases which convert the inactive zymogen, plasminogen, to plasmin. PA exist in at least 2 forms, urokinase (u-PA) and tissue (t-PA) types, distinguished by differences in molecular weight (Heussen and Dowdle, 1980) Since plasmin is a proteolytic enzyme of broad specificity which is capable of degrading laminin and fibronectin , and activating collagenase (Salo et a f . , 1982), PAS may be implicated in extracellular matrix destruction and metastatic spread of malignant cells (Goldfarb et a f . , Ossowski and Reich, 1983). Anti-urokinase antibodies minimize metastasis of a human tumor cell line transplanted into chick embryos (Ossowski and Reich, 1983), and inhibit amniotic membrane invasion by murine melanoma cells (Mignatti et al., 1986). Activity of PA, and especially of u-PA, is ele- et al., 1988). The available literature indicates that PAS (particularly u-PA) may play an important role in tumor growth and metastasis, and therefore be useful markers for expression of the malignant phenotypic change (Dana et al., 1985).The aim of the present study was to examine the relationship between PA activity and histological features in stomach cancer. In addition to enzymatic assays, a combined zymogram and immunohistochemical approach was adapted, in order to obtain information about the presence of both u-PA and t-PA in the tissue samples. Numerous studies on human stomach cancer have revealed a correlation between malignant phenotype and abnormal DNA content (Korenaga et al., 1989). To the authors' knowledge, no information is available on the relationship between PAS and DNA ploidy pattern; an analysis of this point, therefore, is presented here.
MATERIAL AND METHODS
Patients and clinical stagingForty-two patients (aged 40-79 years; mean 65.1; 26 males and 16 females) with advanced gastric cancer underwent oper...