ANGPTL3在肝细胞癌中的表达及其与肿瘤血管生成的关系

BMP-2在肝细胞癌中表达及与肿瘤血管生成的关系

目的

研究骨形成蛋白2(bone morphogenetic protein 2, BMP-2)在肝细胞癌(hepatocellular carcinoma, HCC)组织的表达情况及与肿瘤血管生成的关系.

方法

应用免疫组织化学方法检测BMP-2在40例HCC组织及40例癌旁组织的表达, 分析其与临床病理特征之间的关系, CD34染色标记肿瘤微血管密度(microvascular density, MVD).

结果

免疫组织化学显示, HCC组织中的BMP-2和血管内皮生长因子(vascular endothelial growth factor, VEGF)表达与癌旁组织中比较, 阳性率显著增加(75% vs 40%; 80.0% vs 42.5%, P<0.05), 并且BMP-2与VEGF蛋白表达与HCC包膜完整、结节、门静脉癌栓、TNM分期、细胞分化有关, 而与患者的年龄、性别、血清AFP、肝硬化无关. 根据Spearman相关性分析, BMP-2与VEGF蛋白表达呈正相关(r = 7.316, P = 0.0068), 提示BMP-2参与到肿瘤血管生成过程. HCC组织血管生成活跃(55% vs 15%, P <0.05), 血管生成与BMP-2表达有关.

结论

HCC中BMP-2高表达在肿瘤血管生成中有重要的作用.

Angiopoietin-like protein 3 and 4 expression 4 and their serum levels in hepatocellular carcinoma

BACKGROUND

Hepatocellular carcinoma (HCC) is the 6th most common cancer and the 3rd leading cause of cancer causing death allover the world. The aim of this research to explore the clinical relevance of blood angiopoietin-like protein-3 (ANGPTL3) and ANGPTL4 expression and their proteins levels as non invasive biomarkers in cirrhotic and HCC patients and their influence on the clinicopathological features of HCC.

MATERIAL AND METHODS

This work comprised 200 patients with chronic hepatitis (120 cases complicated with cirrhosis, 80 patients with primary HCC) and 100 controls. circulating ANGPTL3 and ANGPTL4 expression was estimated by real-time polymerase chain reaction (RT-PCR). ANGPTL3 and ANGPTL4 protein levels were determined by enzyme-linked immunosorbent assay (ELISA).

RESULTS

The circulating ANGPTL3 and ANGPTL 4 expression was significantly elevated in HCC cases compared to chronic hepatitis patients and controls. There were much more serum ANGPTL3 and ANGPTL4 values in HCC and chronic hepatitis patients as compared to controls, but we couldn't detect this significance between chronic hepatitis and HCC cases as regards ANGPTL4. By Multiple stepwise linear regression analysis, an increased ANGPTL3 expression, alpha-fetoprotein (AFP), serum ANGPTL 3 levels, Child-Pugh grade were significantly assosciatedassociated with increased risk of HCC. Logistic regression analysis revealed that ANGPTL 3 expression and AFP levels were the only pridectorspredictors of HCC (odd's ratio (OR)=8.9; 8.6 respectively, P=0.003). Receiver operator characteristic (ROC) demonsterated that serum ANGPTL3 and ANGPTL4 levels were usufuluseful biomarkers discriminating chronic hepatitis cases from controls (AUC=0.820,0.887, respectively P<0.001). However, they fail to discriminate HCC patients from chronic hepatitis patients (P=0.27,0.12 respectively). Moreover, ANGPTL3 and ANGPTL 4 expression were promising biomarkers discriminating chronic hepatitis cases from controls and those HCC cases from chronic hepatitis patients (P<0.001). Combined ANGPTL3 expression and serum level wasn't useful in discriminating HCC patient from chronic hepatitis (P=0.09). In contrast, combined ANGPTL4 expression and serum level was an useful biomarker discriminating HCC cases from chronic hepatitis.

CONCLUSION

ANGPTL3 and ANGPTL 4 expression and serum levels can be promising non invasive biomarkers in diagnosis of chronic hepatitis and HCC especially their expression could be useful in discriminating HCC from chronic hepatitis patients.