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Long X, Li Q, Zhi L, Li J, Wang Z. LINC00205 modulates the expression of EPHX1 through the inhibition of miR‐184 in hepatocellular carcinoma as a ceRNA. J Cell Physiol 2019; 235:3013-3021. [PMID: 31566711 DOI: 10.1002/jcp.29206] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 06/11/2019] [Indexed: 01/02/2023]
Affiliation(s)
- Xi Long
- Department of Radiology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China
| | - Qian Li
- Department of Radiology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China
| | - Li‐Jun Zhi
- Department of Anesthesiology Huai'an Second People’ Hospital and The Affiliated Huai'an Hospital of Xuzhou Medical University Huai'an Jiangsu China
| | - Jin‐Mao Li
- Department of Hepatobiliary and Pancreas Surgery The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Enshi Hubei China
| | - Zheng‐Yu Wang
- Department of Pharmacy, Huai'an Second People's Hospital The Affiliated Huai'an Hospital of Xuzhou Medical University Huai'an China
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Moraes ACOD, Fonseca-Neto OCLD. THE USE OF MELD SCORE (MODEL FOR END-STAGE LIVER DISEASE) AND DERIVATIVES IN CARDIAC TRANSPLANTATION. ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2018; 31:e1370. [PMID: 29972398 PMCID: PMC6044199 DOI: 10.1590/0102-672020180001e1370] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 03/29/2018] [Indexed: 11/22/2022]
Abstract
Introduction: Heart transplantation is still the best therapeutic alternative for the treatment of end-stage heart failure. The use of criteria that consider the complications associated with this procedure can guarantee a better evaluation of the recipient and prepare the team for possible unsatisfactory post-transplant results. The use of the MELD score has been expanded to evaluate cirrhotic patients undergoing various procedures, including cardiac transplantation. Objective: To analyze the knowledge on MELD score and its derivatives to the prognosis of patients with end-stage heart failure considered for heart transplantation. Method: Was carried out an integrative review of the publications of the last ten years in Pubmed and Lilacs databases, using the descriptors “heart transplantation”, “liver disease” and “prognosis”. From the total of 111 articles found, six were selected and composed the sample. Results: The MELD-XI score (eXcluding INR) was the most analyzed in the studies due to the exclusion of INR, since many patients with heart failure use anticoagulants, which may alter their value. MELD and derivatives were associated with unsatisfactory results in cardiac transplantation. Conclusion: The MELD score can be considered as a good predictor for heart transplantation; however, there are still few studies that make this correlation.
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Lopes FDLM, Coelho FF, Kruger JAP, Fonseca GM, Araujo RLCD, Jeismann VB, Herman P. INFLUENCE OF HEPATOCELLULAR CARCINOMA ETIOLOGY IN THE SURVIVAL AFTER RESECTION. ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2017; 29:105-8. [PMID: 27438037 PMCID: PMC4944746 DOI: 10.1590/0102-6720201600020010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 03/22/2016] [Indexed: 12/31/2022]
Abstract
Background: Hepatocellular carcinoma (HCC) is the most frequent type of primary liver cancer
and its incidence is increasing around the world in the last decades, making it
the third cause of death by cancer in the world. Hepatic resection is one of the
most effective treatments for HCC with five-year survival rates from 50-70%,
especially for patients with a single nodule and preserved liver function. Some
studies have shown a worse prognosis for HCC patients whose etiology is viral.
That brings us to the question about the existence of a difference between the
various causes of HCC and its prognosis. Aim: To compare the prognosis (overall and disease-free survival at five years) of
patients undergoing hepatectomy for the treatment of HCC with respect to various
causes of liver disease. Method: Was performed a review of medical records of patients undergoing hepatectomy
between 2000 and 2014 for the treatment of HCC. They were divided into groups
according to the cause of liver disease, followed by overall and disease-free
survival analysis for comparison. Results: There was no statistically significant difference in the outcomes of the groups of
patients divided according to the etiology of HCC. Overall and disease-free
survival at five years of the patients in this sample were 49.9% and 40.7%,
respectively. Conclusion: From the data of this sample, was verified that there was no prognostic
differences among the groups of HCC patients of the various etiologies.
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Affiliation(s)
| | - Fabricio Ferreira Coelho
- Liver Unit, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, SP, Brazil
| | | | - Gilton Marques Fonseca
- Liver Unit, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, SP, Brazil
| | | | - Vagner Birk Jeismann
- Liver Unit, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Paulo Herman
- Liver Unit, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, SP, Brazil
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Sá GPD, Vicentine FPP, Salzedas-Netto AA, Matos CALD, Romero LR, Tejada DFP, Massarollo PCB, Lopes-Filho GJ, Gonzalez AM. LIVER TRANSPLANTATION FOR CARCINOMA HEPATOCELLULAR IN SÃO PAULO: 414 CASES BY THE MILAN/BRAZIL CRITERIA. ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2017; 29:240-245. [PMID: 28076478 PMCID: PMC5225863 DOI: 10.1590/0102-6720201600040007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Accepted: 08/16/2016] [Indexed: 12/13/2022]
Abstract
Background: The criterion of Milan (CM) has been used as standard for indication of liver transplantation (LTx) for hepatocellular carcinoma (HCC) worldwide for nearly 20 years. Several centers have adopted criteria expanded in order to increase the number of patients eligible to liver transplantation, while maintaining good survival rates. In Brazil, since 2006, the criterion of Milan/Brazil (CMB), which disregards nodules <2 cm, is adopted, including patients with a higher number of small nodules. Aim: To evaluate the outcome of liver transplantation within the CMB. Methods: The medical records of patients with HCC undergoing liver transplantation in relation to recurrence and survival by comparing CM and CMB, were analyzed. Results: 414 LTx for HCC, the survival at 1 and 5 years was 84.1 and 72.7%. Of these, 7% reached the CMB through downstaging, with survival at 1 and 5 years of 93.1 and 71.9%. The CMB patient group that exceeded the CM (8.6%) had a survival rate of 58.1% at five years. There was no statistical difference in survival between the groups CM, CMB and downstaging. Vascular invasion (p<0.001), higher nodule size (p=0.001) and number of nodules >2 cm (p=0.028) were associated with relapse. The age (p=0.001), female (p<0.001), real MELD (p<0.001), vascular invasion (p=0.045) and number of nodes >2 cm (p<0.014) were associated with worse survival. Conclusions: CMB increased by 8.6% indications of liver transplantation, and showed survival rates similar to CM.
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Affiliation(s)
- Gustavo Pilotto D Sá
- Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Fernando P P Vicentine
- Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil.,; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Alcides A Salzedas-Netto
- Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil.,; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Carla Adriana Loureiro de Matos
- ; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Luiz R Romero
- ; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Dario F P Tejada
- ; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Paulo Celso Bosco Massarollo
- Sector of Liver Transplantation, Department of Surgery, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil
| | - Gaspar J Lopes-Filho
- Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil.,; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
| | - Adriano M Gonzalez
- Postgraduation Program in Interdisciplinary Surgical Science, Federal University of São Paulo, São Paulo, SP, Brazil.,; Sector of Liver Transplantation, Discipline of Surgical Gastroenterology, Federal University of São Paulo; São Paulo, SP, Brazil
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Moraes ACOD, Oliveira PCD, Fonseca-Neto OCLD. THE IMPACT OF THE MELD SCORE ON LIVER TRANSPLANT ALLOCATION AND RESULTS: AN INTEGRATIVE REVIEW. ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA : ABCD = BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY 2017; 30:65-68. [PMID: 28489174 PMCID: PMC5424692 DOI: 10.1590/0102-6720201700010018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 12/06/2016] [Indexed: 11/21/2022]
Abstract
Introduction Liver transplantation is intended to increase the survival of patients with chronic liver disease in terminal phase, as well as improved quality of life. Since the first transplant until today many changes have occurred in the organ allocation system. Objective To review the literature on the Model for End-stage Liver Disease (MELD) and analyze its correlation with survival after liver transplantation. Method An integrative literature review in Lilacs, SciELO, and Pubmed in October 2015, was realized. Were included eight studies related to the MELD score and its impact on liver transplant. Results There was predominance of transplants in male between 45-55 y. The main indications were hepatitis C, hepatocellular carcinoma and alcoholic cirrhosis. The most important factors post-surgery were related to the MELD score, the recipient age, expanded donor criteria and hemotransfusion. Conclusion The MELD system reduced the death rate in patients waiting for a liver transplant. However, this score by itself is not a good predictor of survival after liver transplantation.
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