Okano J, Shiota G, Kawasaki H
Second Department of Internal Medicine, Tottori University School of Medicine, Yonago, Japan.
Liver. 1999 Apr;19(2):151-9. doi: 10.1111/j.1478-3231.1999.tb00025.x.
Hepatocyte growth factor (HGF) is a potent mitogen for hepatocytes in vivo as well as in vitro. Serum levels of HGF vary in liver diseases, reflecting liver damage and dysfunction. However there are no studies reporting expression of HGF and HGF receptor (c-met protein) simultaneously in various liver diseases.
To clarify the clinical significance of HGF/c-met protein expression in liver diseases, liver tissues from 62 patients consisting of 7 with acute hepatitis (AH), 20 with chronic hepatitis (CH), 9 with liver cirrhosis (LC) and 26 with hepatocellular carcinoma (HCC) were immunohistochemically examined.
Intense staining of HGF was observed in patients from AH, CH and LC, although no immunoreactivity was seen in HCC. The expression of c-met protein was higher in patients with HCC and AH than in those with CH (p < 0.05). A correlation of immunoreactivity between HGF and c-met protein was not observed expect in patients with LC (p < 0.01). The extent of c-met expression had no correlation with differentiation of HCC, tumour size, presence of portal invasion, or serum AFP levels.
The results of the present study suggest that HGF plays an important role in human liver diseases, mostly in a manner independent of c-met protein expression.
肝细胞生长因子(HGF)在体内外均是肝细胞的一种强效促有丝分裂原。HGF的血清水平在肝脏疾病中有所不同,反映了肝损伤和功能障碍。然而,尚无研究报道HGF及其受体(c-met蛋白)在各种肝脏疾病中的同时表达情况。
为阐明HGF/c-met蛋白表达在肝脏疾病中的临床意义,对62例患者的肝组织进行了免疫组织化学检查,其中包括7例急性肝炎(AH)患者、20例慢性肝炎(CH)患者、9例肝硬化(LC)患者和26例肝细胞癌(HCC)患者。
在AH、CH和LC患者中观察到HGF的强染色,而在HCC患者中未见免疫反应性。HCC和AH患者中c-met蛋白的表达高于CH患者(p < 0.05)。除LC患者外,未观察到HGF与c-met蛋白免疫反应性之间的相关性(p < 0.01)。c-met表达程度与HCC的分化、肿瘤大小、门静脉侵犯情况或血清甲胎蛋白水平无关。
本研究结果表明,HGF在人类肝脏疾病中起重要作用,主要以独立于c-met蛋白表达的方式发挥作用。