Chen Xiao-Peng, Liu Yin-Bib, Rui Jing, Peng Shu-You, Peng Cheng-Hong, Zhou Zi-Yan, Shi Liang-Hui, Shen Hong-Wei, Xu Bin
Department of Surgery, Affilicated Yijishan Hospital, Wannan Medical College, Wuhu 241001, Anhui Province, China.
World J Gastroenterol. 2004 Oct 1;10(19):2795-9. doi: 10.3748/wjg.v10.i19.2795.
To explore the expression of heparanase mRNA and point mutation in hepatocellular carcinoma (HCC).
Reverse transcription polymerase chain reaction was used to measure the expression of heparanase mRNA in the primary tumor tissues and surrounding liver tissues of 33 HCC patients. T-A cloning and sequencing were used to detect whether there was any mutation in the amplified PCR products.
The expression of heparanase mRNA was positive in 16 primary tumor tissues of HCC, and the positive rate was 48.5%, which was significantly higher than that in the surrounding liver parenchyma (P<0.01). The positive rate for heparanase gene in high-tendency to metastatic recurrence group (71.4%, 10/14) was obviously higher than that in low-tendency to metastatic recurrence group (31.6%, 6/19) (P = 0.023). The positive rate for heparanase gene in patients with metastatic recurrence during postoperative follow-up (78.6%, 11/14) was also significantly higher than that in those without metastatic recurrence (21.4%, 3/14) (P = 0.003). Sequence analysis of the HPA PCR products was made in 7 patients, and 2-point mutations were found in 4 patients, one of which was sense mutation, neither base insertion nor deletion was detected. The mutation rate was 57.1% (4/7).
The expression rate of heparanase mRNA increases in HCC, and HPA mRNA may be one of the reliable markers for the metastatic activity gained by the liver tumor cells and could be used clinically in predicting metastatic recurrence of HCC. Point mutation may be one of the causes for enhanced heparanase mRNA expression.
探讨乙酰肝素酶mRNA在肝细胞癌(HCC)中的表达及点突变情况。
采用逆转录聚合酶链反应检测33例HCC患者原发肿瘤组织及癌旁肝组织中乙酰肝素酶mRNA的表达。运用T-A克隆及测序检测扩增的PCR产物是否存在突变。
16例HCC原发肿瘤组织中乙酰肝素酶mRNA表达呈阳性,阳性率为48.5%,显著高于癌旁肝实质(P<0.01)。高转移复发倾向组乙酰肝素酶基因阳性率(71.4%,10/14)明显高于低转移复发倾向组(31.6%,6/19)(P = 0.023)。术后随访有转移复发患者乙酰肝素酶基因阳性率(78.6%,11/14)也显著高于无转移复发患者(21.4%,3/14)(P = 0.003)。对7例患者的HPA PCR产物进行序列分析,4例患者发现2个点突变,其中1个为错义突变,未检测到碱基插入或缺失。突变率为57.1%(4/7)。
HCC中乙酰肝素酶mRNA表达率升高,HPA mRNA可能是肝肿瘤细胞获得转移活性的可靠标志物之一,可用于临床预测HCC的转移复发。点突变可能是乙酰肝素酶mRNA表达增强的原因之一。