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高NEK2表达是肝癌患者肝切除术后肿瘤复发的一个预测指标。

High NEK2 Expression Is a Predictor of Tumor Recurrence in Hepatocellular Carcinoma Patients After Hepatectomy.

作者信息

Wubetu Gizachew Yismaw, Morine Yuji, Teraoku Hiroki, Yoshikawa Masato, Ishikawa Daichi, Yamada Shinichiro, Ikemoto Tetsuya, Saito Y U, Imura Satoru, Shimada Mitsuo

机构信息

Department of Surgery, University of Tokushima, Tokushima, Japan.

Department of Surgery, University of Tokushima, Tokushima, Japan

出版信息

Anticancer Res. 2016 Feb;36(2):757-62.

Abstract

BACKGROUND/AIM: Better prognosis of cancer including hepatocellular carcinoma (HCC) remains unsatisfactory due to recurrence and chemoresistance. In this respect it is important to identify molecular targets specific to the disease in order to design effective therapeutic strategies. In the present study, we investigated the prognostic role of Never-in-mitosis-A-related kinase 2 (NEK2) in HCC.

MATERIALS AND METHODS

Fifty HCC patients who underwent hepatectomy were enrolled in the study. NEK2 gene and protein expression was examined by quantitative real-time polymerase chain reaction (qRT-PCR) and immunohistochemistry, respectively.

RESULTS

Higher expression of NEK2 was detected in HCC tumoral compared to adjacent non-tumor tissues (p<0.001), and protein expression was also relatively high in tumor than corresponding non-tumor tissues. Furthermore, high NEK2 expression was positively correlated with hepatic venous invasion (p=0.047), des-gammacarboxy prothrombin (p=0.003), and alpha-fetoprotein (AFP) (p=0.024). Patients with high NEK2 expression had significantly poor recurrence-free survival (p=0.042) and early recurrence.

CONCLUSION

Overall, these results suggest that NEK2 could be a promising biomarker for HCC recurrence.

摘要

背景/目的:包括肝细胞癌(HCC)在内的癌症,由于复发和化疗耐药性,其较好的预后仍不尽人意。在这方面,识别该疾病特有的分子靶点对于设计有效的治疗策略至关重要。在本研究中,我们调查了NIMA相关激酶2(NEK2)在HCC中的预后作用。

材料与方法

五十例行肝切除术的HCC患者纳入本研究。分别通过定量实时聚合酶链反应(qRT-PCR)和免疫组织化学检测NEK2基因和蛋白表达。

结果

与癌旁非肿瘤组织相比,HCC肿瘤组织中检测到更高的NEK2表达(p<0.001),且肿瘤组织中的蛋白表达也相对高于相应的非肿瘤组织。此外,NEK2高表达与肝静脉侵犯(p=0.047)、异常凝血酶原(p=0.003)和甲胎蛋白(AFP)(p=0.024)呈正相关。NEK2高表达的患者无复发生存期明显较差(p=0.042)且早期复发。

结论

总体而言,这些结果表明NEK2可能是HCC复发的一个有前景的生物标志物。

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