Xu Wei, Qi Xiaogai, Wang Xia, Sun Jize
Department of Intervention, Qingdao Central Hospital, Qingdao Cancer Hospital, Qingdao, Shandong 266042, P.R. China.
Department of Radiotherapy, Qingdao Cancer Hospital, Qingdao, Shandong 266042, P.R. China.
Oncol Lett. 2019 Jan;17(1):871-876. doi: 10.3892/ol.2018.9648. Epub 2018 Oct 31.
Effects of interventional embolotherapy on the expression of fragile histidine triad (FHIT) and p16 in hepatocellular carcinoma (HCC) patients were investigated. Patients with primary HCC who were definitely diagnosed and treated in the Department of Gastroenterology in Qingdao Central Hospital from March 2014 to March 2016 were selected, and they underwent interventional embolotherapy. HCC and cancer-adjacent tissues of the patients were harvested for immunohistochemical staining. The correlation between the expression levels of FHIT and p16 was analyzed at the gene and protein level. Clinical data were collected, and whether they were correlated with the expression of FHIT and p16 was investigated. The expression levels of FHIT and p16 in primary HCC tissues were remarkably lower than that in cancer-adjacent tissues (P<0.05). In HCC tissues, FHIT expression was obviously positively correlated with p16 expression (Spearman's correlation coefficient, r=0.308; P=0.025). FHIT was related to HCC tumor-node-metastasis (TNM) staging, the differentiation degree in Edmondson-Steiner grading, lymph node metastasis and portal vein thrombosis (P<0.05 in all comparisons), whereas, p16 was associated with tumor size and the differentiation degree in Edmondson-Steiner grading (P<0.05 in all comparisons). The expression of FHIT and p16 genes and proteins in HCC tissues were obviously lower than those in cancer-adjacent tissues (P<0.05 in all comparisons). FHIT and p16 genes, as tumor suppressor genes, inhibit the proliferation of HCC, and there is a positive correlation between them. The proteins of the FHIT and p16 can be used as new indicators for clinical detection, thus providing a new method for clinical diagnosis.
研究了介入栓塞疗法对肝细胞癌(HCC)患者中脆性组氨酸三联体(FHIT)和p16表达的影响。选取2014年3月至2016年3月在青岛中心医院胃肠病科明确诊断并接受治疗的原发性HCC患者,对其进行介入栓塞疗法。采集患者的HCC组织及癌旁组织进行免疫组化染色。在基因和蛋白质水平分析FHIT和p16表达水平之间的相关性。收集临床资料,并研究其是否与FHIT和p16的表达相关。原发性HCC组织中FHIT和p16的表达水平明显低于癌旁组织(P<0.05)。在HCC组织中,FHIT表达与p16表达明显正相关(Spearman相关系数,r=0.308;P=0.025)。FHIT与HCC肿瘤-淋巴结-转移(TNM)分期、Edmondson-Steiner分级中的分化程度、淋巴结转移及门静脉血栓形成有关(所有比较中P<0.05),而p16与肿瘤大小及Edmondson-Steiner分级中的分化程度有关(所有比较中P<0.05)。HCC组织中FHIT和p16基因及蛋白质的表达明显低于癌旁组织(所有比较中P<0.05)。FHIT和p16基因作为抑癌基因,抑制HCC的增殖,且它们之间存在正相关。FHIT和p16的蛋白质可作为临床检测的新指标,从而为临床诊断提供新方法。