Department of Hepatopancreatobiliary Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu Province, China.
Immunology and Reproduction Biology Laboratory & State Key Laboratory of Analytical Chemistry for Life Science, Medical School, Nanjing University, Nanjing, 210093, Jiangsu, China.
Dig Dis Sci. 2020 Feb;65(2):500-508. doi: 10.1007/s10620-019-05806-0. Epub 2019 Sep 5.
The leucine-rich repeat kinase 2 (LRRK2) gene was confirmed to be associated with a variety of diseases, while the physiological function of LRRK2 remains poorly understood. Intrahepatic cholangiocarcinoma (ICC) has over the last 10 years become the focus of increasing concern largely. Despite recent progress in the standard of care and management options for ICC, the prognosis for this devastating cancer remains dismal.
A total of 57 consecutive ICC patients who underwent curative hepatectomy in our institution were included in our study. We conduct a retrospective study to evaluate the prognostic value of LRRK2 in ICC after resection. The mechanism of LRRK2 in ICC development was also investigated in vitro.
All patients were divided into two groups according to the content of LRRK2 in the tissue microarray blocks via immunohistochemistry: low-LRRK2 group (n = 33) and high-LRRK2 group (n = 24). The recurrence-free survival rate of high-LRRK2 group was significantly poorer than that of low-LRRK2 group (P = 0.010). Multivariate analysis showed high-LRRK2 was the prognostic factor for recurrence-free survival after hepatectomy. We demonstrated that downregulation of LRRK2 depressed the proliferation and metastasis of ICC cells in vitro.
We provide evidence that LRRK2 was an independent prognostic factor for ICC in humans by participating in the proliferation and metastasis of ICC cells.
富含亮氨酸重复激酶 2(LRRK2)基因已被证实与多种疾病相关,但其生理功能仍知之甚少。肝内胆管癌(ICC)在过去 10 年中成为越来越受关注的焦点。尽管 ICC 的标准治疗和管理选择最近取得了进展,但这种毁灭性癌症的预后仍然很差。
本研究纳入了在我院接受根治性肝切除术的 57 例连续 ICC 患者。我们进行了一项回顾性研究,以评估 LRRK2 在 ICC 切除后的预后价值。还在体外研究了 LRRK2 在 ICC 发展中的作用机制。
所有患者均通过组织微阵列块的免疫组织化学法分为两组:低 LRRK2 组(n=33)和高 LRRK2 组(n=24)。高 LRRK2 组的无复发生存率明显低于低 LRRK2 组(P=0.010)。多因素分析显示,高 LRRK2 是肝切除术后无复发生存的预后因素。我们证明,LRRK2 的下调抑制了 ICC 细胞在体外的增殖和转移。
我们通过参与 ICC 细胞的增殖和转移,提供了 LRRK2 是人类 ICC 的独立预后因素的证据。