AP-HP-centre, Service d'Imagerie Adulte, Hôpital Necker Enfants Malades, Paris, F-75015, France.
Université de Paris Cité, Paris, F-75006, France.
J Viral Hepat. 2023 Jul;30(7):582-587. doi: 10.1111/jvh.13833. Epub 2023 Mar 22.
Primary liver cancer is the sixth most commonly diagnosed cancer and the third leading cause of cancer death. Advances in sequencing technology are opening genomics to widespread application for diagnosis and research. The poor prognosis of advanced HCC warrants a personalized approach. The objective was to assess the value of genotyping for risk stratification and prognostication of HCC. We performed a systematic review of manuscripts published on MEDLINE from 1 January 2009 to 1 January 2022, addressing the value of genotyping for HCC risk stratification and prognostication. Publication information for each has been collected using a standardized data extraction form. Twenty-five articles were analysed. This study showed that various genomics approaches (i.e., NGS, SNP, CASP or polymorphisms in circadian genes' association) provided predictive and prognostic information, such as disease control rate, median progression-free survival, and shorter median overall survival. Genotyping, which advances in understanding the molecular origin, could be a solution to predict prognosis or treatment response in patients with HCC.
原发性肝癌是第六大常见癌症,也是癌症死亡的第三大主要原因。测序技术的进步正在将基因组学广泛应用于诊断和研究。晚期 HCC 的预后不良需要个性化的治疗方法。目的是评估基因分型在 HCC 风险分层和预后评估中的价值。我们对 2009 年 1 月 1 日至 2022 年 1 月 1 日期间在 MEDLINE 上发表的文献进行了系统评价,这些文献探讨了基因分型在 HCC 风险分层和预后评估中的价值。使用标准化的数据提取表格收集了每个文献的出版信息。分析了 25 篇文章。本研究表明,各种基因组学方法(即 NGS、SNP、CASP 或生物钟基因多态性关联)提供了预测和预后信息,例如疾病控制率、中位无进展生存期和较短的中位总生存期。基因分型可以深入了解疾病的分子起源,有望成为预测 HCC 患者预后或治疗反应的一种方法。