Osman Heba Ahmed, El-Sayed Marwa, Tag-Adeen Mohammed, Sabra Ahlam, El-Sawy Samer A, Mahmoud Marwa Ahmed, Elwahab Saeda Mohamed Abd, Wahman Mohammed, Hassan Mohammed H
Department of Tropical Medicine and Gastroenterology, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
Department of Medical Microbiology and Immunology, Qena Faculty of Medicine, South Valley University, Qena, Egypt.
Clin Exp Hepatol. 2023 Mar;9(1):46-56. doi: 10.5114/ceh.2023.125978. Epub 2023 Mar 21.
To evaluate the role of MIF gene polymorphism rs755622 G>C in occurrence and progression of hepatocellular carcinoma (HCC) among a cohort of Egyptian patients.
This case-control study was conducted on 50 patients with HCC after chronic viral hepatitis and 50 healthy volunteers, recruited between July 2021 and January 2022. All patients with HCC were evaluated for severity of liver disease using a Child-Pugh score, and TNM and BCLC scoring systems. MIF 173 G>C (rs755622) single nucleotide polymorphism was performed for all participants by polymerase chain reaction using restriction fragment length polymorphism technique (RFLP-PCR).
Overall results showed significantly higher frequencies of GG (wild homozygous genotype) and mutant heterozygous genotype GC and G allele (OR = 6.303, 95% CI: 3.374-11.775) among patients with HCC compared to the control group ( = 0.001) for all. Also, significantly higher frequency of genotype GG was detected among patients with advanced Child scores (B and C) ( = 0.039) and TNM stages (III and IV) ( = 0.013). There was significantly higher frequency of the G allele among patients with multiple hepatic focal lesions compared to those with a single focal lesion ( = 0.01).
An obvious role of MIF (rs755622) gene polymorphism could have an important role in susceptibility and progression of HCC among patients with chronic viral hepatitis induced liver cirrhosis.
评估MIF基因多态性rs755622 G>C在一组埃及患者肝细胞癌(HCC)发生和进展中的作用。
本病例对照研究于2021年7月至2022年1月招募了50例慢性病毒性肝炎后发生HCC的患者和50名健康志愿者。所有HCC患者均使用Child-Pugh评分、TNM和BCLC评分系统评估肝病严重程度。采用聚合酶链反应-限制性片段长度多态性技术(RFLP-PCR)对所有参与者进行MIF 173 G>C(rs755622)单核苷酸多态性检测。
总体结果显示,与对照组相比,HCC患者中GG(野生纯合基因型)、突变杂合基因型GC和G等位基因的频率显著更高(OR = 6.303,95% CI:3.374 - 11.775)(P = 0.001)。此外,在Child评分较高(B和C)的患者(P = 0.039)和TNM分期(III和IV期)的患者(P = 0.013)中,基因型GG的频率显著更高。与有单个局灶性病变的患者相比,有多个肝脏局灶性病变的患者中G等位基因的频率显著更高(P = 0.01)。
MIF(rs755622)基因多态性在慢性病毒性肝炎所致肝硬化患者HCC的易感性和进展中可能起重要作用。