Laboratory Medicine Centre, Zhuzhou Central Hospital, Zhuzhou, Hunan, China.
Department of Nephrology Zhuzhou Central Hospital, Zhuzhou, Hunan, China.
Ann Clin Lab Sci. 2023 Jul;53(4):516-528.
This study aimed to explore the expression of the C-type lectin domain family 4 member G (CLEC4G) gene in the liver sinusoidal endothelial cells (LSECs) during liver pathogenesis, and to evaluate its correlation with CD34 and clinical significance in hepatocellular carcinoma patients.
We conducted bioinformatics analysis of the differential expression of CLEC4G in various human organs, carcinomatous and adjacent tissues. Then, mRNA and protein expression levels of CD34 in hepatocellular carcinoma (HCC) samples were detected via real-time quantitative reverse transcription PCR (qRT-PCR) and immunohistochemical (IHC), respectively. ELISA was applied to detect serum levels of CLEC4G in healthy controls, liver fibrosis and HCC patients.
The expressions of mRNA and protein levels of CLEC4G were higher in normal liver tissues, moderately expressed in cirrhotic and para-cancerous tissues (<0.001), and lowest in HCC tissues (<0.001). We also found high CD34 expression in tumors, which was negatively correlated with CLEC4G at both mRNA and protein levels. Compared to the healthy controls, the CLEC4G levels in liver fibrosis patients and HCC patients gradually became lower (<0.001).
The low expression of CLEC4G is potentially correlated with LSEC capillarization and the appearance of micro-vessels. Such a phenomenon may serve as a reliable diagnostic marker for hepatocellular carcinoma.
本研究旨在探讨 C 型凝集素结构域家族 4 成员 G(CLEC4G)基因在肝脏发病机制中肝窦内皮细胞(LSEC)中的表达,并评估其与 CD34 的相关性及其在肝癌患者中的临床意义。
我们对 CLEC4G 在各种人体器官、癌组织和癌旁组织中的差异表达进行了生物信息学分析。然后,通过实时定量逆转录 PCR(qRT-PCR)和免疫组织化学(IHC)分别检测肝癌(HCC)样本中 CD34 的 mRNA 和蛋白表达水平。应用 ELISA 检测健康对照、肝纤维化和 HCC 患者血清中 CLEC4G 的水平。
CLEC4G 的 mRNA 和蛋白表达水平在正常肝组织中较高,在肝硬化和癌旁组织中中度表达(<0.001),在 HCC 组织中表达最低(<0.001)。我们还发现肿瘤中 CD34 表达较高,其与 CLEC4G 在 mRNA 和蛋白水平上均呈负相关。与健康对照组相比,肝纤维化患者和 HCC 患者的 CLEC4G 水平逐渐降低(<0.001)。
CLEC4G 的低表达可能与 LSEC 毛细血管化和微血管的出现有关。这种现象可能是肝癌可靠的诊断标志物。