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Discovery of a Copy-neutral Loss of Heterozygosity Pattern in Perihilar Cholangiocarcinoma With Potential Prognostic Value.

作者信息

Techa-Ay Sutheemon, Watcharadetwittaya Sasithorn, Deenonpoe Raksawan, Intuyod Kitti, Techasen Anchalee, Klanrit Poramate, Loilome Watcharin, Sa-Ngiamwibool Prakasit, Thanee Malinee

机构信息

Cholangiocarcinoma Research Institute, Khon Kaen University, Khon Kaen, Thailand.

Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

出版信息

Anticancer Res. 2025 Sep;45(9):3737-3748. doi: 10.21873/anticanres.17734.

Abstract

BACKGROUND/AIM: Perihilar cholangiocarcinoma (pCCA) is an aggressive bile duct cancer with a poor prognosis (10-40% 5-year survival after resection), that is mostly found in Thailand and has limited prognostic models. Copy neutral loss of heterozygosity (cnLOH) in various cancers affects their progression leading to poorer overall survival. This study aimed to explore cnLOH patterns in individual pCCA patients in order to develop a predictive model for prognostic biomarkers.

MATERIALS AND METHODS

DNA was extracted from 14 frozen tissues and chromosome microarray (CMA) was performed to analyze cnLOH.

RESULTS

Analysis of cnLOH revealed a median of 14 events per sample. The most frequent cnLOH was observed on chromosome 1q, followed by high occurrences on chromosomes 2, 3p, 5q, 6q, 7q, 11q, and 12q. Importantly, we identified several specific cnLOH regions (2p23.2, 2p23.3, and 6p11.1) where alterations were significantly associated with decreased overall survival (<0.05).

CONCLUSION

These results provide evidence that cnLOH events may contribute to disease progression and influence overall survival in patients with pCCA, indicating a potential role in the underlying molecular mechanisms of this malignancy.

摘要

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