1. Significant down-regulation of growth hormone receptor expression revealed as a new unfavorable prognos- tic factor in hepatitis C virus-related hepatocellular carcinoma
- Author
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Jee-Fu Huang, Ming-Lun Yeh, Ming-Lung Yu, Chung-Feng Huang, Wan-Long Chuang, Ta-Wei Liu, Yi-Shan Tsai, Ching-Chih Lin, Chia-Yen Dai, and Pei-Chien Tsai
- Subjects
Male ,hepacivirus ,Cirrhosis ,recurrence ,Hepacivirus ,Hepatitis C virus ,Down-Regulation ,Growth hormone receptor ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Carcinoma ,Humans ,lcsh:RC799-869 ,Receptor ,Molecular Biology ,carcinoma, hepatocellular ,Hepatology ,biology ,business.industry ,Liver Neoplasms ,Cancer ,Middle Aged ,medicine.disease ,biology.organism_classification ,Hepatitis C ,digestive system diseases ,receptors, somatotropin ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Cancer research ,030211 gastroenterology & hepatology ,Original Article ,Female ,lcsh:Diseases of the digestive system. Gastroenterology ,prognosis ,Neoplasm Recurrence, Local ,business ,hormones, hormone substitutes, and hormone antagonists - Abstract
Background/Aims: Growth hormone (GH) is the main regulator of somatic growth, metabolism, and gender dimorphism in the liver. GH receptor (GHR) signaling in cancer is derived from a large body of evidence, although the GHR signaling pathway involved in the prognosis of hepatocellular carcinoma (HCC) in patients with hepatitis C virus (HCV)-related HCC, remains unclear. We aimed to explore the expression of GHR and analyze its association with clinicopathologic features and prognosis of patients with chronic hepatitis C and HCC.Methods: The expression of GHR mRNA was investigated by quantitative real-time polymerase chain reaction in paired tumors and adjacent non-tumorous (ANT) liver tissues of 200 patients with chronic hepatitis C and HCC. Western blotting and immunofluorescence assays using the HCV-infected Huh7.5.1 cell model was performed.Results: GHR mRNA was significantly lower in HCV-HCC tissues than in corresponding ANT liver tissues. GHR mRNA and protein levels also decreased in the HCV-infected Huh7.5.1 cell model. Notably, lower GHR expression was associated with age of >60 years (P=0.0111) and worse clinicopathologic characteristics, including alpha-fetoprotein >100 ng/mL (P=0.0403), cirrhosis (P=0.0075), vascular invasion (P=0.0052), pathological stage II–IV (P=0.0002), and albumin ≤4.0 g/dL (P=0.0055), which were linked with poor prognosis of HCC. Most importantly, the high incidence of recurrence and poor survival rates in patients with a low ratio of tumor/ANT GHR (≤0.1) were observed, indicating that low expression levels of GHR had great risk for development of HCC in patients with chronic hepatitis C.Conclusions: Our study demonstrates a significant down-regulation of GHR expression as a new unfavorable independent prognostic factor in patients with chronic hepatitis C and HCC.
- Published
- 2021