High expression of MAGE-A9 correlates with unfavorable survival in hepatocellular carcinoma.

High expression of MAGE-A9 correlates with unfavorable survival in hepatocellular carcinoma.
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DOI:
10.1038/srep06625
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发表时间:
2014-10-15
期刊:
影响因子:
4.6
通讯作者:
Zhu J
Zhu J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gu X;Fu M;Ge Z;Zhan F;Ding Y;Ni H;Zhang W;Zhu Y;Tang X;Xiong L;Li J;Qiu L;Mao Y;Zhu J

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据报道,黑色素瘤相关抗原 (MAGE)-A9 在人类癌症的发展中发挥重要作用。然而,MAGE-A9 表达与肝细胞癌 (HCC) 临床病理特征之间的关联尚不清楚。本研究旨在检测MAGE-A9在人HCC中的表达,并探讨其表达与HCC临床病理特征的关系。采用逆转录聚合酶链反应 (RT-PCR)、一步定量 PCR (qPCR) 和免疫组织化学 (IHC) 分析来表征 HCC 细胞系和组织中 MAGE-A9 的表达。采用 Kaplan-Meier 生存和 Cox 回归分析来评估 100 名 HCC 患者的预后。结果显示,HCC中MAGE-A9的表达显着高于非癌细胞和组织。此外,HCC中MAGE-A9蛋白的表达水平与病理分级(p = 0.003)、门静脉侵犯(p = 0.001)、远处转移(p = 0.022)和TNM分期(p = 0.005)相关。 Cox回归分析进一步显示,MAGE-A9表达是无病生存(p = 0.006)和总生存(p = 0.022)的独立预后因素。这些数据首次表明 MAGE-A9 表达是 HCC 的一个有价值的预后生物标志物,并且高 MAGE-A9 表达表明 HCC 患者的生存结果不佳。
Melanoma-associated antigens (MAGE)-A9 has been reported to play important roles in the development of human cancers. However, the association between MAGE-A9 expression and the clinicopathological characteristics of hepatocellular carcinoma (HCC) is not well understood. The study was to detect the expression of MAGE-A9 in human HCC and investigate the association between its expression and the clinicopathological characteristics of HCC. Reverse transcription-polymerase chain reaction (RT-PCR), one-step quantitative -PCR (qPCR) and immunohistochemistry (IHC) analyses were performed to characterize the expression of MAGE-A9 in HCC cell lines and tissues. Kaplan-Meier survival and Cox regression analyses were employed to evaluate the prognosis of 100 HCC patients. The results showed that the expression of MAGE-A9 in HCC was significantly higher than that in non-cancerous cells and tissues. Moreover, the expression level of the MAGE-A9 protein in HCC was related to the pathological grade (p = 0.003), portal vein invasion (p = 0.001), distant metastasis (p = 0.022) and TNM stage (p = 0.005). Cox regression analysis further revealed that MAGE-A9 expression is an independent prognostic factor for disease-free survival (p = 0.006) and overall survival (p = 0.022). These data are the first to indicate that MAGE-A9 expression is a valuable prognostic biomarker for HCC and that high MAGE-A9 expression suggests unfavorable survival outcomes in HCC patients.
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