Decrease of fibulin-3 in hepatocellular carcinoma indicates poor prognosis.

Decrease of fibulin-3 in hepatocellular carcinoma indicates poor prognosis.
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肝细胞癌中 Fibulin-3 的减少表明预后不良

DOI:
10.1371/journal.pone.0070511
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Yun J
Yun J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Luo R;Zhang M;Liu L;Lu S;Zhang CZ;Yun J

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最初在衰老和Werner综合征成纤维细胞中鉴定的纤蛋白-3与细胞形态、生长、粘附和运动有关。Fibulin-3对人类癌症表现出抗肿瘤和致癌活性;然而,Fibulin-3在肝细胞癌(HCC)中的作用仍然难以捉摸。在这项研究中,我们发现Fibulin-3的mRNA和蛋白水平在肝癌细胞系和新鲜组织中均显著下调。免疫组化结果显示Fibulin-3在67.1%(171/255)的肿瘤组织中表达低于相应的癌旁组织。统计学分析结果表明,Fibulin-3低表达与肿瘤分化程度(P = 0.008)、临床分期(P = 0.014)和血清AFP水平(P<0.01)有关。    此外,Kaplan-Meier和多变量分析表明,Fibulin-3是总体(P<0.001)和无复发(P = 0.036)生存期的独立阴性预后指标。  此外,体外研究表明,通过siRNA敲低Fibulin-3显著增加HCC细胞中的细胞活力并促进细胞侵袭。总的来说,我们的数据表明,Fibulin-3对HCC表现出抗肿瘤作用,并作为这种致命疾病预后不良的生物标志物。
Fibulin-3, originally identified in senescent and Werner syndrome fibroblasts, has been implicated in cell morphology, growth, adhesion and motility. Fibulin-3 exhibits both antitumor and oncogenic activities towards human cancers; however, the role of Fibulin-3 in hepatocellular carcinoma (HCC) remains elusive. In this study, we showed that both the mRNA and protein levels of Fibulin-3 were remarkably downregulated in HCC cell lines and fresh tissues. Immunohistochemical data revealed that Fibulin-3 was decreased in tumorous tissues in 67.1% (171/255) of cases compared to the corresponding adjacent nontumorous tissues. The results of statistical analysis indicated that low Fibulin-3 expression, defined by the receiver operating characteristic curve (ROC), was significantly associated with tumor differentiation (P = 0.008), clinical stage (P = 0.014) and serum AFP levels (P<0.01). Furthermore, Kaplan-Meier and multivariate analysis suggested that Fibulin-3 is an independent negative prognostic indicator for both overall (P<0.001) and recurrence-free (P = 0.036) survival. In addition, an in vitro study demonstrated that knockdown of Fibulin-3 by siRNA markedly increased cell viability and promoted cell invasion in HCC cells. Collectively, our data suggest that Fibulin-3 exhibits antitumor effects towards HCC and serves as a biomarker of unfavorable prognosis for this deadly disease.
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