Estimation of telomerase, AFP, and AFP-L3 levels in Sudanese patients with hepatocellular carcinoma and chronic liver diseases

Telomerase enzyme activity is considered a widespread and relatively selective tumor cell marker feature that can be used for detecting the presence of various neoplastic cells. The positive activity of telomerase enzyme was also recorded in chronic liver disease and is evaluated as a more appropria...

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Veröffentlicht in:Comparative clinical pathology 2018-09, Vol.27 (5), p.1133-1140
Hauptverfasser: Rahamtalla, Fayza A., Abdalla, Mohammed S. M., Mudawi, Salma B. M., Kheir Elsid, Mohammed A. H., Shammat, Iman M.
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container_issue 5
container_start_page 1133
container_title Comparative clinical pathology
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creator Rahamtalla, Fayza A.
Abdalla, Mohammed S. M.
Mudawi, Salma B. M.
Kheir Elsid, Mohammed A. H.
Shammat, Iman M.
description Telomerase enzyme activity is considered a widespread and relatively selective tumor cell marker feature that can be used for detecting the presence of various neoplastic cells. The positive activity of telomerase enzyme was also recorded in chronic liver disease and is evaluated as a more appropriate biomarker for differentiating hepatocellular carcinoma (HCC) from chronic liver diseases. The current study aimed to evaluate telomerase, AFP, and AFP-L3 levels in Sudanese patients with hepatocellular carcinoma and chronic liver diseases. The study enrolled 113 patients: HCC ( n  = 33), cirrhosis ( n  = 33), and chronic hepatitis ( n  = 47), jointly with 50 healthy controls. Enzyme-linked immunosorbent assay (ELISA) technique was used to estimate the telomerase, AFP, and AFP-L3 levels in blood samples. The telomerase level was elevated in 70% of HCC patients, and it was significantly higher in HCC patients compared to that in healthy controls (1.38 versus 0.35 ng/ml, respectively; P  
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Enzyme-linked immunosorbent assay (ELISA) technique was used to estimate the telomerase, AFP, and AFP-L3 levels in blood samples. The telomerase level was elevated in 70% of HCC patients, and it was significantly higher in HCC patients compared to that in healthy controls (1.38 versus 0.35 ng/ml, respectively; P  &lt; 0.01). Serum alpha-fetoprotein (AFP) and Lens culinaris agglutinin-reactive (AFP-L3) levels were also significantly elevated in HCC patients compared to healthy controls (130.76 versus 5.59 ng/ml; P  &lt; 0.01) and (59.76 versus 0.49 ng/ml; P  &lt; 0.01), respectively. The combination between telomerase and AFP or AFPL-3 lead to increased telomerase sensitivity (85 and 79%, respectively).Telomerase was found to be further sensitive in patients with a tumor size of less than 5 cm as well as to tumors of more than 5 cm. Two healthy control samples showed an increase in telomerase level. 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The combination between telomerase and AFP or AFPL-3 lead to increased telomerase sensitivity (85 and 79%, respectively).Telomerase was found to be further sensitive in patients with a tumor size of less than 5 cm as well as to tumors of more than 5 cm. Two healthy control samples showed an increase in telomerase level. The combined use of telomerase, AFP, and AFP-L3 levels might be useful for achieving better sensitivity for HCC patients.</abstract><cop>London</cop><pub>Springer London</pub><doi>10.1007/s00580-018-2709-2</doi><tpages>8</tpages></addata></record>
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subjects Biomarkers
Cirrhosis
Enzyme-linked immunosorbent assay
Enzymes
Hematology
Hepatitis
Hepatocellular carcinoma
Liver cancer
Liver cirrhosis
Liver diseases
Medicine
Medicine & Public Health
Oncology
Original Article
Pathology
Telomerase
Tumors
α-Fetoprotein
title Estimation of telomerase, AFP, and AFP-L3 levels in Sudanese patients with hepatocellular carcinoma and chronic liver diseases
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