Increased activity of serum mitochondrial isoenzyme of creatine kinase in hepatocellular carcinoma patients predominantly with recurrence

Background & Aims Mitochondrial isoenzyme of creatine kinase (MtCK) is reportedly highly expressed in hepatocellular carcinoma (HCC). Clinical relevance of serum MtCK activity in patients with HCC was assessed using a novel immuno-inhibition method. Methods Among patients with cirrhosis caused b...

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Veröffentlicht in:Journal of hepatology 2012-08, Vol.57 (2), p.330-336
Hauptverfasser: Soroida, Yoko, Ohkawa, Ryunosuke, Nakagawa, Hayato, Satoh, Yumiko, Yoshida, Haruhiko, Kinoshita, Hiroto, Tateishi, Ryosuke, Masuzaki, Ryota, Enooku, Kenichiro, Shiina, Shuichiro, Sato, Takahisa, Obi, Shuntaro, Hoshino, Tadashi, Nagatomo, Ritsuko, Okubo, Shigeo, Yokota, Hiromitsu, Koike, Kazuhiko, Yatomi, Yutaka, Ikeda, Hitoshi
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container_end_page 336
container_issue 2
container_start_page 330
container_title Journal of hepatology
container_volume 57
creator Soroida, Yoko
Ohkawa, Ryunosuke
Nakagawa, Hayato
Satoh, Yumiko
Yoshida, Haruhiko
Kinoshita, Hiroto
Tateishi, Ryosuke
Masuzaki, Ryota
Enooku, Kenichiro
Shiina, Shuichiro
Sato, Takahisa
Obi, Shuntaro
Hoshino, Tadashi
Nagatomo, Ritsuko
Okubo, Shigeo
Yokota, Hiromitsu
Koike, Kazuhiko
Yatomi, Yutaka
Ikeda, Hitoshi
description Background & Aims Mitochondrial isoenzyme of creatine kinase (MtCK) is reportedly highly expressed in hepatocellular carcinoma (HCC). Clinical relevance of serum MtCK activity in patients with HCC was assessed using a novel immuno-inhibition method. Methods Among patients with cirrhosis caused by hepatitis B or C virus, 147 patients with HCC (12 with the first occurrence and 135 with recurrence) and 92 patients without HCC were enrolled. Results Serum MtCK activity was higher in cirrhotic patients with HCC than in those without HCC or healthy subjects. Elevated serum MtCK activity in HCC patients decreased after radiofrequency ablation. In case of prediction of HCC, MtCK had a sensitivity of 62.6% and a specificity of 70.7% at a cut-off point of 8.0 U/L, with an area under the receiver operating curve of 0.722 vs. 0.713 for alpha-fetoprotein (AFP) and 0.764 for des-gamma-carboxy prothrombin (DCP). Among the HCC patients, serum MtCK activity was elevated in 52.9% individuals with serum AFP level
doi_str_mv 10.1016/j.jhep.2012.03.012
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Clinical relevance of serum MtCK activity in patients with HCC was assessed using a novel immuno-inhibition method. Methods Among patients with cirrhosis caused by hepatitis B or C virus, 147 patients with HCC (12 with the first occurrence and 135 with recurrence) and 92 patients without HCC were enrolled. Results Serum MtCK activity was higher in cirrhotic patients with HCC than in those without HCC or healthy subjects. Elevated serum MtCK activity in HCC patients decreased after radiofrequency ablation. In case of prediction of HCC, MtCK had a sensitivity of 62.6% and a specificity of 70.7% at a cut-off point of 8.0 U/L, with an area under the receiver operating curve of 0.722 vs. 0.713 for alpha-fetoprotein (AFP) and 0.764 for des-gamma-carboxy prothrombin (DCP). Among the HCC patients, serum MtCK activity was elevated in 52.9% individuals with serum AFP level &lt;20 ng/ml and 63.2% individuals with serum DCP level &lt;40 mAu/ml. Even in patients with a single HCC ⩽2 cm, the sensitivity of serum MtCK activity for the prediction of HCC was 64.4%, which was comparable to the overall sensitivity. This increased activity was due to an increase in ubiquitous MtCK, not sarcomeric MtCK, and the enhanced mRNA expression of ubiquitous MtCK was observed in cell lines originating from HCCs in contrast to healthy liver tissues. Conclusions Serum MtCK activity merits consideration as a novel marker for HCC to be further tested as for its diagnostic and prognostic power.</description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/j.jhep.2012.03.012</identifier><identifier>PMID: 22521349</identifier><identifier>CODEN: JOHEEC</identifier><language>eng</language><publisher>Kidlington: Elsevier B.V</publisher><subject>Aged ; Alpha-fetoprotein ; alpha-Fetoproteins - analysis ; Biological and medical sciences ; Biomarkers - blood ; Carcinoma, Hepatocellular - enzymology ; Creatine Kinase, Mitochondrial Form - blood ; Creatine Kinase, Mitochondrial Form - genetics ; Des-gamma-carboxy prothrombin ; Female ; Gastroenterology and Hepatology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatocellular carcinoma ; Humans ; Isoenzymes - blood ; Liver Neoplasms - enzymology ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Mitochondrial isoenzyme of creatine kinase ; Neoplasm Recurrence, Local - enzymology ; Protein Precursors - blood ; Prothrombin ; RNA, Messenger - analysis ; Tumors</subject><ispartof>Journal of hepatology, 2012-08, Vol.57 (2), p.330-336</ispartof><rights>European Association for the Study of the Liver</rights><rights>2012 European Association for the Study of the Liver</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-86dcffa65b2b8d08d2935450370dd5b5b2553380045950717f708f28386b90ec3</citedby><cites>FETCH-LOGICAL-c441t-86dcffa65b2b8d08d2935450370dd5b5b2553380045950717f708f28386b90ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhep.2012.03.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26143707$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22521349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soroida, Yoko</creatorcontrib><creatorcontrib>Ohkawa, Ryunosuke</creatorcontrib><creatorcontrib>Nakagawa, Hayato</creatorcontrib><creatorcontrib>Satoh, Yumiko</creatorcontrib><creatorcontrib>Yoshida, Haruhiko</creatorcontrib><creatorcontrib>Kinoshita, Hiroto</creatorcontrib><creatorcontrib>Tateishi, Ryosuke</creatorcontrib><creatorcontrib>Masuzaki, Ryota</creatorcontrib><creatorcontrib>Enooku, Kenichiro</creatorcontrib><creatorcontrib>Shiina, Shuichiro</creatorcontrib><creatorcontrib>Sato, Takahisa</creatorcontrib><creatorcontrib>Obi, Shuntaro</creatorcontrib><creatorcontrib>Hoshino, Tadashi</creatorcontrib><creatorcontrib>Nagatomo, Ritsuko</creatorcontrib><creatorcontrib>Okubo, Shigeo</creatorcontrib><creatorcontrib>Yokota, Hiromitsu</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><creatorcontrib>Yatomi, Yutaka</creatorcontrib><creatorcontrib>Ikeda, Hitoshi</creatorcontrib><title>Increased activity of serum mitochondrial isoenzyme of creatine kinase in hepatocellular carcinoma patients predominantly with recurrence</title><title>Journal of hepatology</title><addtitle>J Hepatol</addtitle><description>Background &amp; Aims Mitochondrial isoenzyme of creatine kinase (MtCK) is reportedly highly expressed in hepatocellular carcinoma (HCC). Clinical relevance of serum MtCK activity in patients with HCC was assessed using a novel immuno-inhibition method. Methods Among patients with cirrhosis caused by hepatitis B or C virus, 147 patients with HCC (12 with the first occurrence and 135 with recurrence) and 92 patients without HCC were enrolled. Results Serum MtCK activity was higher in cirrhotic patients with HCC than in those without HCC or healthy subjects. Elevated serum MtCK activity in HCC patients decreased after radiofrequency ablation. In case of prediction of HCC, MtCK had a sensitivity of 62.6% and a specificity of 70.7% at a cut-off point of 8.0 U/L, with an area under the receiver operating curve of 0.722 vs. 0.713 for alpha-fetoprotein (AFP) and 0.764 for des-gamma-carboxy prothrombin (DCP). Among the HCC patients, serum MtCK activity was elevated in 52.9% individuals with serum AFP level &lt;20 ng/ml and 63.2% individuals with serum DCP level &lt;40 mAu/ml. Even in patients with a single HCC ⩽2 cm, the sensitivity of serum MtCK activity for the prediction of HCC was 64.4%, which was comparable to the overall sensitivity. This increased activity was due to an increase in ubiquitous MtCK, not sarcomeric MtCK, and the enhanced mRNA expression of ubiquitous MtCK was observed in cell lines originating from HCCs in contrast to healthy liver tissues. Conclusions Serum MtCK activity merits consideration as a novel marker for HCC to be further tested as for its diagnostic and prognostic power.</description><subject>Aged</subject><subject>Alpha-fetoprotein</subject><subject>alpha-Fetoproteins - analysis</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Carcinoma, Hepatocellular - enzymology</subject><subject>Creatine Kinase, Mitochondrial Form - blood</subject><subject>Creatine Kinase, Mitochondrial Form - genetics</subject><subject>Des-gamma-carboxy prothrombin</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Isoenzymes - blood</subject><subject>Liver Neoplasms - enzymology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mitochondrial isoenzyme of creatine kinase</subject><subject>Neoplasm Recurrence, Local - enzymology</subject><subject>Protein Precursors - blood</subject><subject>Prothrombin</subject><subject>RNA, Messenger - analysis</subject><subject>Tumors</subject><issn>0168-8278</issn><issn>1600-0641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk2LFDEQhhtR3HH1D3iQXAQvM1aS_siACLL4sbDgQQVvIZ1UM-ntTsake6X9B_5rq5lRwYOnguJ5K5X3raJ4ymHHgdcv-11_wONOABc7kDsq94oNrwG2UJf8frEhSG2VaNRF8SjnHgAk7MuHxYUQleCy3G-Kn9fBJjQZHTN28nd-WljsWMY0j2z0U7SHGFzyZmA-Rww_lhFXYBVNPiC79YHUzAdGuxjicRjmwSRmTbI-xNEwansMU2bHhC6OJAjTsLDvfjqwhHZOCYPFx8WDzgwZn5zrZfHl3dvPVx-2Nx_fX1-9udnasuTTVtXOdp2pq1a0yoFyYi-rsgLZgHNVS-2qklIBlNW-goY3XQOqE0qqut0DWnlZvDjNPab4bcY86dHndWsTMM5ZcxC1qpsKakLFCbUp5pyw08fkR5MWgvQage71GoFeI9AgNRUSPTvPn9sR3R_Jb88JeH4GTLZm6JIJ1ue_XM1L-kxD3KsTh-TGnceks_WrU86Ta5N20f9_j9f_yO3gg6cXb3HB3Mc5BfJZc51Joz-tx7LeChdADjRf5S-HWbwf</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Soroida, Yoko</creator><creator>Ohkawa, Ryunosuke</creator><creator>Nakagawa, Hayato</creator><creator>Satoh, Yumiko</creator><creator>Yoshida, Haruhiko</creator><creator>Kinoshita, Hiroto</creator><creator>Tateishi, Ryosuke</creator><creator>Masuzaki, Ryota</creator><creator>Enooku, Kenichiro</creator><creator>Shiina, Shuichiro</creator><creator>Sato, Takahisa</creator><creator>Obi, Shuntaro</creator><creator>Hoshino, Tadashi</creator><creator>Nagatomo, Ritsuko</creator><creator>Okubo, Shigeo</creator><creator>Yokota, Hiromitsu</creator><creator>Koike, Kazuhiko</creator><creator>Yatomi, Yutaka</creator><creator>Ikeda, Hitoshi</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Increased activity of serum mitochondrial isoenzyme of creatine kinase in hepatocellular carcinoma patients predominantly with recurrence</title><author>Soroida, Yoko ; Ohkawa, Ryunosuke ; Nakagawa, Hayato ; Satoh, Yumiko ; Yoshida, Haruhiko ; Kinoshita, Hiroto ; Tateishi, Ryosuke ; Masuzaki, Ryota ; Enooku, Kenichiro ; Shiina, Shuichiro ; Sato, Takahisa ; Obi, Shuntaro ; Hoshino, Tadashi ; Nagatomo, Ritsuko ; Okubo, Shigeo ; Yokota, Hiromitsu ; Koike, Kazuhiko ; Yatomi, Yutaka ; Ikeda, Hitoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-86dcffa65b2b8d08d2935450370dd5b5b2553380045950717f708f28386b90ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Alpha-fetoprotein</topic><topic>alpha-Fetoproteins - analysis</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Carcinoma, Hepatocellular - enzymology</topic><topic>Creatine Kinase, Mitochondrial Form - blood</topic><topic>Creatine Kinase, Mitochondrial Form - genetics</topic><topic>Des-gamma-carboxy prothrombin</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Isoenzymes - blood</topic><topic>Liver Neoplasms - enzymology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mitochondrial isoenzyme of creatine kinase</topic><topic>Neoplasm Recurrence, Local - enzymology</topic><topic>Protein Precursors - blood</topic><topic>Prothrombin</topic><topic>RNA, Messenger - analysis</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soroida, Yoko</creatorcontrib><creatorcontrib>Ohkawa, Ryunosuke</creatorcontrib><creatorcontrib>Nakagawa, Hayato</creatorcontrib><creatorcontrib>Satoh, Yumiko</creatorcontrib><creatorcontrib>Yoshida, Haruhiko</creatorcontrib><creatorcontrib>Kinoshita, Hiroto</creatorcontrib><creatorcontrib>Tateishi, Ryosuke</creatorcontrib><creatorcontrib>Masuzaki, Ryota</creatorcontrib><creatorcontrib>Enooku, Kenichiro</creatorcontrib><creatorcontrib>Shiina, Shuichiro</creatorcontrib><creatorcontrib>Sato, Takahisa</creatorcontrib><creatorcontrib>Obi, Shuntaro</creatorcontrib><creatorcontrib>Hoshino, Tadashi</creatorcontrib><creatorcontrib>Nagatomo, Ritsuko</creatorcontrib><creatorcontrib>Okubo, Shigeo</creatorcontrib><creatorcontrib>Yokota, Hiromitsu</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><creatorcontrib>Yatomi, Yutaka</creatorcontrib><creatorcontrib>Ikeda, Hitoshi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soroida, Yoko</au><au>Ohkawa, Ryunosuke</au><au>Nakagawa, Hayato</au><au>Satoh, Yumiko</au><au>Yoshida, Haruhiko</au><au>Kinoshita, Hiroto</au><au>Tateishi, Ryosuke</au><au>Masuzaki, Ryota</au><au>Enooku, Kenichiro</au><au>Shiina, Shuichiro</au><au>Sato, Takahisa</au><au>Obi, Shuntaro</au><au>Hoshino, Tadashi</au><au>Nagatomo, Ritsuko</au><au>Okubo, Shigeo</au><au>Yokota, Hiromitsu</au><au>Koike, Kazuhiko</au><au>Yatomi, Yutaka</au><au>Ikeda, Hitoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased activity of serum mitochondrial isoenzyme of creatine kinase in hepatocellular carcinoma patients predominantly with recurrence</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>57</volume><issue>2</issue><spage>330</spage><epage>336</epage><pages>330-336</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><coden>JOHEEC</coden><abstract>Background &amp; Aims Mitochondrial isoenzyme of creatine kinase (MtCK) is reportedly highly expressed in hepatocellular carcinoma (HCC). Clinical relevance of serum MtCK activity in patients with HCC was assessed using a novel immuno-inhibition method. Methods Among patients with cirrhosis caused by hepatitis B or C virus, 147 patients with HCC (12 with the first occurrence and 135 with recurrence) and 92 patients without HCC were enrolled. Results Serum MtCK activity was higher in cirrhotic patients with HCC than in those without HCC or healthy subjects. Elevated serum MtCK activity in HCC patients decreased after radiofrequency ablation. In case of prediction of HCC, MtCK had a sensitivity of 62.6% and a specificity of 70.7% at a cut-off point of 8.0 U/L, with an area under the receiver operating curve of 0.722 vs. 0.713 for alpha-fetoprotein (AFP) and 0.764 for des-gamma-carboxy prothrombin (DCP). Among the HCC patients, serum MtCK activity was elevated in 52.9% individuals with serum AFP level &lt;20 ng/ml and 63.2% individuals with serum DCP level &lt;40 mAu/ml. Even in patients with a single HCC ⩽2 cm, the sensitivity of serum MtCK activity for the prediction of HCC was 64.4%, which was comparable to the overall sensitivity. This increased activity was due to an increase in ubiquitous MtCK, not sarcomeric MtCK, and the enhanced mRNA expression of ubiquitous MtCK was observed in cell lines originating from HCCs in contrast to healthy liver tissues. Conclusions Serum MtCK activity merits consideration as a novel marker for HCC to be further tested as for its diagnostic and prognostic power.</abstract><cop>Kidlington</cop><pub>Elsevier B.V</pub><pmid>22521349</pmid><doi>10.1016/j.jhep.2012.03.012</doi><tpages>7</tpages></addata></record>
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subjects Aged
Alpha-fetoprotein
alpha-Fetoproteins - analysis
Biological and medical sciences
Biomarkers - blood
Carcinoma, Hepatocellular - enzymology
Creatine Kinase, Mitochondrial Form - blood
Creatine Kinase, Mitochondrial Form - genetics
Des-gamma-carboxy prothrombin
Female
Gastroenterology and Hepatology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatocellular carcinoma
Humans
Isoenzymes - blood
Liver Neoplasms - enzymology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Mitochondrial isoenzyme of creatine kinase
Neoplasm Recurrence, Local - enzymology
Protein Precursors - blood
Prothrombin
RNA, Messenger - analysis
Tumors
title Increased activity of serum mitochondrial isoenzyme of creatine kinase in hepatocellular carcinoma patients predominantly with recurrence
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