Up-regulation of dbpA mRNA in hepatocellular carcinoma associated with metabolic syndrome

Purpose Metabolic syndrome (MS) is a group of recognized risk factors for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease. The aim of this study was to analyze the clinicopathological characteristics of HCC patients with MS and the risk factors for recurrence...

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Veröffentlicht in:Hepatology international 2013-03, Vol.7 (1), p.215-225
Hauptverfasser: Obulhasim, Gulanbar, Yasen, Mahmut, Kajino, Kazunori, Mogushi, Kaoru, Tanaka, Shinji, Mizushima, Hiroshi, Tanaka, Hiroshi, Arii, Shigeki, Hino, Okio
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container_title Hepatology international
container_volume 7
creator Obulhasim, Gulanbar
Yasen, Mahmut
Kajino, Kazunori
Mogushi, Kaoru
Tanaka, Shinji
Mizushima, Hiroshi
Tanaka, Hiroshi
Arii, Shigeki
Hino, Okio
description Purpose Metabolic syndrome (MS) is a group of recognized risk factors for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease. The aim of this study was to analyze the clinicopathological characteristics of HCC patients with MS and the risk factors for recurrence. Also, the aim was to investigate the cold shock protein: DNA-binding protein A (dbpA) expression in HCC patients with MS. Methods A total of 243 patients who underwent curative resections for HCC were classified into two groups. dbpA expression was investigated in 66 HCC patients with MS and in 30 patients without MS by using real-time RT-PCR. Promoter methylation status was examined by using MS-PCR. Results The incidence of metabolic factors affect the HCC significantly higher in non-B non-C patients than in hepatitis B virus (HBV) or hepatitis C virus (HCV) patients ( P  
doi_str_mv 10.1007/s12072-012-9357-4
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The aim of this study was to analyze the clinicopathological characteristics of HCC patients with MS and the risk factors for recurrence. Also, the aim was to investigate the cold shock protein: DNA-binding protein A (dbpA) expression in HCC patients with MS. Methods A total of 243 patients who underwent curative resections for HCC were classified into two groups. dbpA expression was investigated in 66 HCC patients with MS and in 30 patients without MS by using real-time RT-PCR. Promoter methylation status was examined by using MS-PCR. Results The incidence of metabolic factors affect the HCC significantly higher in non-B non-C patients than in hepatitis B virus (HBV) or hepatitis C virus (HCV) patients ( P  &lt; 0.001). Univariate analysis of HCC patients with MS recurrence revealed aspartate amino transferase (AST), multiple tumors, liver damage, hepatic vein invasion, advanced cancer stages ( P  &lt; 0.01), alpha-fetoprotein (AFP) and diabetes mellitus type II ( P  &lt; 0.05) as risk factors. Multivariate analysis, AST, multiple tumors, and hepatic vein invasion ( P  &lt; 0.01) were identified as independent factors for the recurrence. dbpA mRNA was higher in patients with MS than in those without MS ( P  = 0.016), and it was mostly upregulated in non-B non-C HCC patients with MS than in non-B non-C HCC patients without HBV or HCV. Especially, in HCC patients with diabetes mellitus type II, the mRNA and protein levels were highly upregulated. The dbpA expression was regulated by promoter methylation status ( P  &lt; 0.05). Conclusions This study identifies that dbpA may accelerate the hepatocarcinogenesis in HCC patients with MS via inflammation-induced and oxidative stress pathways. The demethylation-related epigenetic activation may be one of the regulating factors for HCC patients with MS.</description><identifier>ISSN: 1936-0533</identifier><identifier>EISSN: 1936-0541</identifier><identifier>DOI: 10.1007/s12072-012-9357-4</identifier><identifier>PMID: 26201636</identifier><language>eng</language><publisher>India: Springer-Verlag</publisher><subject>alpha -fetoprotein ; Cold shock proteins ; Colorectal Surgery ; Diabetes mellitus ; DNA methylation ; DNA-binding protein ; epigenetics ; hepatic vein ; Hepatitis B virus ; Hepatitis C virus ; Hepatocellular carcinoma ; Hepatology ; Liver diseases ; Medicine ; Medicine &amp; Public Health ; Metabolic disorders ; mRNA ; Multivariate analysis ; Original Article ; Oxidative stress ; Polymerase chain reaction ; Risk factors ; Surgery ; Tumors</subject><ispartof>Hepatology international, 2013-03, Vol.7 (1), p.215-225</ispartof><rights>Asian Pacific Association for the Study of the Liver 2012</rights><rights>Asian Pacific Association for the Study of the Liver 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-cc5e8020183b5b1785f8ba5fcf03d92586b0f6de8acfa6fdc7ee042e58b11fa73</citedby><cites>FETCH-LOGICAL-c405t-cc5e8020183b5b1785f8ba5fcf03d92586b0f6de8acfa6fdc7ee042e58b11fa73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12072-012-9357-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12072-012-9357-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26201636$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obulhasim, Gulanbar</creatorcontrib><creatorcontrib>Yasen, Mahmut</creatorcontrib><creatorcontrib>Kajino, Kazunori</creatorcontrib><creatorcontrib>Mogushi, Kaoru</creatorcontrib><creatorcontrib>Tanaka, Shinji</creatorcontrib><creatorcontrib>Mizushima, Hiroshi</creatorcontrib><creatorcontrib>Tanaka, Hiroshi</creatorcontrib><creatorcontrib>Arii, Shigeki</creatorcontrib><creatorcontrib>Hino, Okio</creatorcontrib><title>Up-regulation of dbpA mRNA in hepatocellular carcinoma associated with metabolic syndrome</title><title>Hepatology international</title><addtitle>Hepatol Int</addtitle><addtitle>Hepatol Int</addtitle><description>Purpose Metabolic syndrome (MS) is a group of recognized risk factors for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease. The aim of this study was to analyze the clinicopathological characteristics of HCC patients with MS and the risk factors for recurrence. Also, the aim was to investigate the cold shock protein: DNA-binding protein A (dbpA) expression in HCC patients with MS. Methods A total of 243 patients who underwent curative resections for HCC were classified into two groups. dbpA expression was investigated in 66 HCC patients with MS and in 30 patients without MS by using real-time RT-PCR. Promoter methylation status was examined by using MS-PCR. Results The incidence of metabolic factors affect the HCC significantly higher in non-B non-C patients than in hepatitis B virus (HBV) or hepatitis C virus (HCV) patients ( P  &lt; 0.001). Univariate analysis of HCC patients with MS recurrence revealed aspartate amino transferase (AST), multiple tumors, liver damage, hepatic vein invasion, advanced cancer stages ( P  &lt; 0.01), alpha-fetoprotein (AFP) and diabetes mellitus type II ( P  &lt; 0.05) as risk factors. Multivariate analysis, AST, multiple tumors, and hepatic vein invasion ( P  &lt; 0.01) were identified as independent factors for the recurrence. dbpA mRNA was higher in patients with MS than in those without MS ( P  = 0.016), and it was mostly upregulated in non-B non-C HCC patients with MS than in non-B non-C HCC patients without HBV or HCV. Especially, in HCC patients with diabetes mellitus type II, the mRNA and protein levels were highly upregulated. The dbpA expression was regulated by promoter methylation status ( P  &lt; 0.05). Conclusions This study identifies that dbpA may accelerate the hepatocarcinogenesis in HCC patients with MS via inflammation-induced and oxidative stress pathways. 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The aim of this study was to analyze the clinicopathological characteristics of HCC patients with MS and the risk factors for recurrence. Also, the aim was to investigate the cold shock protein: DNA-binding protein A (dbpA) expression in HCC patients with MS. Methods A total of 243 patients who underwent curative resections for HCC were classified into two groups. dbpA expression was investigated in 66 HCC patients with MS and in 30 patients without MS by using real-time RT-PCR. Promoter methylation status was examined by using MS-PCR. Results The incidence of metabolic factors affect the HCC significantly higher in non-B non-C patients than in hepatitis B virus (HBV) or hepatitis C virus (HCV) patients ( P  &lt; 0.001). Univariate analysis of HCC patients with MS recurrence revealed aspartate amino transferase (AST), multiple tumors, liver damage, hepatic vein invasion, advanced cancer stages ( P  &lt; 0.01), alpha-fetoprotein (AFP) and diabetes mellitus type II ( P  &lt; 0.05) as risk factors. Multivariate analysis, AST, multiple tumors, and hepatic vein invasion ( P  &lt; 0.01) were identified as independent factors for the recurrence. dbpA mRNA was higher in patients with MS than in those without MS ( P  = 0.016), and it was mostly upregulated in non-B non-C HCC patients with MS than in non-B non-C HCC patients without HBV or HCV. Especially, in HCC patients with diabetes mellitus type II, the mRNA and protein levels were highly upregulated. The dbpA expression was regulated by promoter methylation status ( P  &lt; 0.05). Conclusions This study identifies that dbpA may accelerate the hepatocarcinogenesis in HCC patients with MS via inflammation-induced and oxidative stress pathways. The demethylation-related epigenetic activation may be one of the regulating factors for HCC patients with MS.</abstract><cop>India</cop><pub>Springer-Verlag</pub><pmid>26201636</pmid><doi>10.1007/s12072-012-9357-4</doi><tpages>11</tpages></addata></record>
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subjects alpha -fetoprotein
Cold shock proteins
Colorectal Surgery
Diabetes mellitus
DNA methylation
DNA-binding protein
epigenetics
hepatic vein
Hepatitis B virus
Hepatitis C virus
Hepatocellular carcinoma
Hepatology
Liver diseases
Medicine
Medicine & Public Health
Metabolic disorders
mRNA
Multivariate analysis
Original Article
Oxidative stress
Polymerase chain reaction
Risk factors
Surgery
Tumors
title Up-regulation of dbpA mRNA in hepatocellular carcinoma associated with metabolic syndrome
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