Serum AKR1B10 as an indicator of unfavorable survival of hepatocellular carcinoma

Background and Aims A large-scale multicenter study validated aldo–keto reductase 1B10 (AKR1B10) as a new serum marker of hepatocellular carcinoma (HCC). This study aimed to evaluate the prognostic value of serum AKR1B10 in HCC. Methods 273 naïve HCC patients enrolled for serum AKR1B10 tests were fo...

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Veröffentlicht in:Journal of gastroenterology 2023-10, Vol.58 (10), p.1030-1042
Hauptverfasser: Xie, Chenglin, Ye, Xu, Zeng, Li, Zeng, Xi, Cao, Deliang
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Ye, Xu
Zeng, Li
Zeng, Xi
Cao, Deliang
description Background and Aims A large-scale multicenter study validated aldo–keto reductase 1B10 (AKR1B10) as a new serum marker of hepatocellular carcinoma (HCC). This study aimed to evaluate the prognostic value of serum AKR1B10 in HCC. Methods 273 naïve HCC patients enrolled for serum AKR1B10 tests were followed up for 2 years. Survival and clinical data were collected. Kaplan–Meier survival analysis and log-rank tests were used to estimate correlation of patient survival with serum AKR1B10. Univariate and multivariate COX regression analyses were used to evaluate the prognostic value of serum AKR1B10 level independently or in combination with other clinicopathological factors. α-fetoprotein (AFP) was analyzed in parallel for comparison. Results Serum AKR1B10 associated with tumor stage ( p =  0.012), size ( p =  0.004), primary tumor number ( p =  0.019), and Child–Pugh classification ( p =  0.003). HCC patients with a high level of serum AKR1B10 (≥ 267.9 pg/ml) had median survival (MS) of 25 months (95% confidence interval [CI] 20.788–29.212) vs. MS of 34 months (CI 28.911–39.089) in patients with normal serum AKR1B10 ( p 
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This study aimed to evaluate the prognostic value of serum AKR1B10 in HCC. Methods 273 naïve HCC patients enrolled for serum AKR1B10 tests were followed up for 2 years. Survival and clinical data were collected. Kaplan–Meier survival analysis and log-rank tests were used to estimate correlation of patient survival with serum AKR1B10. Univariate and multivariate COX regression analyses were used to evaluate the prognostic value of serum AKR1B10 level independently or in combination with other clinicopathological factors. α-fetoprotein (AFP) was analyzed in parallel for comparison. Results Serum AKR1B10 associated with tumor stage ( p =  0.012), size ( p =  0.004), primary tumor number ( p =  0.019), and Child–Pugh classification ( p =  0.003). HCC patients with a high level of serum AKR1B10 (≥ 267.9 pg/ml) had median survival (MS) of 25 months (95% confidence interval [CI] 20.788–29.212) vs. MS of 34 months (CI 28.911–39.089) in patients with normal serum AKR1B10 ( p &lt;  0.001). Univariate and multivariate COX regression analyses showed that serum AKR1B10 level was an unfavorable prognostic marker of HCC independently (HR 1.830, 95% CI 1.312–2.552; p &lt;  0.001) or in combination with other clinical factors (HR 1.883, 95% CI 1.264–2.806; p =  0.002), such as TNM stage, tumor size and portal invasion. In the same cohort of HCC patients, AFP exhibited prognostic value at a cut-off of 400 ng/ml, but not at 20 ng/ml and 200 ng/ml. Conclusions Serum AKR1B10 is a new prognostic marker of HCC, better than AFP.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-023-02011-9</identifier><identifier>PMID: 37500927</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Abdominal Surgery ; Biliary Tract ; Colorectal Surgery ; Gastroenterology ; Hepatocellular carcinoma ; Hepatology ; Liver cancer ; Medicine ; Medicine &amp; Public Health ; Original Article―Liver ; Pancreas ; Regression analysis ; Surgical Oncology ; Survival ; Survival analysis ; Tumors ; α-Fetoprotein</subject><ispartof>Journal of gastroenterology, 2023-10, Vol.58 (10), p.1030-1042</ispartof><rights>Japanese Society of Gastroenterology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Japanese Society of Gastroenterology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-31f94d57a06df252d0d3b855bc4812c06692ee69a4f60e63690e0ae1908a26133</citedby><cites>FETCH-LOGICAL-c399t-31f94d57a06df252d0d3b855bc4812c06692ee69a4f60e63690e0ae1908a26133</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/s00535-023-02011-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-023-02011-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37500927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xie, Chenglin</creatorcontrib><creatorcontrib>Ye, Xu</creatorcontrib><creatorcontrib>Zeng, Li</creatorcontrib><creatorcontrib>Zeng, Xi</creatorcontrib><creatorcontrib>Cao, Deliang</creatorcontrib><title>Serum AKR1B10 as an indicator of unfavorable survival of hepatocellular carcinoma</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background and Aims A large-scale multicenter study validated aldo–keto reductase 1B10 (AKR1B10) as a new serum marker of hepatocellular carcinoma (HCC). This study aimed to evaluate the prognostic value of serum AKR1B10 in HCC. Methods 273 naïve HCC patients enrolled for serum AKR1B10 tests were followed up for 2 years. Survival and clinical data were collected. Kaplan–Meier survival analysis and log-rank tests were used to estimate correlation of patient survival with serum AKR1B10. Univariate and multivariate COX regression analyses were used to evaluate the prognostic value of serum AKR1B10 level independently or in combination with other clinicopathological factors. α-fetoprotein (AFP) was analyzed in parallel for comparison. Results Serum AKR1B10 associated with tumor stage ( p =  0.012), size ( p =  0.004), primary tumor number ( p =  0.019), and Child–Pugh classification ( p =  0.003). HCC patients with a high level of serum AKR1B10 (≥ 267.9 pg/ml) had median survival (MS) of 25 months (95% confidence interval [CI] 20.788–29.212) vs. MS of 34 months (CI 28.911–39.089) in patients with normal serum AKR1B10 ( p &lt;  0.001). Univariate and multivariate COX regression analyses showed that serum AKR1B10 level was an unfavorable prognostic marker of HCC independently (HR 1.830, 95% CI 1.312–2.552; p &lt;  0.001) or in combination with other clinical factors (HR 1.883, 95% CI 1.264–2.806; p =  0.002), such as TNM stage, tumor size and portal invasion. In the same cohort of HCC patients, AFP exhibited prognostic value at a cut-off of 400 ng/ml, but not at 20 ng/ml and 200 ng/ml. 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This study aimed to evaluate the prognostic value of serum AKR1B10 in HCC. Methods 273 naïve HCC patients enrolled for serum AKR1B10 tests were followed up for 2 years. Survival and clinical data were collected. Kaplan–Meier survival analysis and log-rank tests were used to estimate correlation of patient survival with serum AKR1B10. Univariate and multivariate COX regression analyses were used to evaluate the prognostic value of serum AKR1B10 level independently or in combination with other clinicopathological factors. α-fetoprotein (AFP) was analyzed in parallel for comparison. Results Serum AKR1B10 associated with tumor stage ( p =  0.012), size ( p =  0.004), primary tumor number ( p =  0.019), and Child–Pugh classification ( p =  0.003). HCC patients with a high level of serum AKR1B10 (≥ 267.9 pg/ml) had median survival (MS) of 25 months (95% confidence interval [CI] 20.788–29.212) vs. MS of 34 months (CI 28.911–39.089) in patients with normal serum AKR1B10 ( p &lt;  0.001). Univariate and multivariate COX regression analyses showed that serum AKR1B10 level was an unfavorable prognostic marker of HCC independently (HR 1.830, 95% CI 1.312–2.552; p &lt;  0.001) or in combination with other clinical factors (HR 1.883, 95% CI 1.264–2.806; p =  0.002), such as TNM stage, tumor size and portal invasion. In the same cohort of HCC patients, AFP exhibited prognostic value at a cut-off of 400 ng/ml, but not at 20 ng/ml and 200 ng/ml. Conclusions Serum AKR1B10 is a new prognostic marker of HCC, better than AFP.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>37500927</pmid><doi>10.1007/s00535-023-02011-9</doi><tpages>13</tpages></addata></record>
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subjects Abdominal Surgery
Biliary Tract
Colorectal Surgery
Gastroenterology
Hepatocellular carcinoma
Hepatology
Liver cancer
Medicine
Medicine & Public Health
Original Article―Liver
Pancreas
Regression analysis
Surgical Oncology
Survival
Survival analysis
Tumors
α-Fetoprotein
title Serum AKR1B10 as an indicator of unfavorable survival of hepatocellular carcinoma
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