J Hepatology: 基因组测序确定WNK2是肝细胞癌的驱动因素和早期复发的危险因素

2020-01-29 不详 MedSci原创

根治性切除术后肝细胞癌(HCC)的早期复发是比较常见的。然而,其遗传机制与早期HCC复发之间的相关性仍然未知。因此,本项研究旨在探究其中的原因。

背景与目标
根治性切除术后肝细胞癌(HCC)的早期复发是比较常见的。然而,其遗传机制与早期HCC复发之间的相关性仍然未知。因此,本项研究旨在探究其中的原因。

方法
研究人员对182例原发性肝癌样本进行了全基因组测序(49例)以及深度靶向测序(115例),特别关注WNK2基因位点,使用Sanger测序和qPCR评估了另外554个HCC样品中该基因的所有编码外显子和拷贝数。还探讨了WNK2对肿瘤生长和转移的功能作用和机制。

结果
研究人员在182例原发性HCC样本中鉴定了5个基因位点(WNK2,RUNX1T1,CTNNB1,TSC1和TP53),它们具有与治愈后早期肿瘤复发相关的体细胞突变。在专注于WNK2的736例HCC样本中,总的体细胞突变和拷贝数损失分别发生5.3%(39/736)和27.2%(200/736)。两种类型的变异都与较低的WNK2蛋白水平,较高的早期肿瘤复发率和较短的总生存期有关。生物功能研究揭示了WNK2的肿瘤抑制作用:其失活导致HCC细胞中ERK1 / 2信号激活,肿瘤相关的巨噬细胞浸润以及肿瘤生长和转移。

结论
本项研究证明WNK2基因为根治性切除术后早期HCC复发的驱动因素。

原始出处:

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    2020-06-13 xjy02
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    2020-01-31 gwc384
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    2020-01-30 1478fa69m73暂无昵称

    学习了

    0

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索拉非尼是晚期肝细胞癌(HCC)的标准治疗方法。将索拉非尼与另一种治疗相结合,以在可接受的安全性范围内提高总体存活率(OS),可能是晚期HCC患者下一步治疗方向。本项研究的目的是评估索拉非尼和他汀类药物联合用药是否能改善HCC患者的生存率。

Clin Trans Gastroenterology: 前列腺特异性膜抗原在肿瘤相关血管系统中的表达可以预测肝细胞癌预后不良

前列腺特异性膜抗原(PSMA)最初是被发现在正常前列腺中特异性表达,其表达水平在前列腺癌的几乎所有阶段都被上调。近年来,还发现PSMA在许多非前列腺实体瘤中与肿瘤相关的脉管系统中表达。然而,PSMA在肝细胞癌(HCC)中的表达模式尚未得到很好的研究。因此,本项研究旨在探究二者的关系。

BMC Gastroenterology: 甲胎蛋白联合中性粒细胞与淋巴细胞比值对肝细胞癌的诊断价值

本项研究的目的旨在调查甲胎蛋白(AFP)和中性粒细胞与淋巴细胞比率(NLR)在诊断肝癌中的性能以及它们与其他标志物的组合在诊断肝癌中的效能。

Clin Gastroenterology H:他汀类药物可降低肝细胞癌的死亡率

他汀类药物的使用与发生肝细胞癌(HCC)的风险较低有关。然而,尚不清楚使用他汀类药物后使用是否与HCC患者死亡风险降低有关。因此本项研究旨在这方面进行一定的探讨。

J Hepatology: 恩替卡韦与替诺福韦治疗慢性乙型肝炎的疗效分析

目前尚不清楚哪种抗病毒药物恩替卡韦(ETV)或替诺福韦地索普西富马酸盐(TDF)对于改善慢性乙型肝炎(CHB)患者的预后是有利的。因此,本项研究旨在评估这两种抗病毒药物在治疗CHB患者中预防肝病进展的能力。