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10.1245/ASO.2006.11.035
Annals of Surgical Oncology 13:159-167 (2006)
© 2006 Society of Surgical Oncology
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Original Article

Hepatoma-Derived Growth Factor Is a Novel Prognostic Factor for Hepatocellular Carcinoma

Kenya Yoshida, MD1, Yasuhiko Tomita, MD2, Yorihide Okuda, MD1, Shinji Yamamoto, MD3, Hirayuki Enomoto, MD1, Hirokazu Uyama, MD1, Hiroaki Ito, MD1, Yoshihiko Hoshida, MD2, Katsuyuki Aozasa, MD2, Hiroaki Nagano, MD3, Masato Sakon, MD3, Ichiro Kawase, MD1, Morito Monden, MD3 and Hideji Nakamura, MD1

1 Department of Molecular Medicine, Osaka University Graduate School of Medicine, Yamada-oka 2-2, Suita, 565-0871 Osaka, Japan
2 Department of Pathology, Osaka University Graduate School of Medicine, Yamada-oka 2-2, Suita, 565-0871 Osaka, Japan
3 Department of Surgery and Clinical Oncology, Osaka University Graduate School of Medicine, Yamada-oka 2-2, Suita, 565-0871 Osaka, Japan

Correspondence: Address correspondence and reprint requests to: Hideji Nakamura, MD, Division of Hepatobiliary and Pancreatic Medicine, Department of Internal Medicine, Hyogo College of Medicine. Mukogawa-cho 1-1, Nishinomiya 663-8501, Hyogo, Japan; E-mail: nakamura{at}hyo-med.ac.jp.

Background: Hepatoma-derived growth factor (HDGF) is involved in hepatocarcinogenesis, as well as in liver development and regeneration. This study investigated the correlation of HDGF expression with differentiation and prognosis of hepatocellular carcinoma (HCC).

Methods: HDGF expression in 100 patients with HCC (81 men and 19 women) with ages ranging from 34 to 81 years (median, 61 years) receiving surgical treatment was analyzed by immunohistochemistry. HDGF messenger RNA expression was evaluated in 10 cases by reverse transcription-polymerase chain reaction. The immunostaining pattern in HCCs was categorized as a positive HDGF index (showing positive staining in >90% of tumor cells in both nucleus and cytoplasm) or a negative HDGF index (all others).

Results: Twenty-seven cases (27%) showed a positive and 73 (73%) showed a negative HDGF index. HDGF messenger RNA expression was significantly higher in four cases with a positive HDGF index than in six with a negative index. Cases with well-differentiated histological characteristics showed a higher rate of positive HDGF index than those with a poorly differentiated subtype. Univariate and multivariate analysis revealed significantly poorer disease-free and overall survivals in patients with a positive HDGF index compared with patients with a negative index.

Conclusions: These findings suggest the potential utility of HDGF immunohistochemistry in determining the prognosis of HCC.

Key Words: Hepatoma-derived growth factor • Hepatocellular carcinoma • Prognosis • Recurrence




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