Literature DB >> 18663475

Reduced expression of C/EBP alpha protein in hepatocellular carcinoma is associated with advanced tumor stage and shortened patient survival.

Hsi-Huang Tseng1, Yaw-Huei Hwang, Kun-Tu Yeh, Jan-Gowth Chang, Yao-Li Chen, Hsin-Su Yu.   

Abstract

PURPOSE: CCAAT/enhancer binding protein alpha (C/EBP alpha) is a transcription factor and a tumor suppressor. We aimed to assess its protein expression and prognostic value in human hepatocellular carcinoma (HCC).
METHODS: We conducted a retrospective cohort study on 50 HCC patients and performed immunohistochemistry against C/EBP alpha on tumors and adjacent nontumor specimens. Relationships of C/EBP alpha expression with clinical parameters and patient survival were analyzed.
RESULTS: C/EBP alpha expression was not influenced by chronic alcohol exposure, viral hepatitis, or cirrhosis, but was reduced in 60% of HCC. Reduction of C/EBP alpha was associated with advanced tumor stage (P = 0.001). Patients with markedly reduced C/EBP alpha expression had a significantly shorter survival with a hazard ratio of 5.45 (95% confidence interval, 1.93-15.40; P = 0.001).
CONCLUSIONS: C/EBP alpha may be a potential prognostic marker or therapeutic target in HCC regardless of different etiology.

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Year:  2008        PMID: 18663475     DOI: 10.1007/s00432-008-0448-5

Source DB:  PubMed          Journal:  J Cancer Res Clin Oncol        ISSN: 0171-5216            Impact factor:   4.553


  34 in total

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