Literature DB >> 29109094

CYP3A4 Gene Is a Novel Biomarker for Predicting a Poor Prognosis in Hepatocellular Carcinoma.

Ryo Ashida1,2, Yukiyasu Okamura3, Keiichi Ohshima4, Yuko Kakuda5, Katsuhiko Uesaka1, Teiichi Sugiura1, Takaaki Ito1, Yusuke Yamamoto1, Takashi Sugino5, Kenichi Urakami6, Masatoshi Kusuhara7, Ken Yamaguchi8.   

Abstract

BACKGROUND/AIM: Project HOPE (High-tech Omics-based Patient Evaluation) began in 2014 using integrated gene expression profiling (GEP) of cancer tissues as well as diathesis of each patient who underwent operation at our Institution. The aim of this study was to identify novel genes displaying altered gene expression related to the survival and early recurrence after hepatectomy for hepatocellular carcinoma (HCC) using the results of integrated GEP analysis.
MATERIALS AND METHODS: The present study included 92 patients. Genes with aberrant expression were selected by the difference of expression levels with ≥10-fold change between tumor and non-tumor tissues.
RESULTS: GEP analysis showed that down-regulation was frequently observed in the PRSS8 (64%), CYP3A4 (61%) and EPCAM (57%) genes. Multivariate analysis revealed tumor stage ≥II (p=0.008) and down-regulation of the CYP3A4 gene (p=0.036) as independent predictor for overall survival. Furthermore, multivariate analysis identified maximum tumor diameter ≥74mm (p=0.008), presence of intrahepatic-metastasis (p=0.020), and down-regulation of CYP3A4 gene (p=0.019) as independent predictors for early recurrence.
CONCLUSION: CYP3A4 was identified as a novel tumor suppressor gene related to a poor prognosis in HCC. Copyright
© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Entities:  

Keywords:  CYP3A4 gene; Hepatocellular carcinoma; down-regulation; early recurrence; overall survival

Mesh:

Substances:

Year:  2017        PMID: 29109094      PMCID: PMC6070324          DOI: 10.21873/cgp.20054

Source DB:  PubMed          Journal:  Cancer Genomics Proteomics        ISSN: 1109-6535            Impact factor:   4.069


  33 in total

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