Association of Preoperative NANOG-Positive Circulating Tumor Cell Levels With Recurrence of Hepatocellular Carcinoma
| العنوان: | Association of Preoperative NANOG-Positive Circulating Tumor Cell Levels With Recurrence of Hepatocellular Carcinoma |
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| المؤلفون: | Ludi Yang, Jianhua Wang, Yuna Fu, Heng Sun, Yichen Tian, Xishu Wang, Feng Xia, Yongrong Lei |
| المصدر: | Frontiers in Oncology Frontiers in Oncology, Vol 11 (2021) |
| بيانات النشر: | Frontiers Media SA, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | cancer stem cells, 0301 basic medicine, Homeobox protein NANOG, Cancer Research, recurrence, circulating tumor cells, 03 medical and health sciences, 0302 clinical medicine, Circulating tumor cell, Cancer stem cell, medicine, neoplasms, RC254-282, reproductive and urinary physiology, Original Research, business.industry, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Cancer, hepatocellular carcinoma, medicine.disease, digestive system diseases, epithelial-mesenchymal, 030104 developmental biology, Oncology, Tumor progression, 030220 oncology & carcinogenesis, Hepatocellular carcinoma, embryonic structures, Cancer research, Immunohistochemistry, biological phenomena, cell phenomena, and immunity, business, Liver cancer |
| الوصف: | BackgroundCancer stem cells (CSCs) and Circulating tumor cells (CTCs) have been proposed as fundamental causes for the recurrence of hepatocellular carcinoma (HCC). CTCs isolated from patients with HCC illustrate a unique Nanog expression profile analysis. The aim of this study was to enhance the prediction of recurrence and prognosis of the CTC phenotype in patients with HCC by combining Nanog expression into a combined forecasting model.Subjects, Materials, and MethodsWe collected 320 blood samples from 160 patients with HCC cancer before surgery and used CanPatrol™ CTC enrichment technology and in situ hybridization (ISH) to enrich and detect CTCs and CSCs. Nanog expression in all CTCs was also determined. In addition, RT-PCR and immunohistochemistry were used to study the expression of Nanog, E-Cadherin, and N-Cadherin in liver cancer tissues and to conduct clinical correlation studies.ResultsThe numbers of EpCAM mRNA+ CTCs and Nanog mRNA+ CTCs were strongly correlated with postoperative HCC recurrence (CTC number (P = 0.03), the total number of mixed CTCS (P = 0.02), and Nanog> 6.7 (P = 0.001), with Nanog > 6.7 (P = 0.0003, HR = 2.33) being the most crucial marker. There are significant differences in the expression of Nanog on different types of CTC: most Epithelial CTCs do not express Nanog, while most of Mixed CTC and Mesenchymal CTC express Nanog, and their positive rates are 38.7%, 66.7%, and 88.7%, respectively, (P=0.0001). Moreover, both CTC (≤/> 13.3) and Nanog (≤/>6.7) expression were significantly correlated with BCLC stage, vascular invasion, tumor size, and Hbv-DNA (all P ConclusionsThe number of Nanog-positive cells showed positive correlation with the poor prognosis of HCC patients. The detection and analysis of CTC markers (EpCAM and CK8, 18, CD45 Vimentin,Twist and 19) and CSCs markers (NANOG) are of great value in the evaluation of tumor progression. |
| تدمد: | 2234-943X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::421cc75dd612ec269411e019a19f10deTest https://doi.org/10.3389/fonc.2021.601668Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....421cc75dd612ec269411e019a19f10de |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2234943X |
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