AbstractThis study was supported in part by the China Medical Board of New York, USA (CMB 93583). Correspondence to: Tang Zhaoyou, M.D., Professor and Chairman, Liver Cancer Institute, Shanghai Medical University, S...AbstractThis study was supported in part by the China Medical Board of New York, USA (CMB 93583). Correspondence to: Tang Zhaoyou, M.D., Professor and Chairman, Liver Cancer Institute, Shanghai Medical University, Shanghai 200032, China. Objective To make a better understanding of the molecular mechanisms involved in recurrence and metastasis of the hepatocellular carcinoma (HCC), some invasion related oncogenes, and growth factors have been investigated. Methods The studies were seperately carried out, the results of which were summarized in this article with relation to tumor size and invasiveness of HCC. Results The aberration rates of p53 and CDKN 2 in HCC were 45.9% and 36.4% respectively, which were higher in invasive HCC compared with non invasive HCC. H ras expression was positive in 29.3% of HCC, which was associated with recurrence and extrahepatic metastasis of HCC. Intralesional injection of H ras antisense gene markedly inhibited the tumor growth and metastasis of HCC in nude mice. The positive rates of transforming growth factor (TGF) alpha, epidermal growth factor receptor (EGFR) and c erbB 2 were 45.7%, 47.1% and 92.3% respectively. The expression of EGFR was closely related to TGF alpha, which was related to HCC recurrence. But no obvious difference of TGF alpha or c erbB 2 expression was found between HCC with and without recurrence, or with and without extrahepatic metastasis. Expression of nm23 / tissue inhibitor of metalloproteinase (TIMP) 2 was positively associated with the prognosis of HCC patients (Log rank, P<0.001). The alterative rates of above mentioned genes and growth factors in small HCC were slightly lower than that in large ones, but no significant difference was shown except the p53 mutation. Conclusions The p53/CDKN 2 mutation, overexpression of H ras/EGFR, were associated with the invasiveness and recurrence of HCC. H ras antisense gene might be of potential implication in the control of HCC recurrence and metastasis. Expression of nm23/TIMP 2 was closely related to the prognosis of HCC patients. Biological characteristics remained critical points to the prognosis even in small HCC.展开更多
文摘AbstractThis study was supported in part by the China Medical Board of New York, USA (CMB 93583). Correspondence to: Tang Zhaoyou, M.D., Professor and Chairman, Liver Cancer Institute, Shanghai Medical University, Shanghai 200032, China. Objective To make a better understanding of the molecular mechanisms involved in recurrence and metastasis of the hepatocellular carcinoma (HCC), some invasion related oncogenes, and growth factors have been investigated. Methods The studies were seperately carried out, the results of which were summarized in this article with relation to tumor size and invasiveness of HCC. Results The aberration rates of p53 and CDKN 2 in HCC were 45.9% and 36.4% respectively, which were higher in invasive HCC compared with non invasive HCC. H ras expression was positive in 29.3% of HCC, which was associated with recurrence and extrahepatic metastasis of HCC. Intralesional injection of H ras antisense gene markedly inhibited the tumor growth and metastasis of HCC in nude mice. The positive rates of transforming growth factor (TGF) alpha, epidermal growth factor receptor (EGFR) and c erbB 2 were 45.7%, 47.1% and 92.3% respectively. The expression of EGFR was closely related to TGF alpha, which was related to HCC recurrence. But no obvious difference of TGF alpha or c erbB 2 expression was found between HCC with and without recurrence, or with and without extrahepatic metastasis. Expression of nm23 / tissue inhibitor of metalloproteinase (TIMP) 2 was positively associated with the prognosis of HCC patients (Log rank, P<0.001). The alterative rates of above mentioned genes and growth factors in small HCC were slightly lower than that in large ones, but no significant difference was shown except the p53 mutation. Conclusions The p53/CDKN 2 mutation, overexpression of H ras/EGFR, were associated with the invasiveness and recurrence of HCC. H ras antisense gene might be of potential implication in the control of HCC recurrence and metastasis. Expression of nm23/TIMP 2 was closely related to the prognosis of HCC patients. Biological characteristics remained critical points to the prognosis even in small HCC.
