Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma

Abstract Histological molecular classification of hepatocellular carcinoma (HCC) is clinically important for predicting the prognosis. However, a reliable serum marker has not been established. The aim of this study was to evaluate the diagnostic value of serum Wisteria Floribunda agglutinin-positiv...

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Autores principales: Nobuharu Tamaki, Atsushi Kuno, Atsushi Matsuda, Hanako Tsujikawa, Ken Yamazaki, Yutaka Yasui, Kaoru Tsuchiya, Hiroyuki Nakanishi, Jun Itakura, Masaaki Korenaga, Masashi Mizokami, Masayuki Kurosaki, Michiie Sakamoto, Hisashi Narimatsu, Namiki Izumi
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:d309a2443575451eab9957d8c59c882d2021-12-02T11:52:28ZSerum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma10.1038/s41598-017-00357-82045-2322https://doaj.org/article/d309a2443575451eab9957d8c59c882d2017-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-00357-8https://doaj.org/toc/2045-2322Abstract Histological molecular classification of hepatocellular carcinoma (HCC) is clinically important for predicting the prognosis. However, a reliable serum marker has not been established. The aim of this study was to evaluate the diagnostic value of serum Wisteria Floribunda agglutinin-positive sialylated mucin 1 (WFA-sialylated MUC1), which is a novel biliary marker, as a marker of HCC with hepatic progenitor cell (HPC)/biliary features and of prognosis. A total of 144 consecutive patients who underwent complete radiofrequency ablation of primary HCC were enrolled. A serum WFA-sialylated MUC1 level of 900 μL/mL was determined as the optimal cutoff value for prediction of immunohistochemical staining for HPC/biliary features [sialylated MUC1 and cytokeratin 19 (CK19)]. Positive staining rate of sialylated MUC1 and CK19 was significantly higher in patients with WFA-sialylated MUC1 ≥900 than those with WFA-sialylated MUC1 <900. Furthermore, cumulative incidence of HCC recurrence was significantly higher in patients with WFA-sialylated MUC1 ≥900 and on multivariate analysis, serum WFA-sialylated MUC1 levels was an independent predictor of HCC recurrence. These results revealed that serum WFA-sialylated MUC1 was associated with histological feature of HCC and recurrence after curative therapy and it could be a novel marker of HPC/biliary features in HCC and of prognosis.Nobuharu TamakiAtsushi KunoAtsushi MatsudaHanako TsujikawaKen YamazakiYutaka YasuiKaoru TsuchiyaHiroyuki NakanishiJun ItakuraMasaaki KorenagaMasashi MizokamiMasayuki KurosakiMichiie SakamotoHisashi NarimatsuNamiki IzumiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-10 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Nobuharu Tamaki
Atsushi Kuno
Atsushi Matsuda
Hanako Tsujikawa
Ken Yamazaki
Yutaka Yasui
Kaoru Tsuchiya
Hiroyuki Nakanishi
Jun Itakura
Masaaki Korenaga
Masashi Mizokami
Masayuki Kurosaki
Michiie Sakamoto
Hisashi Narimatsu
Namiki Izumi
Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
description Abstract Histological molecular classification of hepatocellular carcinoma (HCC) is clinically important for predicting the prognosis. However, a reliable serum marker has not been established. The aim of this study was to evaluate the diagnostic value of serum Wisteria Floribunda agglutinin-positive sialylated mucin 1 (WFA-sialylated MUC1), which is a novel biliary marker, as a marker of HCC with hepatic progenitor cell (HPC)/biliary features and of prognosis. A total of 144 consecutive patients who underwent complete radiofrequency ablation of primary HCC were enrolled. A serum WFA-sialylated MUC1 level of 900 μL/mL was determined as the optimal cutoff value for prediction of immunohistochemical staining for HPC/biliary features [sialylated MUC1 and cytokeratin 19 (CK19)]. Positive staining rate of sialylated MUC1 and CK19 was significantly higher in patients with WFA-sialylated MUC1 ≥900 than those with WFA-sialylated MUC1 <900. Furthermore, cumulative incidence of HCC recurrence was significantly higher in patients with WFA-sialylated MUC1 ≥900 and on multivariate analysis, serum WFA-sialylated MUC1 levels was an independent predictor of HCC recurrence. These results revealed that serum WFA-sialylated MUC1 was associated with histological feature of HCC and recurrence after curative therapy and it could be a novel marker of HPC/biliary features in HCC and of prognosis.
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author Nobuharu Tamaki
Atsushi Kuno
Atsushi Matsuda
Hanako Tsujikawa
Ken Yamazaki
Yutaka Yasui
Kaoru Tsuchiya
Hiroyuki Nakanishi
Jun Itakura
Masaaki Korenaga
Masashi Mizokami
Masayuki Kurosaki
Michiie Sakamoto
Hisashi Narimatsu
Namiki Izumi
author_facet Nobuharu Tamaki
Atsushi Kuno
Atsushi Matsuda
Hanako Tsujikawa
Ken Yamazaki
Yutaka Yasui
Kaoru Tsuchiya
Hiroyuki Nakanishi
Jun Itakura
Masaaki Korenaga
Masashi Mizokami
Masayuki Kurosaki
Michiie Sakamoto
Hisashi Narimatsu
Namiki Izumi
author_sort Nobuharu Tamaki
title Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
title_short Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
title_full Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
title_fullStr Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
title_full_unstemmed Serum Wisteria Floribunda Agglutinin-Positive Sialylated Mucin 1 as a Marker of Progenitor/Biliary Features in Hepatocellular Carcinoma
title_sort serum wisteria floribunda agglutinin-positive sialylated mucin 1 as a marker of progenitor/biliary features in hepatocellular carcinoma
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/d309a2443575451eab9957d8c59c882d
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