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find Author "CHEN Guanzhong" 1 results
  • Expression of Human Leukocyte Antigen-G and Its Prognosis Value for Liver Transplant Patients with Hepatocellular Carcinoma

    Objective To investigate the expression of human leukocyte antigen-G (HLA-G) in hepatocellular carcinoma (HCC) tissues, and to evaluate the prognosis of patients after liver transplantation. Methods The clinical data of 83 patients with HCC who underwent liver transplantation from January 2004 to May 2008 in the Liver Transplantation Center of the Third Affiliated Hospital of Sun Yat-sen University were analyzed retrospectively. The expression of HLA-G in HCC tissues was detected by using immunohistochemical analysis. The Kaplan-Meier method was used to evaluate the cumulative survival rate and tumor-free survival rate. Log-rank test and Cox regression model were used to analyze the single and muti-factor for tumor-free survival rate, respectively. Results Among the 83 patients,there were tumor recurrence in 35 patients (42.2%). The 1-year,3-year, and 5-year of cumulative survival rate was 97.2%,89.8%, and 43.1%, respectively. The 1-year,3-year, and 5-year of tumor-free survival rate was 93.6%,68.9%, and 38.7%, respectively. The positive rate (68.7%) of HLA-G expression in HCC tissues was significantly higher than that in paracancerous tissues (15.7%), P<0.01. A significant association was found between expression of HLA-G and tumor size, vascular invasion, and pathology differentiation (P<0.05). Single factor analysis showed that the expression of HLA-G (P<0.01), tumor size (P<0.05), vascular invasion (P<0.01), and pathology differentiation (P<0.01) effected on tumor-free survival rates of HCC patients after liver transplantation. The tumor-free survival rate in positive expression of HLA-G group was significantly lower than that in negative expression of HLA-G group (P<0.01). Cox regression model analysis showed that the expression of HLA-G (P<0.05), vascular invasion (P<0.01), and pathology differentiation (P<0.05) were independent risk factors that affected the tumor-free survival rate of HCC patients after liver transplantation. Conclusions There is expression of HLA-G in HCC tissues. The independent risk factors that affecting the tumor-free survival rate of HCC patients after liver transplantation include the expression of HLA-G, vascular invasion, and pathological differentiation. Taking interferential measures for patients with positive expression of HLA-G and strict selection of indication of liver transplantation for HCC can reduce the recurrence rate of tumor.

    Release date:2016-09-08 10:38 Export PDF Favorites Scan
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