Sonic hedgehog expression in steatohepatitic hepatocellular carcinoma and its clinicopathological significance

被引:1
作者
Kusano, Hironori [1 ,2 ]
Ogasawara, Sachiko [1 ]
Omuraya, Minori [3 ]
Okudaira, Masayuki [4 ]
Mizuochi, Shinji [1 ]
Mihara, Yutaro [1 ]
Kinjo, Yoshinao [1 ]
Yano, Yuta [1 ]
Nakayama, Masamichi [1 ]
Kondo, Reiichiro [1 ]
Naito, Yoshiki [5 ]
Akiba, Jun [6 ]
Nakashima, Osamu [7 ]
Yano, Hirohisa [1 ]
机构
[1] Kurume Univ, Sch Med, Dept Pathol, 67 Asahi Machi, Kurume, Fukuoka 8300011, Japan
[2] NHO Kokura Med Ctr, Dept Clin Lab, Kitakyushu, Fukuoka 8028533, Japan
[3] Omuta City Hosp, Omuta, Fukuoka 8368567, Japan
[4] NHO Nagasaki Med Ctr, Omura, Fukuoka 8560835, Japan
[5] Kurume Univ Hosp, Dept Clin Lab Med, Kurume, Fukuoka 8300011, Japan
[6] Kurume Univ Hosp, Dept Diagnost Pathol, Kurume, Fukuoka 8300011, Japan
[7] St Marys Hosp, Dept Clin Lab, Kurume, Fukuoka 8308543, Japan
关键词
hedgehog signaling pathway; sonic hedgehog; hepatocellular carcinoma; steatohepatitic hepatocellular carcinoma; steatohepatitis; primary liver cancer; SIGNALING PATHWAY; ACTIVATION; PROGNOSIS;
D O I
10.3892/ol.2024.14575
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Hedgehog (Hh) signaling pathway dysregulation is involved in the pathogenesis of metabolic dysfunction-associated steatohepatitis, and the sonic Hh (SHh) protein, a pivotal molecule in the Hh pathway, is expressed in ballooned hepatocytes. The present study aimed to investigate the clinicopathological significance of SHh expression in steatohepatitic hepatocellular carcinoma (SH-HCC). Reverse transcription-quantitative polymerase chain reaction and immunohistochemistry were performed to examine SHh gene and SHh protein expression in SH-HCC. Additionally, patients with conventional HCC (C-HCC) were included in the control group. Comparisons of patient and tumor characteristics were also performed. The prevalence of SH-HCC was 3% in the whole cohort, and it was significantly associated with a high prevalence of diabetes mellitus. SHh mRNA was detected in all patients with SH-HCC, but not in 23% of patients with C-HCC. Notably, SHh mRNA expression was not significantly different between patients with SH-HCC and those with C-HCC; however, high SHh protein expression was significantly more frequent in SH-HCC patients than in those with C-HCC. Although the prognosis was not significantly different between the SH-HCC and C-HCC groups, high SHh protein expression was an independent poor prognostic factor for HCC. In conclusion, SHh could potentially serve as a therapeutic target for patients with HCC.
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页数:6
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