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Associations of c-Met, Fascin and CD44 with clinical pathological features and prognosis of patients with hepatocellular carcinoma
Received:April 11, 2022  Revised:September 12, 2022  Click here to download the full text
Citation of this paper:ZHU Lin,CHEN Li,XIAO Feng,ZHANG Hai-yan,GU Chun-yan.Associations of c-Met, Fascin and CD44 with clinical pathological features and prognosis of patients with hepatocellular carcinoma[J].Chinese Journal of Clinical Medicine,2022,29(5):745-752
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Author NameAffiliationE-mail
ZHU Lin Department of Pathology, Nantong 3rd People's Hospital, Nantong Third Hospital Affiliated Nantong University, Nantong 226000, Jiangsu, China  
CHEN Li Department of Pathology, Nantong University Medical School, Nantong 226001, Jiangsu, China  
XIAO Feng Department of Pathology, Nantong 3rd People's Hospital, Nantong Third Hospital Affiliated Nantong University, Nantong 226000, Jiangsu, China  
ZHANG Hai-yan Department of Pathology, Nantong 3rd People's Hospital, Nantong Third Hospital Affiliated Nantong University, Nantong 226000, Jiangsu, China  
GU Chun-yan Department of Pathology, Nantong 3rd People's Hospital, Nantong Third Hospital Affiliated Nantong University, Nantong 226000, Jiangsu, China guchunyan143@aliyun.com 
Abstract:Objective To explore the association of c-Met, Fascin and CD44 with the clinical pathological fetures and prognosis of patients with hepatocellular carcinoma (HCC). Methods The RNA SEqV2 data of c-Met, Fascin and CD44 in HCC from the cancer genome atlas (TCGA) were downloaded (n=50). The mRNA levels of c-Met, Fascin and CD44 between cancer and paracancer tissues were compared. Western blotting was used to detect the expression levels of c-Met, Fascin and CD44 proteins in 6 cases of cancer and the matched paracancer liver tissues. The expression levels of c-Met, Fascin and CD44 proteins were examined in cancer and paracancer liver tissues from 186 patients by immunohistochemistry (IHC). The associations of c-Met, Fascin and CD44 with clinical pathological factors and prognosis of patients were analyzed. Results The data from TCGA showed that the mRNA levels of c-Met, Fascin and CD44 were significantly higher in cancer tissues than those in the paracancer tissues (P<0.01). Western blotting results showed that the protein levels of c-Met, Fascin and CD44 in fresh cancer tissues were significantly higher than those in the paracancer tissues (P<0. 05). IHC results showed the c-Met expressed in 60.2% (112/186) of cancer tissues and 32.8% (61/186) of paracancer tissues, Fascin expressed in 56.5% (105/186) of cancer tissues and 24.7% (46/186) of paracancer tissues, and CD44 expressed in 73.1% (136/186) of cancer tissues and 50.5% (94/186) of paracancer tissues. The protein levels of c-Met, Fascin and CD44 in cancer tissues were higher than those in paracancer tissues (P<0.01). The expressions of c-Met,Fascin and CD44 proteins in patients with vascular invasion or poor differentiation tumor and in recurrence patients were higher (P<0.05). Spearman analysis showed that there was a positive correlation between c-Met and Fascin (r=0.349 5, P<0.001). Kaplan-Meier and multivariate Cox analysises all showed that higher levels of c-Met, Fascin and CD44 were risk factors for HCC patients survival (P<0.05). Conclusion c-Met, Fascin and CD44 expressions are increased in HCC cancer tissues, are higher in vascular invasion, lower tumor differentiation, and recurrence patients, and may be independent risk factors for HCC prognosis.
keywords:c-Met  Fascin  CD44  hepatocellular carcinoma  vascular invasion  relapse
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