論文

国際誌
2022年2月

Patients with polyclonal hepatocellular carcinoma are at a high risk of early recurrence and have a poor recurrence-free survival period.

Hepatology international
  • Masaki Kaibori
  • ,
  • Kazuko Sakai
  • ,
  • Hideyuki Matsushima
  • ,
  • Hisashi Kosaka
  • ,
  • Kosuke Matsui
  • ,
  • Marco A De Velasco
  • ,
  • Mitsugu Sekimoto
  • ,
  • Kazuto Nishio

16
1
開始ページ
135
終了ページ
147
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s12072-021-10278-4

BACKGROUND/PURPOSE OF THE STUDY: Tumor heterogeneity based on copy number variations is associated with the evolution of cancer and its clinical grade. Clonal composition (CC) represents the number of clones based on the distribution of B-allele frequency (BAF) obtained from a genome-wide single nucleotide polymorphism (SNP) array. A higher CC number represents a high degree of heterogeneity. We hypothesized and evaluated that the CC number in hepatocellular carcinoma (HCC) tissues might be associated with the clinical outcomes of patients. METHODS: Somatic mutation, whole transcriptome, and CC number based on copy number variations of 36 frozen tissue samples of operably resected HCC tissues were analyzed by targeted deep sequencing, transcriptome analysis, and SNP array. RESULTS: The samples were classified into the heterogeneous tumors as poly-CC (n = 26) and the homogeneous tumors as mono-CC (n = 8). The patients with poly-CC had a higher rate of early recurrence and a significantly shorter recurrence-free survival period than the mono-CC patients (7.0 months vs. not reached, p = 0.0084). No differences in pathogenic non-synonymous mutations, such as TP53, were observed between the two groups when targeted deep sequencing was applied. A transcriptome analysis showed that cell cycle-related pathways were enriched in the poly-CC tumors, compared to the mono-CC tumors. Poly-CC HCC is highly proliferative and has a high risk of early recurrence. CONCLUSION: CC is a possible candidate biomarker for predicting the risk of early postoperative recurrence and warrants further investigation.

リンク情報
DOI
https://doi.org/10.1007/s12072-021-10278-4
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34973129
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843910
ID情報
  • DOI : 10.1007/s12072-021-10278-4
  • PubMed ID : 34973129
  • PubMed Central 記事ID : PMC8843910

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