Loss of ficolin-3 expression is associated with poor prognosis in patients with hepatocellular carcinoma

ficolin-3 表达缺失与肝细胞癌患者预后不良相关

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作者:Chia-Chi Chen, Teng-Hung Yu, Cheng-Ching Wu, Wei-Chin Hung, Thung-Lip Lee, Wei-Hua Tang, I-Ting Tsai, Fu-Mei Chung, Yau-Jiunn Lee, Chia-Chang Hsu

Background

Ficolin-3 (FCN3) is a well-known circulating pattern recognition molecule which plays a role in host immune responses to cancer via activation of the lectin complement pathway. Nevertheless, the clinical significance of FCN3 in patients with hepatocellular carcinoma (HCC) is unclear.

Conclusion

Our findings suggest that FCN3 is significantly related to the prognosis of HCC. FCN3 may be a prognostic marker in patients with HCC.

Methods

Eighty-seven HCC patients who received hepatectomy at our hospital were included. Immunohistochemical staining was used to assess the FCN3 expression in both tumorous and non-tumorous tissues from the patients, who were classified into high and low expression groups. Differences in clinicopathological characteristics between the two groups were then analyzed.

Results

Survival was significantly associated with FCN3 immunohistochemical score (p for trend = 0.048). Kaplan-Meier analysis revealed a higher overall survival rate in the patients with a high FCN3 expression than in those with a low FCN3 expression (p=0.031). A high FCN3 expression in tumor tissue was independently associated with better overall survival (p=0.042). However, multivariate analysis showed that FCN3 expression was not an independent risk factor for overall survival.

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