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MAGE-4 gene m-RNA and TGF in blood as potential biochemical markers for HCC in HCV-infected patients
Faculty
Medicine
Year:
2012
Type of Publication:
Article
Pages:
3055-3062
Authors:
Raafat, Nermin, Hussein, Yousri M, Morad, Fouad E, Gameel, Magda A, Emam, Wafaa A, El Sawy, Wael H, El Tarhouny, Shereen A, Bayomy, Eman S
DOI:
10.1007/s12032-012-0257-1
Journal:
MEDICAL ONCOLOGY HUMANA PRESS INC
Volume:
29
Research Area:
Oncology
ISSN
ISI:000311513800008
Keywords :
HCV, HCC, MAGE-4, TGF-beta 1, alpha-Fetoprotein
Abstract:
Progression from chronic hepatitis C virus infection to cirrhosis then to hepatocellular carcinoma usually results in some protein changes in peripheral blood. We evaluated MAGE-4 mRNA, TGF beta 1 and AFP in peripheral blood as potential biochemical markers for diagnosis and prognosis of some complications of HCV infection. MAGE-4 mRNA in blood by reverse transcription polymerase chain reaction, serum TGF-I'1 and AFP by ELISA was assayed in seventy-five individuals who were classified into five groups: group I (control) comprised fifteen apparently healthy volunteers, group II involved fifteen HCV-infected patients without cirrhosis, group III involved fifteen HCV fifteen HCV-infected patients with cirrhosis, group IV included fifteen HCV-infected patients with cirrhosis and early stage HCC, and group V included fifteen HCV cirrhotic patients and late-stage HCC. We found that the frequency of positivity of MAGE-4 among the late hepatoma group was 40 \%, while in the early hepatoma group the positivity was 6.7 \%. The results for TGF-I'1 revealed a significant increase in serum TGF-I'1 in groups IV and V as compared to control, II, III groups. The obtained results of AFP showed a significant positive increase in serum AFP in groups IV and V when compared to groups II and III. Detection of MAGE-4 transcripts in blood, especially with follow-up survey, may help to predict the prognosis and monitoring of the response to the therapy, and serum TGF-I'1 level in HCC patients is directly correlated with metastasis and recurrence of tumors and increases gradually with the progression of HCC.
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