Circulating circRNA predicting the occurrence of hepatocellular carcinoma in patients with HBV infection
JOURNAL OF CELLULAR AND MOLECULAR MEDICINE
Authors: Wu, Chen; Deng, Lei; Zhuo, Han; Chen, Xiang; Tan, Zhongming; Han, Sheng; Tang, Junwei; Qian, Xiaofeng; Yao, Aihua
Abstract
A microarray-based high-throughput screening of human circulating circular RNA (circRNA) was applied with five patients newly diagnosed with hepatocellular carcinoma (HCC), five patients with HBV-positive chronic hepatitis (CH) and five healthy controls (NC) enrolled. The plasma of HCC patients after hepatectomy was also collected. After multiple staged validation, we obtained five circRNAs as candidate. Based on the stratified risk score analysis, three increased circRNAs including circ_0009582, circ_0037120 and circ_0140117 were confirmed as candidate circulating fingerprints for distinguishing HCC from CH or NC group. With the combination of AFP, higher sensitivity and specificity were further guaranteed, suggesting that circ_0009582, circ_0037120 and circ_0140117 may serve as potential biomarkers for predicting the occurrence of HCC in patients with HBV infection.
Evaluation of the Alpha-Fetoprotein Model for Predicting Recurrence and Survival in Patients With Hepatitis B Virus (HBV)-Related Cirrhosis Who Received Liver Transplantation for Hepatocellular Carcinoma
FRONTIERS IN SURGERY
Authors: Ren, Ao; Li, Zhongqiu; Zhou, Xiaozhuan; Zhang, Xuzhi; Huang, Xiaochun; Deng, Ronghai; Ma, Yi
Abstract
Introduction:The alpha-fetoprotein (AFP) model is superior to the Milan criteria in predicting the recurrence of hepatocellular carcinoma (HCC) after liver transplantation in European and Latin American populations. The purpose of this study was to determine the predictive value of the AFP model in Chinese hepatitis B virus (HBV)-related cirrhosis HCC patients. Methods:A total of 189 patients with HBV-related cirrhotic HCC were included. The recurrence rate and survival rate were estimated, and predictability was assessed by the Net Reclassification Improvement (NRI) method. Results:Of the 189 patients, patients with an AFP score >2 had a higher recurrence rate at 5 years (48.94 vs. 13.53%,p< 0.05) and lower survival rate (43.96 vs. 68.97%,p< 0.05). Considering patients within the Milan criteria, a higher 5-year recurrence rate and lower survival rate were observed in patients with an AFP model score >2 points compared to patients with a score of <= 2 points (recurrence rate: 58.75 vs. 12.98%,p< 0.05; survival rate: 28.57 vs. 67.41%,p= 0.047). NRI analysis showed that the AFP model exhibited superior predictability as compared to the Milan criteria. Conclusions:The AFP model may be used as a selection tool for Chinese HBV patients who require liver transplantation due to HCC.