Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma

Abstract Background and Objectives Hepatocellular carcinoma (HCC) has a high recurrence rate even after radical hepatectomy. More optimal biomarkers may help improve recurrence and prognosis. Methods We investigated whether the oncological properties of N‐glycolylneuraminic acid (NeuGc) can particip...

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Main Authors: Shuji Akimoto, Hiroyuki Tahara, Senichiro Yanagawa, Kentaro Ide, Yuka Tanaka, Tsuyoshi Kobayashi, Hideki Ohdan
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1831
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author Shuji Akimoto
Hiroyuki Tahara
Senichiro Yanagawa
Kentaro Ide
Yuka Tanaka
Tsuyoshi Kobayashi
Hideki Ohdan
author_facet Shuji Akimoto
Hiroyuki Tahara
Senichiro Yanagawa
Kentaro Ide
Yuka Tanaka
Tsuyoshi Kobayashi
Hideki Ohdan
author_sort Shuji Akimoto
collection DOAJ
description Abstract Background and Objectives Hepatocellular carcinoma (HCC) has a high recurrence rate even after radical hepatectomy. More optimal biomarkers may help improve recurrence and prognosis. Methods We investigated whether the oncological properties of N‐glycolylneuraminic acid (NeuGc) can participate in the prognosis of HCC. We evaluated the NeuGc antigen (Ag) expression in the HCC tissues and measured the preoperative anti‐NeuGc IgG antibodies (Abs) in the sera of the patients with HCC. We compared the clinical characteristics and survival rate in the hepatectomized patients (initial; n = 66, recurrent; n = 34) with and without the NeuGc Ag or Abs. Results Multivariate analyses showed positive expression of NeuGc Ag in HCC tissues (Odds ratio; initial = 6.3, recurrent = 14.0) and higher titers of preoperative anti‐NeuGc Ab (Odds ratio; initial = 4.9; recurrent = 3.8), which could be the predictive factors related to early recurrence. Both the NeuGc Ag‐positive and Ab‐positive groups in the initial hepatectomized patients exhibited significantly shorter recurrent free survival compared to those in the negative groups. Conclusions Our findings suggested that anti‐NeuGc Ab titers and NeuGc Ag expression in the HCC tissues can be used as the predictive factors for the postoperative recurrence and prognosis of HCC.
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spelling doaj.art-b6dd295ab9474c988784ce62b22699c62023-08-17T03:11:27ZengWileyCancer Reports2573-83482023-08-0168n/an/a10.1002/cnr2.1831Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinomaShuji Akimoto0Hiroyuki Tahara1Senichiro Yanagawa2Kentaro Ide3Yuka Tanaka4Tsuyoshi Kobayashi5Hideki Ohdan6Department of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical & Health Sciences, Hiroshima University Hiroshima JapanAbstract Background and Objectives Hepatocellular carcinoma (HCC) has a high recurrence rate even after radical hepatectomy. More optimal biomarkers may help improve recurrence and prognosis. Methods We investigated whether the oncological properties of N‐glycolylneuraminic acid (NeuGc) can participate in the prognosis of HCC. We evaluated the NeuGc antigen (Ag) expression in the HCC tissues and measured the preoperative anti‐NeuGc IgG antibodies (Abs) in the sera of the patients with HCC. We compared the clinical characteristics and survival rate in the hepatectomized patients (initial; n = 66, recurrent; n = 34) with and without the NeuGc Ag or Abs. Results Multivariate analyses showed positive expression of NeuGc Ag in HCC tissues (Odds ratio; initial = 6.3, recurrent = 14.0) and higher titers of preoperative anti‐NeuGc Ab (Odds ratio; initial = 4.9; recurrent = 3.8), which could be the predictive factors related to early recurrence. Both the NeuGc Ag‐positive and Ab‐positive groups in the initial hepatectomized patients exhibited significantly shorter recurrent free survival compared to those in the negative groups. Conclusions Our findings suggested that anti‐NeuGc Ab titers and NeuGc Ag expression in the HCC tissues can be used as the predictive factors for the postoperative recurrence and prognosis of HCC.https://doi.org/10.1002/cnr2.1831cytidine‐5′‐monophospho‐NeuAc hydroxylasehepatocellular carcinomaN‐glycolylneuraminic acidprognosisrecurrence
spellingShingle Shuji Akimoto
Hiroyuki Tahara
Senichiro Yanagawa
Kentaro Ide
Yuka Tanaka
Tsuyoshi Kobayashi
Hideki Ohdan
Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
Cancer Reports
cytidine‐5′‐monophospho‐NeuAc hydroxylase
hepatocellular carcinoma
N‐glycolylneuraminic acid
prognosis
recurrence
title Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
title_full Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
title_fullStr Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
title_full_unstemmed Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
title_short Heterophile carbohydrate antigen N‐glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
title_sort heterophile carbohydrate antigen n glycolylneuraminic acid as a potential biomarker in patients with hepatocellular carcinoma
topic cytidine‐5′‐monophospho‐NeuAc hydroxylase
hepatocellular carcinoma
N‐glycolylneuraminic acid
prognosis
recurrence
url https://doi.org/10.1002/cnr2.1831
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