PMID- 25157753 OWN - NLM STAT- MEDLINE DCOM- 20150513 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 8 DP - 2014 TI - Glycogen synthase kinase-3beta is associated with the prognosis of hepatocellular carcinoma and may mediate the influence of type 2 diabetes mellitus on hepatocellular carcinoma. PG - e105624 LID - 10.1371/journal.pone.0105624 [doi] LID - e105624 AB - BACKGROUND: Although many studies have shown glycogen synthase kinase-3beta (GSK-3beta) was associated with type 2 diabetes mellitus (T2DM) and implicated with a wide range of cancers, the role of GSK-3beta in hepatocellular carcinoma(HCC) and the correlation among GSK-3beta, T2DM and HCC remains unclear. Our objectives were to identify the effect of p-Ser9-GSK-3beta on the prognosis of patients with HCC and to learn more about the interaction among T2DM, GSK-3beta and the prognosis of HCC. METHODS: Firstly we used reverse transcriptase-PCR(RT-PCR) and western blotting to determine the expression levels of GSK-3beta and p-Ser9-GSK-3beta in human HCC samples. We then used immunohistochemical staining to evaluate the expression pattern of p-Ser9-GSK-3beta in 178 patients with HCC after curative partial hepatectomy. Finally we statistically analyzed the association of p-Ser9-GSK-3beta and T2DM with the prognosis of patients with HCC. RESULTS: P-Ser9-GSK-3beta was over-expressed in tumor tissues compared with their normal counterparts. Correlation and regression analysis indicated that the over-expression of p-Ser9-GSK-3beta was significantly associated with T2DM, and the correlation coefficient was 0.259 (P = 0.001). Multivariate analysis showed that the over-expression of p-Ser9-GSK-3beta(P<0.001) and T2DM(P = 0.008) were independently associated with poor prognosis of HCC, respectively. Further analysis demonstrated that these two variables are closely related with each other. CONCLUSION: The over-expression of p-Ser9-GSK-3beta and T2DM are strongly correlated with worse surgical outcome of HCC. P-Ser9-GSK-3beta may play a significant role in mediating the influence of T2DM on the prognosis of HCC. FAU - Qiao, Guoliang AU - Qiao G AD - Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. FAU - Le, Yuan AU - Le Y AD - Department of Biochemistry and Molecular Biology, Second Military Medical University, Shanghai, China. FAU - Li, Jun AU - Li J AD - Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. FAU - Wang, Lianghuan AU - Wang L AD - Department of Biochemistry and Molecular Biology, Second Military Medical University, Shanghai, China. FAU - Shen, Feng AU - Shen F AD - Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. LA - eng PT - Journal Article DEP - 20140826 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (RNA, Messenger) RN - EC 2.7.11.26 (Glycogen Synthase Kinase 3) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Carcinoma, Hepatocellular/*complications/*diagnosis/genetics/surgery MH - Diabetes Mellitus, Type 2/*complications/*enzymology/genetics MH - Female MH - Glycogen Synthase Kinase 3/analysis/*genetics MH - Hepatectomy MH - Humans MH - Liver/enzymology/pathology/surgery MH - Liver Neoplasms/*complications/*diagnosis/genetics/surgery MH - Male MH - Middle Aged MH - Prognosis MH - RNA, Messenger/genetics MH - Treatment Outcome MH - Up-Regulation MH - Young Adult PMC - PMC4144855 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/08/27 06:00 MHDA- 2015/05/15 06:00 PMCR- 2014/08/26 CRDT- 2014/08/27 06:00 PHST- 2014/05/28 00:00 [received] PHST- 2014/07/22 00:00 [accepted] PHST- 2014/08/27 06:00 [entrez] PHST- 2014/08/27 06:00 [pubmed] PHST- 2015/05/15 06:00 [medline] PHST- 2014/08/26 00:00 [pmc-release] AID - PONE-D-14-23878 [pii] AID - 10.1371/journal.pone.0105624 [doi] PST - epublish SO - PLoS One. 2014 Aug 26;9(8):e105624. doi: 10.1371/journal.pone.0105624. eCollection 2014.