PMID- 29446854 OWN - NLM STAT- MEDLINE DCOM- 20180416 LR - 20210109 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 109 IP - 4 DP - 2018 Apr TI - Overexpression of interleukin-35 in intrahepatic cholangiocarcinoma is a prognostic indicator after curative resection. PG - 1195-1206 LID - 10.1111/cas.13535 [doi] AB - Interleukin-35 (IL-35) is implicated in tumorigenesis, but its exact impact on intrahepatic cholangiocarcinoma (ICC) is not clear. The aim of the present study was to explore the specific effect of IL-35 on patient prognosis. Additionally, we formulated an effective prognostic nomogram for ICC patients after curative resection. Immunohistochemistry was applied to explore IL-35 expression as well as IL-35 receptor (IL-35R) in 102 ICC patients. Results showed that IL-35 was highly expressed in ICC tumor tissues and was positively associated with lymph node metastasis (LNM), TNM stage and vascular invasion and was an independent prognostic factor for patients' overall survival (OS) and recurrence-free survival (RFS). High expression of IL-35R (gp130 and IL-12Rbeta2) was also observed in ICC cancer tissues, but only gp130 was an independent prognostic factor for OS and RFS and was indispensable in IL-35-mediated ICC clinical prognosis. The nomogram comprising carcinoembryonic antigen, LNM, IL-35 and gp130 expression achieved better predictive accuracy compared with TNM stage for OS. Our data support that high IL-35 expression correlates with ICC aggressiveness and emerges as a valuable biomarker for evaluating ICC progression and prognosis in clinical work. CI - (c) 2018 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Zhang, Mei-Xia AU - Zhang MX AUID- ORCID: 0000-0003-0978-4721 AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Gan, Wei AU - Gan W AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Jing, Chu-Yu AU - Jing CY AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Zheng, Su-Su AU - Zheng SS AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Zhang, Juan AU - Zhang J AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Shen, Hu-Jia AU - Shen HJ AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Xu, Xin AU - Xu X AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Lin, Jia-Jia AU - Lin JJ AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. FAU - Zhang, Bo-Heng AU - Zhang BH AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. AD - Center for Evidence-Based Medicine, Fudan University, Shanghai, China. FAU - Qiu, Shuang-Jian AU - Qiu SJ AD - Liver Cancer Institute and Zhongshan Hospital of Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20180325 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (IL36A protein, human) RN - 0 (Interleukin-1) RN - 0 (Interleukins) RN - 0 (Receptors, Interleukin-12) RN - 133483-10-0 (Cytokine Receptor gp130) SB - IM MH - Bile Duct Neoplasms/*metabolism/pathology MH - Bile Ducts, Intrahepatic/*metabolism/pathology MH - Cell Line, Tumor MH - Cholangiocarcinoma/*metabolism/pathology MH - Cytokine Receptor gp130/metabolism MH - Disease-Free Survival MH - Female MH - Humans MH - Interleukin-1/metabolism MH - Interleukins/*metabolism MH - Lymphatic Metastasis/pathology MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/metabolism/pathology MH - Neoplasm Staging/methods MH - Prognosis MH - Receptors, Interleukin-12/metabolism MH - Retrospective Studies PMC - PMC5891208 OTO - NOTNLM OT - IL-12Rbeta2 OT - IL-35 OT - gp130 OT - intrahepatic cholangiocarcinoma OT - nomogram EDAT- 2018/02/16 06:00 MHDA- 2018/04/17 06:00 PMCR- 2018/04/01 CRDT- 2018/02/16 06:00 PHST- 2017/12/12 00:00 [received] PHST- 2018/02/08 00:00 [revised] PHST- 2018/02/10 00:00 [accepted] PHST- 2018/02/16 06:00 [pubmed] PHST- 2018/04/17 06:00 [medline] PHST- 2018/02/16 06:00 [entrez] PHST- 2018/04/01 00:00 [pmc-release] AID - CAS13535 [pii] AID - 10.1111/cas.13535 [doi] PST - ppublish SO - Cancer Sci. 2018 Apr;109(4):1195-1206. doi: 10.1111/cas.13535. Epub 2018 Mar 25.