PMID- 37096803 OWN - NLM STAT- MEDLINE DCOM- 20230810 LR - 20230810 IS - 1097-0142 (Electronic) IS - 0008-543X (Linking) VI - 129 IP - 17 DP - 2023 Sep 1 TI - Increased plasma levels of monocyte chemoattractant protein-1 in patients with hepatitis B virus pre-S2 gene deletion mutation predict a higher risk of hepatocellular carcinoma recurrence after curative surgical resection. PG - 2621-2636 LID - 10.1002/cncr.34815 [doi] AB - BACKGROUND: Despite resection surgery as a curative therapy for hepatocellular carcinoma (HCC), the high rate of postoperative HCC recurrence remains a big challenge for patient survival. Chronic hepatitis B virus (HBV) infection is the most important risk factor for HCC. Deletion mutation in the HBV pre-S2 gene leads to expression of an essential viral oncoprotein called pre-S2 mutant and represents an independent prognostic biomarker for HCC recurrence after curative surgical resection. Additionally, cytokines are multifunctional secreted proteins and implicated in all stages of HBV-related HCC tumorigenesis. METHODS: This study aimed to identify the cytokines whose plasma levels were associated with pre-S2 gene deletion mutation and HCC recurrence and evaluate their potential to be combined with pre-S2 gene deletion mutation in predicting HCC recurrence. RESULTS: Among a panel of 27 cytokines examined, plasma levels of monocyte chemoattractant protein-1 (MCP-1) were significantly upregulated in patients with pre-S2 gene deletion mutation or HCC recurrence. MCP-1 was validated as an independent prognostic biomarker for HCC recurrence. Moreover, patients with both the presence of pre-S2 gene deletion mutation and high levels of MCP-1 displayed a higher risk of HCC recurrence than patients with either one or none of these two biomarkers. The combination of pre-S2 gene deletion mutation and MCP-1 levels exhibited a better prognostic performance for HCC recurrence than each biomarker alone. CONCLUSIONS: This study discovered that MCP-1 levels had a significance to be as a combination biomarker with pre-S2 gene deletion mutation providing an improved performance in predicting HCC recurrence after curative surgical resection. CI - (c) 2023 American Cancer Society. FAU - Jeng, Long-Bin AU - Jeng LB AUID- ORCID: 0000-0002-4588-2268 AD - Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan. AD - Department of Surgery, China Medical University Hospital, Taichung, Taiwan. AD - Cell Therapy Center, China Medical University Hospital, Taichung, Taiwan. FAU - Li, Tsai-Chung AU - Li TC AD - Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan. AD - Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan. FAU - Wang, John AU - Wang J AD - Department of Pathology, China Medical University Hospital, Taichung, Taiwan. FAU - Teng, Chiao-Fang AU - Teng CF AUID- ORCID: 0000-0002-5218-0571 AD - Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan. AD - Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan. AD - Program for Cancer Biology and Drug Development, China Medical University, Taichung, Taiwan. AD - Research Center for Cancer Biology, China Medical University, Taichung, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230425 PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Chemokine CCL2) RN - 0 (Hepatitis B Surface Antigens) RN - 0 (CCL2 protein, human) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/genetics/surgery MH - Chemokine CCL2/genetics/metabolism MH - Gene Deletion MH - *Hepatitis B MH - Hepatitis B Surface Antigens/genetics/metabolism MH - Hepatitis B virus/genetics MH - *Hepatitis B, Chronic/complications/genetics/pathology MH - *Liver Neoplasms/genetics/surgery/pathology MH - Mutation OTO - NOTNLM OT - hepatitis B virus OT - hepatocellular carcinoma OT - monocyte chemoattractant protein-1 OT - pre-S2 gene deletion mutation OT - recurrence EDAT- 2023/04/25 17:43 MHDA- 2023/08/10 06:42 CRDT- 2023/04/25 07:03 PHST- 2023/03/29 00:00 [revised] PHST- 2022/12/28 00:00 [received] PHST- 2023/04/04 00:00 [accepted] PHST- 2023/08/10 06:42 [medline] PHST- 2023/04/25 17:43 [pubmed] PHST- 2023/04/25 07:03 [entrez] AID - 10.1002/cncr.34815 [doi] PST - ppublish SO - Cancer. 2023 Sep 1;129(17):2621-2636. doi: 10.1002/cncr.34815. Epub 2023 Apr 25.