Usefulness of Circulating Methylated p16 as a Noninvasive Molecular Biomarker for Hepatitis C-Related Hepatocellular Carcinoma with Normal Serum Alpha-Fetoprotein Levels
| Autor: | Elham Ahmed Hassan, Abeer Sabry, Tarek T El-Melegy, Abeer Sharaf El-Din Abd El-Rehim, Zain El-Abdeen Ahmed Sayed, Mohamed Omar Abdel Malek, Wael Abd Elgwad Elsewify, Mohamed A. Mekky |
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| Rok vydání: | 2020 |
| Předmět: |
hepatitis C virus
medicine.medical_specialty Cirrhosis Hepatitis C virus International Journal of General Medicine 030204 cardiovascular system & hematology medicine.disease_cause Gastroenterology methylated p16 03 medical and health sciences alpha-fetoprotein 0302 clinical medicine Internal medicine medicine quantitative real-time PCR neoplasms Original Research medicine.diagnostic_test Receiver operating characteristic business.industry General Medicine Hepatitis C hepatocellular carcinoma medicine.disease Molecular biomarkers digestive system diseases 030220 oncology & carcinogenesis Liver biopsy Hepatocellular carcinoma Alpha-fetoprotein business |
| Zdroj: | International Journal of General Medicine |
| ISSN: | 1178-7074 |
| Popis: | Wael Abd Elgwad Elsewify,1 Elham Ahmed Hassan,2 Mohamed A Mekky,2 Abeer Sharaf El-Din Abd El-Rehim,2 Zain El-Abdeen Ahmed Sayed,3 Mohamed Omar Abdel Malek,2 Tarek TH ElMelegy,4 Abeer Sabry5 1Department of Internal Medicine, Faculty of Medicine, Aswan University, Aswan, Egypt; 2Department of Gastroenterology and Tropical Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt; 3Department of Internal Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt; 4Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt; 5Department of Internal Medicine, Faculty of Medicine, Helwan University, Cairo, EgyptCorrespondence: Wael Abd Elgwad ElsewifyDepartment of Internal Medicine, Faculty of Medicine, Aswan University, Aswan 81528, EgyptTel +20 1001657295Fax +20 973480449Email waelelsewify@yahoo.comBackground: Screening of hepatocellular carcinoma (HCC) is challenged especially in patients with normal alpha-fetoprotein (AFP) levels. Aberrant p16 methylation has been implicated in HCC.Objectives and Aims: This study aimed to assess serum methylated p16 (MP16) expression levels and to evaluate MP16 diagnostic performance in HCC detection among HCV-infected Egyptian patients with normal AFP levels.Methods: MP16 levels were quantified using real-timePCR in 230 serum samples (30 healthy controls, 95 with HCV-HCC, 40 with chronic hepatitis C “CHC” and 65 with HCV cirrhosis). Diagnostic performance of MP16 for diagnosis of HCC was done using receiver operator characteristic curve analysis.Results: Serum MP16 levels were significantly higher in HCC than CHC, cirrhosis, and healthy subjects and significantly higher in HCC with normal AFP levels than those with higher AFP. ROC curves revealed promising diagnostic performance for MP16 in discriminating HCC with normal AFP levels from non-HCC cases. This predictive ability improved by combining MP16 and AFP (AUC of 0.872 with 100% sensitivity, 76.5% specificity, 79.1% positive predictive value, 100% negative predictive value, and 87.5% accuracy).Conclusion: MP16 can be a potential noninvasive molecular biomarker for HCC detection in patients with hepatic mass(es) and normal AFP levels especially in those where liver biopsy and radiological imaging cannot be done.Keywords: methylated p16, hepatitis C virus, hepatocellular carcinoma, alpha-fetoprotein, quantitative real-time PCR |
| Databáze: | OpenAIRE |
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