Hepatocellular carcinoma: hepatocyte-selective enhancement at gadoxetic acid-enhanced MR imaging--correlation with expression of sinusoidal and canalicular transporters and bile accumulation
| Autor: | Kaname Tomoda, Hirofumi Akita, Masatoshi Hori, Mitsuaki Tatsumi, Tonsok Kim, Kenichi Wakasa, Takahiro Tsuboyama, Nariaki Matsuura, Hiromitsu Onishi, Hiroaki Nagano, Atsushi Nakamoto |
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| Rok vydání: | 2010 |
| Předmět: |
Gadolinium DTPA
Male Gadoxetic acid medicine.medical_specialty Carcinoma Hepatocellular Contrast Media Gastroenterology Immunoenzyme Techniques Organic Anion Transport Protein 1 Internal medicine medicine Bile Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over biology business.industry Bile accumulation Liver Neoplasms Transporter Middle Aged medicine.disease Mr imaging Magnetic Resonance Imaging Organic anion-transporting polypeptide medicine.anatomical_structure Hepatocyte Hepatocellular carcinoma Cancer research Hepatobiliary phase biology.protein Hepatocytes Female Multidrug Resistance-Associated Proteins business medicine.drug |
| Zdroj: | Radiology. 255(3) |
| ISSN: | 1527-1315 |
| Popis: | To investigate the mechanism of enhancement of hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced hepatobiliary phase magnetic resonance (MR) images and to characterize HCC thus enhanced.This retrospective study was approved by the institutional review board, and patient informed consent for research use of the resected specimen was obtained. MR images in 25 patients (20 men, five women; mean age, 68 years; range, 49-82 years) with 27 resected hypervascular HCCs (one well, 13 moderately, 13 poorly differentiated) that demonstrated hepatocyte-selective enhancement on gadoxetic acid-enhanced MR images, were quantitatively studied, and findings were correlated with results of immunohistochemical staining for a sinusoidal transporter, organic anion transporting polypeptide (OATP) 1B1 (OATP1B1) and/or OATP1B3 (OATP1B1 and/or -1B3), and a canalicular transporter, multidrug resistance-associated protein 2 (MRP2), and also with bile accumulation in tumors. Statistical analysis was performed with the Student t test and Scheffé post hoc test.Combined with positive OATP1B1 and/or -1B3 expression (O+), two patterns of MRP2 expression contributed to high enhancement: decreased expression (M-, n = 3) and increased expression at the luminal membrane of pseudoglands (M+[P], n = 3). Nodules without OATP1B1 and/or -1B3 expression (O-, n = 13) and nodules with O+ associated with increased MRP2 expression only at the canaliculi (M+[C], n = 8) induced significantly lower enhancement than those with the two expression patterns described before (O+/M- group vs O- group, P = .002; O+/M- group vs O+/M+[C] group, P = .047; O+/M+[P] group vs O- group, P.001; O+/M+[P] group vs O+/M+[C] group, P.001). Nodules with bile pigment (n = 12) showed significantly higher enhancement (P = .004); all five nodules (one well differentiated HCC, four moderately differentiated HCCs), which were enhanced more than adjacent liver parenchyma, contained bile pigment.High hepatocyte-selective enhancement is induced by expression patterns of transporters, which may result in accumulation of gadoxetic acid in cytoplasm of tumor cells or in lumina of pseudoglands. An HCC with gadoxetic acid enhancement is characterized by bile accumulation in tumors. |
| Databáze: | OpenAIRE |
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