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Open Access Research article

GGPPS1 predicts the biological character of hepatocellular carcinoma in patients with cirrhosis

De-cai Yu12, Jia Liu3, Jun Chen12, Jiao-jiao Shao3, Xiao Shen3, Hong-guang Xia4, Chao-jun Li3, Bin Xue34* and Yi-tao Ding12*

Author Affiliations

1 Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu Province 210008, P.R. China

2 Institute of Hepatobiliary Surgery, Nanjing University, Nanjing, Jiangsu Province 210008, P.R. China

3 Jiangsu Key Laboratory of Molecular Medicine of the School of Medicine, Nanjing University, National Resource Center for Mutant Mice and MOE Key Laboratory of Model Animals for Disease Study, Model Animal Research Center, Nanjing, Jiangsu Province 210093, P.R. China

4 Department of Cell Biology, Harvard Medical School, Boston, MA 02115, USA

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BMC Cancer 2014, 14:248  doi:10.1186/1471-2407-14-248

Published: 9 April 2014

Abstract

Background

Hepatocellular carcinoma (HCC) has been associated with diabetes and obesity, but a possible connection with the metabolic syndrome (MetS) and its potential interaction with hepatitis and cirrhosis are open to discussion. Our previous investigations have shown that GGPPS1 plays a critical role during hyperinsulinism. In this report, the expression and distribution of GGPPS1 in liver cancer, and its clinical significance were investigated.

Methods

70 patients with hepatocellular carcinoma (HCC) were included in this study. Three different types of tissues from each HCC patient were assembled immediately after surgical resection: tumor-free tissue >5 cm far from tumor edge (TF), adjacent nonmalignant tissue within 2 cm (AT), and tissue from the tumor (TT). Normal liver tissues from 10 liver transplant donors served as healthy control (HC) while 10 patients with liver cirrhosis as cirrhosis control (CC). The expression and distribution of GGPPS1 were detected by immunohistochemistry, western blots, or real-time PCR. The relationship between the expression of GGPPS1 and clinic pathologic index were analyzed.

Results

We found that GGPPS1 was intensified mainly in the cytoplasm of liver tumor cells. Both the expression of GGPPS1 mRNA and protein were upregulated in TT comparing to AT or TF. Meanwhile, HCC patients with cirrhosis had relative higher expression of GGPPS1. In addition, many pathologic characters show close correlation with GGPPS1, such as tumor stage, vessel invasion, and early recurrence.

Conclusion

GGPPS1 may play a critical role during the development of HCC from cirrhosis and is of clinical significance for predicting biological character of HCC.