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Atanasov, G; Dino, K; Schierle, K; Dietel, C; Aust, G; Pratschke, J; Seehofer, D; Schmelzle, M; Hau, HM.
Angiogenic inflammation and formation of necrosis in the tumor microenvironment influence patient survival after radical surgery for de novo hepatocellular carcinoma in non-cirrhosis.
World J Surg Oncol. 2019; 17(1): 217 Doi: 10.1186/s12957-019-1756-8 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Hau Hans-Michael
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Abstract:
BACKGROUND: Tumor escape mechanisms mediated in the tumor microenvironment can significantly reduce the capacity of the anti-tumor function of the immune system. TIE2-expressing monocytes (TEMs), related angiopoietins, and tumor necrosis are considered to have a key role in this process. We aimed to investigate the abundance and clinical significance of these biomarkers in hepatocellular carcinoma (HCC). METHODS: In this retrospective study, 58 HCC patients received surgery with a curative intent. The abundance of TEMs, angiopoietin-1 and -2 were detected in tumor specimens of the HCC patients (n = 58), and together with the occurrence of histologic tumor necrosis, were associated with established clinicopathological characteristics and survival. RESULTS: Patients with HCC characterized by necrosis and TEMs revealed reduced both overall survival and recurrence-free survival (all p < 0.05). Angiopoietins and TEMs were associated with metastatic and recurrent HCC. Furthermore, the formation of histologic tumor necrosis was associated with advanced tumor stage and density of TEMs (all p < 0.05). CONCLUSIONS: Histologic tumor necrosis, TEMs, and related angiopoietins were associated with multiple HCC parameters and patient survival. The tumor necrosis-TEM-angiopoietin axis may offer a novel diagnostic modality to predict patient outcome after surgery for HCC.
Find related publications in this database (using NLM MeSH Indexing)
Angiopoietin-1 - metabolism
Angiopoietin-2 - metabolism
Biomarkers, Tumor - metabolism
Carcinoma, Hepatocellular - immunology, mortality, pathology, surgery
Female - administration & dosage
Humans - administration & dosage
Inflammation - immunology, metabolism, pathology
Liver Neoplasms - immunology, mortality, pathology, surgery
Male - administration & dosage
Middle Aged - administration & dosage
Monocytes - immunology, metabolism, pathology
Necrosis - administration & dosage
Neoplasm Grading - administration & dosage
Neovascularization, Pathologic - immunology, pathology
Prognosis - administration & dosage
Receptor, TIE-2 - metabolism
Retrospective Studies - administration & dosage
Tumor Escape - administration & dosage
Tumor Microenvironment - administration & dosage

Find related publications in this database (Keywords)
Hepatocellular carcinoma
Tumor-infiltrating macrophages
TIE2-expressing monocytes
Tumor necrosis
Angiopoietins
Angiogenesis
Prognosis
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