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  • 1
    In: Digestive Diseases, S. Karger AG, Vol. 37, No. 3 ( 2019), p. 247-254
    Abstract: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 The risk factors associated with the development of hepatocellular carcinoma (HCC) in nonalcoholic fatty liver disease (NAFLD) are still unclear. The aim of the present study was to identify such risk factors in NAFLD patients who developed HCC. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Between April 2000 and ­December 2016, a total of 182 patients with NAFLD were enrolled in this study; of these, only 22 patients had HCC. To identify risk factors, univariate and multivariate analyses were performed. To identify risk factors other than the degree of fibrosis, propensity matched analysis adjusted by the NAFLD fibrosis score (NFS) was carried out on 44 patients. Multivariate and survival analyses were also performed in HCC patients. 〈 b 〉 〈 i 〉 Results 〈 /i 〉 〈 /b 〉 : In 182 patients, multivariate analysis highlighted the NFS (OR 2.275; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and hypertension (OR 5.868; 〈 i 〉 p 〈 /i 〉 = 0.037) as independent factors that were significantly associated with the development of HCC. After adjustment for the NFS, multivariate analysis identified diabetic retinopathy (OR 8.654; 〈 i 〉 p 〈 /i 〉 = 0.017) as an independent factor that was significantly associated with the development of HCC. For predicting the development of HCC, the area under the receiver operating characteristic curve of diabetic retinopathy was significantly higher than that of diabetes (0.731 vs. 0.615; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). In patients with HCC, multivariate analysis indicated that the NFS were significantly associated with diabetic retinopathy. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Diabetic retinopathy as well as liver fibrosis is a risk factor that associates with the development of HCC in NAFLD patients. Therefore, NAFLD patients with diabetic retinopathy should undergo careful screening for HCC.
    Type of Medium: Online Resource
    ISSN: 0257-2753 , 1421-9875
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2019
    detail.hit.zdb_id: 1482221-0
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  • 2
    In: Oncology, S. Karger AG, Vol. 71, No. 3-4 ( 2006), p. 251-258
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 ATP-binding cassette, subfamily G, member 2 (ABCG2) is a new member of the superfamily of ATP-binding cassette transporter proteins and known to be not only a member of the membrane transporters implicated in multidrug resistance, but also a molecular determinant of the side population phenotype, characteristics of which are reminiscent of stem cells. The aim of the current study was to clarify the significance of ABCG2 expression in esophageal squamous cell carcinoma (ESCC). 〈 i 〉 Methods: 〈 /i 〉 We immunohistochemically investigated paraffin sections of 100 ESCC tumors and assessed the expression level of ABCG2 mRNA in 33 specimens by quantitative RT-PCR. 〈 i 〉 Results: 〈 /i 〉 In the immunohistochemical study, ABCG2 expression was detectable in 61% of patients and the proportion of ABCG2-positive cells was variable (0–100%). Interestingly, the presence of ABCG2-positive cells in the tumor, regardless of their amount, was associated with poorer survival (p = 0.0088). Moreover, it was revealed to be an independent prognostic factor along with the extent of the primary tumor and positive lymph node metastasis in multivariate analysis using Cox’s regression model. In the quantitative RT-PCR study, higher tumor ABCG2 mRNA expression was associated with poorer survival (p = 0.017). 〈 i 〉 Conclusions: 〈 /i 〉 The absolute presence of ABCG2-positive cells in the tumor is a single independent prognostic factor, suggesting the underlying roles in malignant characteristics of ESCC other than drug resistance.
    Type of Medium: Online Resource
    ISSN: 0030-2414 , 1423-0232
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2006
    detail.hit.zdb_id: 1483096-6
    detail.hit.zdb_id: 250101-6
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  • 3
    In: Oncology, S. Karger AG, Vol. 70, No. 5 ( 2006), p. 378-389
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 We investigated the expression and function of the hedgehog (Hh) pathway in human esophageal squamous cell carcinoma (ESCC). 〈 i 〉 Methods: 〈 /i 〉 The expression of Hh pathway molecules were detected in 34 human ESCC cell lines by RT-PCR. Subsequently, we investigated the effects of cyclopamine, a specific inhibitor of the Hh pathway, on cell proliferation, migration and invasion. Next, the effects of siRNA targeting Gli-1 were examined. Immunohistochemically, the expression of Gli-1 was studied in 104 ESCC specimens and compared with the clinicopathological characteristics of the patients. 〈 i 〉 Results: 〈 /i 〉 Gli-1 were expressed in 31 of 34 cell lines (91%), while Sonic hedgehog (SHh), Patched (Ptch), and Smoothened (Smo) expression was noted in all 34 cell lines. Cyclopamine significantly inhibited cell proliferation and migration in ESCC cells that expressed Gli-1. siRNA targeting Gli-1 inhibited cell growth in ESCC cells. Gli-1 was expressed in 52 of 104 cancer specimens (50%). Gli-1 expression was associated with tumor depth (p 〈 0.001), positive lymph node metastasis (p = 0.004) and a poor prognosis (p = 0.0047). 〈 i 〉 Conclusion: 〈 /i 〉 Our results raise the possibility that the inhibition of the Hh pathway could be a novel target for esophageal cancer therapy.
    Type of Medium: Online Resource
    ISSN: 0030-2414 , 1423-0232
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2006
    detail.hit.zdb_id: 1483096-6
    detail.hit.zdb_id: 250101-6
    Location Call Number Limitation Availability
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