Electronic Journal of Liver Tumor ›› 2021, Vol. 8 ›› Issue (4): 21-25.

• Original article • Previous Articles     Next Articles

Expression and clinical significance of paired related homoeobox-1 and cancer susceptibility candidate-2 in primary hepatic carcinoma

Li Wenchao1,*, Zhang Dong2, Zhang Dongxia3   

  1. 1. Department of Hepatology, Xingtai People's Hospital, Xingtai 054000, Hebei, China;
    2. Department of Hepatology, Tangshan People's Hospital, Tangshan 063000, Hebei, China;
    3. Department of Emergency, Xingtai People's Hospital, Xingtai 054000, Hebei, China
  • Received:2021-09-07 Online:2021-12-30 Published:2022-10-27

Abstract: Objective: To investigate the expression of paired related homoeobox-1 (PRRX1) and cancer susceptibility candidate-2 (CASC2) in primary hepatic carcinoma, and analyze their relationship with clinicopathological parameters and prognosis.
Methods: Paraffin specimens were collected from 72 patients with primary hepatic carcinoma from January 2014 to January 2017. The expressions of PRRX1 and CASC2 were detected by real-time fluorescence quantitative polymerization chain reaction (qRT-PCR), and the relationship between the expressions of PRRX1 and CASC2 and the clinicopathological parameters of primary hepatic carcinoma was analyzed. The relationship between the expression of PRRX1 and CASC2 and the prognosis of primary hepatic carcinoma patients was analyzed with death of primary hepatic carcinoma patients as the endpoint event during follow-up.
Results: The expression of PRRX1 and CASC2 in primary hepatic carcinoma tissues was lower than that in para-carcinoma tissues (P<0.05). The expression of PRRX1 was associated with vascular invasion, intrahepatic metastasis, distal metastasis and TNM stage (P<0.05). The expression of CASC2 was associated with the degree of differentiation and TNM stage (P<0.05). The results of Kaplan-Meier survival curve analysis showed that the survival rate of primary hepatic carcinoma in the low-expression group of PRRX1 and CASC2 was lower than that in the high-expression group of PRRX1 and CASC2 (P<0.05). Multivariate Cox regression analysis showed that distal metastasis, low expression of PRRX1 and CASC2 were independently correlated with poor prognosis of primary hepatic carcinoma patients (P<0.01).
Conclusions: PRRX1 and CASC2 were under expressed in primary hepatic carcinoma. Low expression of PRRX1 and CASC2 in primary hepatic carcinoma may be related to the pathogenesis and malignant progression of primary hepatic carcinoma, which can be used as an auxiliary indicator for the prognosis assessment of primary hepatic carcinoma.

Key words: Paired related homoeobox-1 proteins, Cancer susceptibility candidate-2, Primary hepatic carcinoma