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    Hepcidin在HBV相关性肝细胞肝癌中的表达及其机制的初步研究

    The Preliminary Study Regarding Expression of Hepcidin in Hepatocellular Carcinoma after HBV Infection and its Mechanism

    • 摘要: 目的 研究Hepcidin及其受体膜铁转运蛋白(Ferroportin)在HBV相关性肝细胞肝癌中的表达,初步探讨其在肝癌发生发展中的相关机制。方法 1、随机筛选出正常对照者20例、HBV相关性HCC患者25例,分别作为对照组和HCC组。2、采用酶联免疫法(ELISA)测定所有血液标本血清铁调素(Hepcidin)、骨形态发生蛋白6(BMP6)、白介素-6(IL-6)、可溶性转铁蛋白受体(sTfR)、铁蛋白(SF)和甲胎蛋白(AFP)水平;在不同分组情况下,比较血清铁代谢相关指标与对照组之间差异,并比较Hepcidin与各变量的相关性。3、采用免疫组化(IHC)的方法检测正常肝组织和肝癌组织及癌旁肝组织标本中Hepcidin受体Ferroportin的表达,并分析与AFP、TNM分期和HCC临床分期的相关性。结果 1、血清Hepcidin水平,HCC组明显低于对照组(P值均小于0.001),并且与IL-6、BMP6的表达呈正相关(P值均小于0.05,r绝对值均大于0.5),与sTfR 和SF的表达呈负相关(P值均小于0.05,r绝对值均大于0.5)。2、HCC组肝癌组织中,Hepcidin受体Ferroportin的表达较正常肝组织和HCC组癌旁肝组织明显减少,具有统计学差异(P<0.001)。3、Hepcidin受体Ferroportin在HBV相关性HCC肿瘤组织中的表达与HCC临床分期呈负相关(P<0.05,P=0.01,r=-0.505)结论 1、HBV相关性HCC患者血清Hepcidin与正常人相比较呈低水平,血清sTfR呈高水平,导致机体铁过载从而促进HCC发生。 2、Hepcidin受体Ferroportin在HCC肿瘤组织中呈低表达。 3、HCC患者血清Hepcidin低水平可能与BMP/SMAD信号通路和JAK/STAT信号通路被抑制有关。

       

      Abstract: Objective To study the expression of Hepcidin and its receptor Ferroportin in hepatocellular carcinoma (HCC) after HBV infection, and explore initially its mechanism in the development and progression of hepatocellular carcinoma (HCC). Methods 1. We screen out randomly 20 cases of normal persons and 25 cases of HCC after HBV infection , respectively, as the control group and HCC group. 2. The expression of Hepcidin, BMP6, IL-6, sTfR and SF in serum were measured by enzyme-linked immunosorbent assay (ELISA). Analyze the correlation between Hepcidin and various variables and compare the difference between the 2 groups. 3. The expression of Hepcidin receptor Ferroportin in tumor tissue and para-carcinoma tissue as well as normal liver tissue were detected by immunohistochemistry. Analyze the correlation with AFP level, TNM staging, and HCC clinical staging. Results 1. Serum levels of Hepcidin, were significantly lower in HCC group than those in normal control group (P<0.0), positively correlated with IL-6 and BMP6 in HBV-related HCC group (P<0.05, r>0.5), and negatively correlated with sTfR and SF (P<0.05, r>0.5). P<0.0The expression of Ferroportin in HBV-related HCC was negatively correlated with HCC clinical staging(P<0.05,P=0.01,r=-0.505).Conclusion 1. Serum levels of Hepcidin, were significantly lower in HCC than those in normal people, while serum levels of sTfR was significantly higher, which bring about iron overloading in body .It promote the occurrence of HCC accordingly. 2.As Hepcidin receptor, Ferroportin expressed at a low level in the liver cancer tissues.3. The low level of Hepcidin in HCC may be associated with the inhibition of BMP / SMAD signaling pathway and JAK / STAT signaling pathway

       

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