Chitinase-3 like-protein-1, a prognostic biomarker in patients with hepatocellular carcinoma and concomitant myosteatosis.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
23 Aug 2024
Historique:
received: 08 06 2024
accepted: 14 08 2024
medline: 24 8 2024
pubmed: 24 8 2024
entrez: 23 8 2024
Statut: epublish

Résumé

Chitinase-3 like-protein-1 (CHI3L1) is a member of the mammalian chitinase-like proteins and elevated serum CHI3L1 level has been proved to be associated with poor prognosis in hepatocellular carcinoma (HCC). This study aimed to investigate the relationship between serum CHI3L1 levels and body composition parameters in patients with HCC after liver transplantation (LT). This retrospective study enrolled 200 patients after LT for HCC. Blood samples were collected and serum concentrations of CHI3L1 were measured by enzyme-linked immunosorbent assay. Computer tomography (CT) were used to estimate skeletal muscle and adipose tissue mass. Spearman's rank correlation test was performed to assess associations between serum CHI3L1 levels and these body composition parameters. A Cox proportional-hazards regression model was performed to identify independent prognostic factors. Overall survival (OS) and recurrence-free survival (RFS) curves were constructed using the Kaplan-Meier method and compared by the log-rank test. Total 71 patients (35.5%) were diagnosed with myosteatosis according to skeletal muscle radiation attenuation (SMRA). The 5-year OS rates were 66.9% in non-myosteatosis group, significantly higher than 49.5% in myosteatosis group (p = 0.025), while the RFS of myosteatosis group (5-year RFS: 52.6%) or non-myosteatosis group (5-year RFS: 42.0%) shown no significant difference (p = 0.068). The serum CHI3L1 level were significantly negative correlated with SMRA (r = -0.3, p < 0.001). Interestingly, in patients with myosteatosis, Kaplan-Meier analysis revealed that elevated serum CHI3L1 levels were associated with worse OS (p < 0.001) and RFS (p = 0.047). However, in patients without myosteatosis, Kaplan-Meier analysis found elevated serum CHI3L1 levels were not associated with OS (p = 0.070) or RFS (p = 0.104). Elevated CHI3L1 was negatively correlated with SMRA, and predicted poorer prognosis in Chinese population after LT for HCC, especially in those patients with concomitant myosteatosis. Monitoring serum CHI3L1 can predict prognosis and effectively guide individual nutrition intervention.

Sections du résumé

BACKGROUND BACKGROUND
Chitinase-3 like-protein-1 (CHI3L1) is a member of the mammalian chitinase-like proteins and elevated serum CHI3L1 level has been proved to be associated with poor prognosis in hepatocellular carcinoma (HCC). This study aimed to investigate the relationship between serum CHI3L1 levels and body composition parameters in patients with HCC after liver transplantation (LT).
METHODS METHODS
This retrospective study enrolled 200 patients after LT for HCC. Blood samples were collected and serum concentrations of CHI3L1 were measured by enzyme-linked immunosorbent assay. Computer tomography (CT) were used to estimate skeletal muscle and adipose tissue mass. Spearman's rank correlation test was performed to assess associations between serum CHI3L1 levels and these body composition parameters. A Cox proportional-hazards regression model was performed to identify independent prognostic factors. Overall survival (OS) and recurrence-free survival (RFS) curves were constructed using the Kaplan-Meier method and compared by the log-rank test.
RESULTS RESULTS
Total 71 patients (35.5%) were diagnosed with myosteatosis according to skeletal muscle radiation attenuation (SMRA). The 5-year OS rates were 66.9% in non-myosteatosis group, significantly higher than 49.5% in myosteatosis group (p = 0.025), while the RFS of myosteatosis group (5-year RFS: 52.6%) or non-myosteatosis group (5-year RFS: 42.0%) shown no significant difference (p = 0.068). The serum CHI3L1 level were significantly negative correlated with SMRA (r = -0.3, p < 0.001). Interestingly, in patients with myosteatosis, Kaplan-Meier analysis revealed that elevated serum CHI3L1 levels were associated with worse OS (p < 0.001) and RFS (p = 0.047). However, in patients without myosteatosis, Kaplan-Meier analysis found elevated serum CHI3L1 levels were not associated with OS (p = 0.070) or RFS (p = 0.104).
CONCLUSIONS CONCLUSIONS
Elevated CHI3L1 was negatively correlated with SMRA, and predicted poorer prognosis in Chinese population after LT for HCC, especially in those patients with concomitant myosteatosis. Monitoring serum CHI3L1 can predict prognosis and effectively guide individual nutrition intervention.

Identifiants

pubmed: 39179959
doi: 10.1186/s12885-024-12808-3
pii: 10.1186/s12885-024-12808-3
doi:

Substances chimiques

Chitinase-3-Like Protein 1 0
CHI3L1 protein, human 0
Biomarkers, Tumor 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1042

Subventions

Organisme : Scientific Research Fund of Zhejiang Provincial Education Department
ID : Y202353201
Organisme : National Key Research and Development Program of China
ID : 2021YFA1100500
Organisme : Major Research Plan of the National Natural Science Foundation of China
ID : 92159202
Organisme : Key Research & Development Plan of Zhejiang Province
ID : 2024C03051

Informations de copyright

© 2024. The Author(s).

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Auteurs

Chiyu He (C)

Zhejiang University School of Medicine, Hangzhou, China.
Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Hangzhou, China.
NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, China.

Zhihang Hu (Z)

Zhejiang University School of Medicine, Hangzhou, China.

Zuyuan Lin (Z)

Zhejiang University School of Medicine, Hangzhou, China.
Hangzhou First People's Hospital, Hangzhou, China.

Hao Chen (H)

Zhejiang University School of Medicine, Hangzhou, China.

Chenghao Cao (C)

Zhejiang University School of Medicine, Hangzhou, China.

Jinyan Chen (J)

Zhejiang University School of Medicine, Hangzhou, China.

Xudong Yang (X)

Hangzhou Normal University, Hangzhou, China.

Huigang Li (H)

Zhejiang University School of Medicine, Hangzhou, China.

Wei Shen (W)

Zhejiang University School of Medicine, Hangzhou, China.

Xuyong Wei (X)

NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, China.
Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China.

Li Zhuang (L)

Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Hangzhou, China.

Shusen Zheng (S)

Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Hangzhou, China. shusenzheng@zju.edu.cn.
NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, China. shusenzheng@zju.edu.cn.

Xiao Xu (X)

NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, China. zjxu@zju.edu.cn.
School of Clinical Medicine, Hangzhou Medical College, Hangzhou, China. zjxu@zju.edu.cn.
Institute of Translational Medicine, Zhejiang University, Hangzhou, China. zjxu@zju.edu.cn.

Di Lu (D)

NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, China. zjuludi@zju.edu.cn.
Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China. zjuludi@zju.edu.cn.

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