Brief Article
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. May 28, 2012; 18(20): 2540-2544
Published online May 28, 2012. doi: 10.3748/wjg.v18.i20.2540
Detection of eukaryotic translation initiation factor 4E and its clinical significance in hepatocellular carcinoma
Xiao-Lin Wang, Hong-Pei Cai, Jun-Hui Ge, Xiao-Feng Su
Xiao-Lin Wang, Hong-Pei Cai, Xiao-Feng Su, Gastroenterology Department, The Second Military Medical University, Changzheng Hospital, Shanghai 200003, China
Jun-Hui Ge, Pathology Department, The Second Military Medical University, Changzheng Hospital, Shanghai 200003, China
Author contributions: Wang XL and Cai HP designed the study; Ge JH performed the immunohistochemical staining and contributed the analytic tools; Su XF collected and analysed data; and Wang XL wrote the manuscript.
Correspondence to: Hong-Pei Cai, Professor, Gastroenterology Department, The Second Military Medical University, Changzheng Hospital, Shanghai 200003, China. hongpeic@163.com
Telephone: +86-21-81885344 Fax: +86-21-63520020
Received: November 6, 2011
Revised: February 20, 2012
Accepted: February 26, 2012
Published online: May 28, 2012
Abstract

AIM: To study the expression of eukaryotic translation initiation factor 4E (eIF4E), which is closely correlated with malignant tumors, and its relationship to prognosis in hepatocellular carcinoma.

METHODS: Western blotting was performed to quantify the elF4E protein expression in the normal human liver cell line L02 and the hepatoma cell lines Hep3B, HepG2, and Huh7. Forty-six hepatocellular carcinoma samples with complete clinical data were obtained from Changzheng Hospital during the period of December 2008 to July 2009. The expression of eIF4E in the tumor samples and their adjacent tissues were detected by immunohistochemistry. The relationship between the test results and hepatocellular carcinoma (HCC) prognosis was statistically analysed by using a COX proportional hazard model.

RESULTS: Western blotting analysis showed that there were distinct eIF4E protein bands in all three of the hepatoma cell lines. In particular, the HepG2 cell line had the highest level of eIF4E protein expression. The L02 cell group had a low eIF4E expression. Immunohistochemical assay showed that there were 32 cases in which the tumour tissue expression was higher than their adjacent tissues, accounting for 69.57%. There were also 14 cases in which the tumour tissue expression was lower or no significant difference was found, accounting for 30.43%. COX proportional hazards model analysis showed that HCC prognosis was related to the depth of invasion, the overexpression of eIF4E and p53, possibly as independent HCC prognostic predictors.

CONCLUSION: In summary, eIF4E expression is associated with liver cancer, and patients with high eIF4E expression levels have a higher risk of recurrence.

Keywords: Hepatocellular carcinoma; Eukaryotic translation initiation factor 4E; Western blotting; Immunohistochemistry; Prognosis