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Research ArticleOriginal Article

Coagulation factor VII gene polymorphisms are not associated with the occurrence or the survival of hepatocellular carcinoma: a report of 37 cases

Chih-Che Lin, Chun-Hsien Wu, Li-Yu Chen, Ming-Chao Tsai, Ahmed M. Elsarawy and Kuang-Tzu Huang
Cancer Biology & Medicine August 2018, 15 (3) 275-281; DOI: https://doi.org/10.20892/j.issn.2095-3941.2017.0144
Chih-Che Lin
1Liver Transplantation Center, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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  • For correspondence: immunologylin{at}gmail.com
Chun-Hsien Wu
1Liver Transplantation Center, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
2Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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Li-Yu Chen
1Liver Transplantation Center, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
2Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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Ming-Chao Tsai
3Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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Ahmed M. Elsarawy
1Liver Transplantation Center, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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Kuang-Tzu Huang
1Liver Transplantation Center, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
2Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan, China
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Article Figures & Data

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    1

    Kaplan-Meier curves showing cumulative recurrence-free survival of HCC patients who underwent curative resection categorized according to-402GG, GA and AA (left) or -402GG and non-GG (right) genotypes in the FVII promoter region. HCC patients (n=37) were followed up after tumor resection. P value was calculated using a log-rank test.

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    2

    Cumulative overall survival of patients with resected HCC categorized according to -402GG, GA and AA (left) or -402GG and non-GG (right) genotypes in the FVII promoter region. HCC patients (n=37) were followed up for the analysis. P value was calculated using a log-rank test.

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    1

    Clinico-pathological features of 37 patients with HCC undergoing hepatectomy

    ItermValue
    Patient demographics
     Age (years) (median; range)55 (37–75)
     Sex (male : female)29: 8
     AFP (ng/mL) (median; range)24.9 (1.99–303145)
     Multiple tumor (+) (%)9 (24.32%)
     Tumor size (cm) (median; range)a3.5 (1–19.3)
     Liver cirrhosis (+) (%)18 (48.65%)
     Hepatitis (B : C : B+C : none)23: 6: 0: 8
     TNM stage (I : II : III)b7: 19: 9
     Hypertension (+) (%)9 (24.3%)
     Diabetes mellitus (+) (%)9 (24.3%)
     Ischemic heart disease (+) (%)0 (0%)
    Pathological features
     Capsule (yes : no)6: 28
     Satellite nodule (yes : no)5: 30
     Microvascular invasion (yes : no)25: 10
     Histological grade (I : II : III)5: 27: 1

    a Measured by the diameter of the largest tumor nodule. b TNM stage classification according to AJCC staging 7th Edition.

      • View popup
      2

      Comparison of basic information in healthy donors and HCC patients

      VariableHCC (n=37) Donors (n=30) P
      Age (years) (median; range)55 (37–75)29 (20–54)<.0001*
      Sex (male : female)29:815:150.030*
      INR (mean±SD)1.03±0.061.04±0.080.759
      Hemoglobin (g/dL) (mean±SD)13.82±1.9513.01±1.530.067
      Hematocrit (%) (mean±SD)41.35±5.4739.3±4.130.093
      Platelet (1000/μL) (mean±SD)190.14±84.33*259.47±62.82<0.001*
      Hypertension (+) (%)09 (24.3%)-
      Diabetes mellitus (+) (%)09 (24.3%)-
      Ischemic heart disease (+) (%)00-

      Significant differences (*) were compared to donor group as control. INR: international normalized ratio.

        • View popup
        3

        Distribution of three common polymorphisms, –401 G/T, –323 ins 10-bp, and –122 T/C of FVII gene in HCC patients and healthy donors

        FVII polymorphismDonors (n=5) HCC (n=16) P
        –401G/T0.597
         GG5 (100%)15 (93.75%)
         GT0 (0%)1 (6.25%)
         TT0 (0%)0 (0%)
         G allele100%96.88%
         T allele0%3.13%
        –323ins10-bp0.597
         w/w5 (100%)15 (93.75%)
         ins/w0 (0%)1 (6.25%)
         ins/ins0 (0%)0 (0%)
         w allele100%96.88%
         ins allele0%3.13%
        –122T/C0.597
         TT5 (100%)15 (93.75%)
         TC0 (0%)1 (6.25%)
         CC0 (0%)0 (0%)
         T allele100%96.88%
         C allele0%3.13% 
        • View popup
        4

        Distribution of polymorphism –402 G/A of FVII gene in HCC patients and healthy donors

        FVII polymorphismDonors (n=30) HCC (n=37) P
        –402G/A
         GG7 (23.3%)14 (37.8%)0.291
         GA16 (53.4%)13 (35.2%)
         AA7 (23.3%)10 (27%)
         G allele50%55.41%
         T allele50%44.59% 
         GG7 (23.3%)14 (37.9%)0.312
         Non-GG23 (76.7)23 (62.2%)
        • View popup
        5

        Comparison of pathological features between SNP-positive and -negative at –402 of FVII promoter in HCC patients

        Variable–402 SNP typeP
        TotalGGNon-GG
        Age (years)1.000
         ≥ 5025916
         < 501257
        Sex0.700
         Male291118
         Female835
        AFP (ng/mL)0.840
         < 2018711
         ≥ 2019712
        Tumor size (cm)0.120
         ≥ 5 cm1486
         < 5 cm23617
        Liver cirrhosis0.640
         Present18810
         Absent19613
        Hepatitis0.930
         B23815
         C633
         B+C000
         NBNC835
        TNM stage0.300
         I716
         II19910
         III945
        Pathological features1.000
        Capsule
         Present624
         Absent281216
        Satellite nodule0.624
         Present523
         Absent301218
        Microvascular invasion0.699
         Present251015
         Absent1046
        Histological grade0.345
         I514
         II271314
         III101

        SNP; single nucleotide polymorphism.

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        Cancer Biology and Medicine: 15 (3)
        Cancer Biology & Medicine
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        Coagulation factor VII gene polymorphisms are not associated with the occurrence or the survival of hepatocellular carcinoma: a report of 37 cases
        Chih-Che Lin, Chun-Hsien Wu, Li-Yu Chen, Ming-Chao Tsai, Ahmed M. Elsarawy, Kuang-Tzu Huang
        Cancer Biology & Medicine Aug 2018, 15 (3) 275-281; DOI: 10.20892/j.issn.2095-3941.2017.0144

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        Coagulation factor VII gene polymorphisms are not associated with the occurrence or the survival of hepatocellular carcinoma: a report of 37 cases
        Chih-Che Lin, Chun-Hsien Wu, Li-Yu Chen, Ming-Chao Tsai, Ahmed M. Elsarawy, Kuang-Tzu Huang
        Cancer Biology & Medicine Aug 2018, 15 (3) 275-281; DOI: 10.20892/j.issn.2095-3941.2017.0144
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        Keywords

        • Factor VII
        • gene
        • polymorphism
        • liver
        • hepatocellular
        • cancer
        • survival

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