OVEREXPRESSION OF MATRIX METALLOPROTEINASE-12 (MMP-12) AS A DIAGNOSTIC BIOMARKER FOR HEPATOCELLULAR CARCINOMA | ||||
Research Journal of Applied Biotechnology | ||||
Article 5, Volume 1, Issue 2, November 2015, Page 44-54 PDF (956.2 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/rjab.2015.104420 | ||||
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Authors | ||||
Lobna Mohammed1; Mohammed Y. Abdel-kareem2; Moustafa A. Sakr 1; Essam Elshemi2 | ||||
1Department of Molecular Diagnostics and Therapeutics, Genetic Engineering and Biotechnology Research Institute (GEBRI), University of Sadat city, Sadat city, Egypt | ||||
2Hepatology department-National Liver Institute - Menoufia University, Egypt | ||||
Abstract | ||||
Matrix metalloproteinase-12(MMP-12) is involved in tumor invasiveness and metastasis and significantly over-expressed in tissues of HCC. The Aim was to investigate the diagnostic and prognostic value of non-invasive MMP-12 expression in human HCC patients from whole blood.The study was conducted on; 50 patients with chronic HCV related HCC, 50 patients with HCV related cirrhosis and 50 healthy persons as a control group recruited from the National Liver institute, Menoufia University, Egypt. All patients were subjected to tri-phasic CT abdomen when indicated, liver profile, AFP and Molecular characterization of metalloproteinase-12 expression by (qRT-PCR) quantitative real time PCR. We found that, there was statistically significant differences between HCC and cirrhotic patients versus control group regarding CBC parameters and liver profile, (p- value < 0.01), while there was no differences between all groups regarding creatinin (p- value > 0.05). There was a statistically significant difference between HCC patients and other groups regarding mRNAMMP12 (p- value < 0.01). The Sensitivity of MMP12 to detect HCC cases was 72.0 %, and specificity 60.0 %, with accuracy 70.9 %, P value <0.01, mRNA-MMP12 and/or AFP had sensitivity of 84.0 %, specificity 60.0 %, PPV of 51.2%, NPP 88.2 % and Accuracy 71.3 %. In Conclusion: mRNA-MMP12 is a good sensitive, bad specific but accurate in diagnosing HCC. Adding mRNA-MMP12 to AFP improves early diagnosis and hence better prognosis. | ||||
Keywords | ||||
HCV; HCC; MMP12; Egyptian patients | ||||
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