Key result
Higher apelin and OPN expression linked to hepatocellular carcinoma, with OPN being the most consistent.
Why the study?
Hepatocellular carcinoma is a leading cancer-related cause of death worldwide, but novel potential biomarkers for diagnosis, prognosis, or progression remain largely lacking.
Observational (n=24)
No
Effect estimate: OPN coefficient 0.96 (SE 0.41)
p-value: p=0.003
Osteopontin (OPN) expression is consistently elevated in HCC and may serve as a prognostic biomarker for poor outcomes.
May support OPN as HCC prognostic biomarker; leaves open prospective validation before clinical adoption.
Hepatocellular carcinoma (HCC) is one of the main cancer-related causes of death worldwide. The study aimed to perform a data mining analysis of the expression and regulatory role of key genes in HCC to reveal novel potential biomarkers of diagnosis prognosis, or progression since their availability is still almost lacking. Starting from data of our cohort of patients (HCV-positive HCC pts undergoing liver transplantation (LR, n = 10) and donors (LD, n = 14), deeply analyzed previously, in which apelin, osteopontin, osteoprotegerin, NOTCH-1, CASP-3, Bcl-2, BAX, PTX3, and NPTX2 were analyzed, we applied statistical analysis and in-silico tools (Gene Expression Profiling Interactive Analysis, HCCDB database and GeneMania, UALCAN) to screen and identify the key genes. Firstly, we performed a stepwise regression analysis using our mRNA-datasets which revealed that higher expression levels of apelin and osteopontin were positively associated with the HCC and identified that the most consistently differentially expressed gene across multiple HCC expression datasets was only OPN. This comprehensive strategy of data mining evidenced that OPN might have a potential function as an important tumor marker-driven oncogenesis being associated with poor prognosis of HCC patients.
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Cabiati et al. (2022) conducted an observational in Hepatocellular carcinoma (n=24). Hepatocellular carcinoma vs. Healthy liver donors was evaluated on Best predictive mRNA biomarkers for HCC in stepwise logistic model (OPN coefficient 0.96 (SE 0.41), p=0.003). Higher expression levels of apelin and osteopontin (OPN) were positively associated with hepatocellular carcinoma, with OPN being the most consistently differentially expressed gene across multiple datasets.
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