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Query: UMLS:C0019204 (
hepatocellular carcinoma
)
71,386
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The authors studied histochemically the morphologic features of proliferating hepatocytes positive for
proliferating cell nuclear antigen
(
PCNA
/cyclin) to analyze the process of liver regeneration in embedded tissues fixed with formaldehyde using an anti-
PCNA
/cyclin monoclonal antibody. In liver specimens from patients with acute viral hepatitis (AVH) and confluent necrosis, many small basophilic hepatocytes surrounding large clear hepatocytes were positively stained in the areas next to the confluent necrosis. Therefore these small hepatocytes may be daughter cells derived from large clear hepatocytes that probably enter the mitotic cell cycle repeatedly to repair a large necrotic area. In the case of AVH with spotty necrosis, the positively stained hepatocytes were scattered around the necrotic foci. In the liver specimens from patients with chronic active hepatitis, most of the positively stained hepatocytes were located next to the necrotic area. As for cirrhosis of the liver, the number of hepatocytes positive for
PCNA
/cyclin varied greatly in different pseudolobules, and in the specimens of
hepatocellular carcinoma
(
HCC
), the
HCC
cells positive for
PCNA
/cyclin were detected throughout the cancer nests.
...
PMID:Analysis of proliferating hepatocytes using a monoclonal antibody against proliferating cell nuclear antigen/cyclin in embedded tissues from various liver diseases fixed in formaldehyde. 134 35
The authors investigated whether immunocytochemical staining with a monoclonal antibody to
proliferating cell nuclear antigen
(
PCNA
/cyclin) could be used to identify proliferative hepatocytes in frozen sections fixed in a mixture of periodate, lysine, and 2% paraformaldehyde. Paraffin sections also were used, which were fixed in 10% formaldehyde. Specimens of liver tissue were obtained from 27 patients with various hepatic diseases. Hepatocytes that were positive for
PCNA
/cyclin were observed in both types of substrate specimens. In acute hepatitis and chronic active hepatitis, most hepatocytes that were labeled for
PCNA
/cyclin were located near necrotic foci. However, in cirrhosis, they were detected most often near fibrotic septa; the number of immunoreactive cells varied greatly in different areas of tissue sections in such cases. In
hepatocellular carcinoma
, many
PCNA
/cyclin-positive tumor cells were seen throughout the neoplasms. Hepatocytes that were positive for DNA polymerase-alpha showed a similar distribution pattern in serial sections of study cases.
...
PMID:Immunocytochemical identification of proliferative hepatocytes using monoclonal antibody to proliferating cell nuclear antigen (PCNA/cyclin). Comparison with immunocytochemical staining for DNA polymerase-alpha. 137 17
We have studied the expressions of nine proto-oncogenes (c-myc, N-myc, c-fos, C-jun, p53, H-ras, N-ras, c-raf, hst) and two other genes (
PCNA
, GST-P) during the spontaneous development of hepatocellular carcinomas (HCCs) in LEC rats. Expression of c-myc, H-ras, N-ras, C-raf, p53 and
PCNA
genes was detected, but this did not significantly change during the development of HCCs in LEC rats. Expression of N-myc and hst genes was not detectable. Expression of c-fos gene was detected in one
HCC
case out of four. Significantly increased expression of c-jun gene was observed in the liver tissues of LEC rats aged 8 months. This high expression was decreased with the development of HCCs. On the other hand, the expression of GST-P gene increased in parallel with the clinical course of the development of HCCs in LEC rats. The pattern of c-jun mRNA augmentation was different from that of GST-P mRNA. These observations suggest that c-jun gene may play a role in the spontaneous development of HCCs in LEC rats.
...
PMID:Increased expression of c-jun gene during spontaneous hepatocarcinogenesis in LEC rats. 197 34
Surgically resected small hepatocellular carcinomas showing "nodule-in-nodule" formation were analyzed in terms of cell proliferative activity. The analysis was achieved by successful immunohistochemical demonstration of
proliferating cell nuclear antigen
in formalin-fixed paraffin-embedded tissue sections. Eight nodules (up to 3 cm in diameter) examined were either atypical adenomatous hyperplasia or
hepatocellular carcinoma
of low histologic grade, containing a discrete inner nodular area composed of obvious
hepatocellular carcinoma
of higher histologic grade. In all cases, the
proliferating cell nuclear antigen
labeling index of the latter area was much higher than that of the former, which in turn was slightly higher than that of the non-cancerous liver of the patient in 6 cases. The data presented here provide supporting evidence that the successive emergence and expansion of a more rapidly proliferating subclone within a nodule result in the stepwise progression of malignancy of human
hepatocellular carcinoma
.
...
PMID:Heterogeneity of proliferative activity in nodule-in-nodule lesions of small hepatocellular carcinoma. 197 76
A
proliferating cell nuclear antigen
(
PCNA
) was identified with autoantibodies from a patient with systemic lupus erythematosus. Specific antibodies were purified by affinity chromatography in which Novikoff
hepatoma
nucleolar proteins were conjugated to Sepharose-4B. The purified anti-
PCNA
antibodies produced bright nucleolar fluorescence in tumor cells as shown by indirect immunofluorescence.
PCNA
was found in nucleoli of human cell lines, HeLa, Hep-2, and Namalwa, and a solid human renal and a prostate carcinoma. Both strong and weak nucleolar fluorescence areas were found in the renal and prostate carcinoma indicating that there are varying degrees of proliferation among tumor cells. Two human colon carcinoma cell lines, omega (an aggressive, fast-growing clone of human colon carcinoma cell line HCT 116) and CBS [a slow-growing human colon carcinoma cell line (group 3)], with different growth rates were compared. The fast-growing colon carcinoma cells, omega, exhibited a higher percentage of nucleolar fluorescence (28.5%) than that of the slow growing colon cells (13.6%). By enzyme-linked immunosorbent assays, the omega cell extract had a higher
PCNA
antigen content (2.8-fold) than that of the CBS cell extract which, in turn, was higher than that of human liver extract.
PCNA
was also found in a human fetal lung fibroblast cell line (IMR-90). Very weak or negative nucleolar fluorescence was observed in several normal human tissues including liver, kidney, prostate, and cheek cells. Nucleolar fluorescence was also observed in rat Novikoff
hepatoma
cells. Although normal rat livers do not have
PCNA
nucleolar fluorescence, nuclear and nucleolar fluorescence were observed at 18 hr after partial hepatectomy.
...
PMID:Indirect immunofluorescence studies of proliferating cell nuclear antigen in nucleoli of human tumor and normal tissues. 613 81
To evaluate the objective proliferative activity in
HCC
nuclear DNA contents were measured by means of microspectrophotometry and at the same time the immunohistochemical technique using anti-
PCNA
antibody was employed. Surgically resected 26 HCCs were analyzed in terms of cell proliferative activity and regional heterogeneity. The analysis was performed by immunohistochemical demonstration of
PCNA
and pathologic histochemical study in formalin-fixed, paraffin-embedded specimens and cytophotometric measurements of nuclear DNA contents in fresh specimens. The results were as follows. 1) Nine HCCs showed regional ploidy heterogeneity. 2)
PCNA
labeling index and histological grade of the marginal area was much higher than that of the central area. From these results, we concluded that in the process of the
HCC
progression proliferative activity was decreased in the central area and was not decreased in the marginal area.
...
PMID:[Analysis of nuclear DNA heterogeneity of the hepatocellular carcinoma (HCC)]. 751 14
To evaluate the prognostic significance and clinicopathologic correlation of proliferative activity in patients with
hepatocellular carcinoma
, Ki-67 antigen expression was examined using immunohistochemical staining with monoclonal antibody MIB1. Seventy-two patients (65 men, 7 women; age range 24-77 years, mean, 52 years) having
hepatocellular carcinoma
surgically resected were studied. Tumor and nontumorous tissues were stained with monoclonal antibody MIB1 with microwave oven pretreatment. Tumor and nontumor MIB1 (T-MIB1 and NT-MIB1) scores were assessed by counting the positive staining nuclei per 1,000 cells. The T-MIB1 score ranged from 5-630 per 1,000 cells (mean +/- standard deviation [SD] = 145 +/- 162). It was found to be significantly higher in less well-differentiated tumors (Edmondson's grades III and IV) than in well-differentiated ones (Edmondson's grades I and II) (P = .017). The T-MIB1 score was also higher in nonencapsulated tumors than in encapsulated ones, although it did not reach statistical significance (P = .069). It had no influence on tumor size, tumor invasiveness, the background disease in the nontumorous livers, patients' HBsAg status, or serum alpha-fetoprotein levels. Diseases in the nontumorous livers or patients' HBsAg status had no influence on the NT-MIB1 scores. When the tumors were stratified into two groups with T-MIB1 score < or = 20 and T-MIB1 score > 20, those patients with score < or = 20 had significantly longer disease-free survival (DFS) than those with scores > 20 (median DFS: 34 months and 4.7 months, respectively; P = .011). In addition, MIB1 and
PCNA
were closely correlated (P < .01). The authors conclude that proliferative activity in
hepatocellular carcinoma
, as defined by MIB1 immunohistochemical analysis, is significantly related to tumor cellular differentiation. It is also a potentially valuable prognostic factor in patients with this tumor.
...
PMID:Ki-67 antigen expression in hepatocellular carcinoma using monoclonal antibody MIB1. A comparison with proliferating cell nuclear antigen. 754 66
A total of 128 surgically resected small hepatocellular carcinomas, measuring less than or equal to 3 cm in diameter, were studied by both macroscopic and histologic examinations. In 95 single nodular-type tumors of the 128 lesions, eight tumors were associated with the cancerous areas of well differentiated
hepatocellular carcinoma
around the nodule. These surrounding cancerous areas went undetected by both the preoperative radiological examinations and the gross findings of resected specimens. Based on the immunohistochemical findings, the labeling index, both of the
proliferating cell nuclear antigen
(
PCNA
) and of the Ki-67 in the surrounding cancerous areas, were lower than that of the main nodules but higher than in the nontumorous liver parenchyma in seven of eight cases. These results suggest that the main nodule was generated from the surrounding cancerous area, supporting the hypothesis of a stepwise progression of
HCC
. Even if the tumor seems to be a small and single nodular type, it is recommended that its surrounding areas should be closely examined and the surgical cutting margin should be made more than 1.0 cm away from the main nodule at hepatic resection.
...
PMID:Small hepatocellular carcinoma of single nodular type: a specific reference to its surrounding cancerous area undetected radiologically and macroscopically. 756 84
Nuclear DNA ploidy analysis, p53 immunohistochemical overexpression and
PCNA
Labeling Index (
PCNA
LI) were studied in 80 cases of resected "single nodular" human
hepatocellular carcinoma
(
HCC
) tissue sections. Aneuploid pattern was found in forty-six cases (57.7%) and p53 overexpression in fifteen cases (18.8%). The rate of aneuploid pattern was significantly higher in patients with carcinomas more than 2 cm in diameter, fc-inf positive growth and more than Stage II. p53 overexpression was not found in patients with well-differentiated HCCs and Stage I. Positive rate of p53 overexpression was significantly higher in patients with HCV-Ab positive and
PCNA
LI > or = 40%. It was high in patients with vp-positive, vv-positive and aneuploid pattern.
PCNA
LI of HCCs were significantly higher in patients with HBs-Ag positive, high serum AFP level, massive type and single nodular type with proliferation into surrounding area, fc-inf positive, im-positive, Stage III + IV, aneuploid pattern and p53 overexpression. The postoperative prognoses of patients with aneuploid pattern and
PCNA
LI > or = 40% were significantly poorer than those of the diploid one and
PCNA
LI < 40% in cumulative survival rates. Those prognoses were remarkably poorer in the early postoperative period. Patients with p53 overexpression had poorer prognosis than those with no p53 overexpression in the early postoperative period. These results suggest that nuclear DNA ploidy analysis, p53 immunohistochemical overexpression and
PCNA
LI were useful markers of biological malignant potentials in "single nodular" human HCCs.
...
PMID:[DNA ploidy pattern, p53 immunohistochemical overexpression and PCNA labeling index in "single nodular" human hepatocellular carcinomas from the viewpoint of biological malignant potential]. 761 70
Expression of
proliferating cell nuclear antigen
(
PCNA
) gene is growth regulated. By Southern blot analysis with restriction enzymes such as HpaII and MspI, no change of DNA methylation state in this gene was detected during rat liver regeneration. There is only one HpaII site located in the promoter region of rat
PCNA
gene and this HpaII site was found to be demethylated in both normal and regenerating livers. Human
hepatoma
cell lines Hep G2 and Hep 3B were used to study the relation of
PCNA
gene expression and the DNA methylation. There are 16 HpaII sites in human
PCNA
gene, and according to the HpaII and MspI restriction patterns, many of the HpaII sites were methylated in vivo. Upon serum stimulation of quiescent cells, no change of DNA methylation state in the HpaII and HhaI sites was found. Demethylation by the methylation inhibitor, 5-azacytidine, did not affect the expression of
PCNA
gene in the
hepatoma
cells. With the human primary fibroblasts, Y2, the demethylation by 5-azacytidine did not seem to change the growth dependence of
PCNA
gene expression. This is consistent with the observation that the expression of
PCNA
gene of some cultured cell lines such as CHO.K1, in which the
PCNA
gene was unmethylated, showed growth dependence. Also, no variation in methylation pattern of
PCNA
gene was found among the different rat tissues in which the expression of
PCNA
varies. Therefore, we conclude that DNA methylation is not involved in growth regulation of the
PCNA
gene expression.
...
PMID:DNA methylation is not involved in growth regulation of gene expression of proliferating cell nuclear antigen. 769 Jul 11
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