Article: Clinicopathological and prognostic significance of serum and tissue Dickkopf-1 levels in human hepatocellular carcinoma

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TitleClinicopathological and prognostic significance of serum and tissue Dickkopf-1 levels in human hepatocellular carcinoma
AuthorsTung, EKK2 3
Mak, CKM2
Fatima, S2
Lo, RCL2
Zhao, H2
Zhang, C2 4
Dai, H2 4
Poon, RTP2
Yuen, MF1
Lai, CL1
Li, JJ2
Luk, JMC2
Ng, IOL2
KeywordsBiomarker
DKK1
HCC
Prognosis
Wnt
Issue Date2011
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1478-3223&site=1
CitationLiver International, 2011, v. 31 n. 10, p. 1494-1504 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1478-3231.2011.02597.x
AbstractBackground: Although Dickkopf-1 (DKK1) is known to be a negative regulator of the Wnt/β-catenin pathway, it has been recently found to be upregulated in cancers. Aims:: We investigated the clinical and prognostic significance of both serum and transcript DKK1 and its functional roles in human hepatocellular carcinoma (HCC). Methods:: We evaluated the expression level of DKK1 in both tissue and serum samples from patients with HCC using GeneChip microarray and real-time-quantitative PCR and sandwich ELISA system respectively. The clinicopathological and prognostic significance of serum and tissue DKK1 levels was examined. Functional characterization of DKK1 with regard to cell migration, invasion and tumour growth was performed. Results:: Both DKK1 transcript and serum protein were upregulated in a stepwise manner in human HCCs. Its transcript levels were associated with more aggressive tumour behaviour, in terms of venous invasion (P = 0.003), advanced tumour stage (P = 0.003). DKK1 transcript correlated with shorter overall (P = 0.006) and disease-free survival (P = 0.012), and higher serum DKK1 levels correlated with shorter disease-free survival (P = 0.046). Knockdown of DKK1 significantly reduced both migratory and invasive abilities of HCC cells, whereas overexpression of DKK1 enhanced the tumour formation efficiency and tumour growth in vivo. Conclusions:: Serum and tissue DKK1 levels increased in a stepwise manner in multistep hepatocarcinogenesis and had prognostic significance. DKK1 plays a functional role in cell migration, invasion and tumour growth. © 2011 John Wiley & Sons A/S.
ISSN1478-3223
2011 Impact Factor: 3.824
2011 SCImago Journal Rankings: 0.349
DOIhttp://dx.doi.org/10.1111/j.1478-3231.2011.02597.x
ISI Accession Number IDWOS:000296249800009
Funding AgencyGrant Number
NSFC/RGCN_HKU 716/06
RGCHKU 1/06C
HKU 7/CRG/09
Funding Information:

The study was supported in part by a grant from the NSFC/RGC Joint Research Scheme (N_HKU 716/06) and RGC Collaborative Research Grant (HKU 1/06C and HKU 7/CRG/09). I. O. L. Ng is Loke Yew Professor in Pathology.

ReferencesReferences in Scopus
GrantsMolecular pathology of liver cancer - a multidisciplinary study
Characterization of regulatory molecules of Wnt/beta-catenin signaling in liver cancer
DC Field
Value
dc.contributor.authorTung, EKK
dc.contributor.authorMak, CKM
dc.contributor.authorFatima, S
dc.contributor.authorLo, RCL
dc.contributor.authorZhao, H
dc.contributor.authorZhang, C
dc.contributor.authorDai, H
dc.contributor.authorPoon, RTP
dc.contributor.authorYuen, MF
dc.contributor.authorLai, CL
dc.contributor.authorLi, JJ
dc.contributor.authorLuk, JMC
dc.contributor.authorNg, IOL
dc.date.accessioned2011-12-21T08:54:05Z
dc.date.available2011-12-21T08:54:05Z
dc.date.issued2011
dc.description.abstractBackground: Although Dickkopf-1 (DKK1) is known to be a negative regulator of the Wnt/β-catenin pathway, it has been recently found to be upregulated in cancers. Aims:: We investigated the clinical and prognostic significance of both serum and transcript DKK1 and its functional roles in human hepatocellular carcinoma (HCC). Methods:: We evaluated the expression level of DKK1 in both tissue and serum samples from patients with HCC using GeneChip microarray and real-time-quantitative PCR and sandwich ELISA system respectively. The clinicopathological and prognostic significance of serum and tissue DKK1 levels was examined. Functional characterization of DKK1 with regard to cell migration, invasion and tumour growth was performed. Results:: Both DKK1 transcript and serum protein were upregulated in a stepwise manner in human HCCs. Its transcript levels were associated with more aggressive tumour behaviour, in terms of venous invasion (P = 0.003), advanced tumour stage (P = 0.003). DKK1 transcript correlated with shorter overall (P = 0.006) and disease-free survival (P = 0.012), and higher serum DKK1 levels correlated with shorter disease-free survival (P = 0.046). Knockdown of DKK1 significantly reduced both migratory and invasive abilities of HCC cells, whereas overexpression of DKK1 enhanced the tumour formation efficiency and tumour growth in vivo. Conclusions:: Serum and tissue DKK1 levels increased in a stepwise manner in multistep hepatocarcinogenesis and had prognostic significance. DKK1 plays a functional role in cell migration, invasion and tumour growth. © 2011 John Wiley & Sons A/S.
dc.description.grantMolecular pathology of liver cancer - a multidisciplinary study
dc.description.grantCharacterization of regulatory molecules of Wnt/beta-catenin signaling in liver cancer
dc.description.grantcode89323
dc.description.grantcode89235
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationLiver International, 2011, v. 31 n. 10, p. 1494-1504 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1478-3231.2011.02597.x
dc.identifier.doihttp://dx.doi.org/10.1111/j.1478-3231.2011.02597.x
dc.identifier.epage1504
dc.identifier.hkuros197823
dc.identifier.hkuros210703
dc.identifier.isiWOS:000296249800009
Funding AgencyGrant Number
NSFC/RGCN_HKU 716/06
RGCHKU 1/06C
HKU 7/CRG/09
Funding Information:

The study was supported in part by a grant from the NSFC/RGC Joint Research Scheme (N_HKU 716/06) and RGC Collaborative Research Grant (HKU 1/06C and HKU 7/CRG/09). I. O. L. Ng is Loke Yew Professor in Pathology.

dc.identifier.issn1478-3223
2011 Impact Factor: 3.824
2011 SCImago Journal Rankings: 0.349
dc.identifier.issue10
dc.identifier.pmid21955977
dc.identifier.scopuseid_2-s2.0-80053997262
dc.identifier.spage1494
dc.identifier.urihttp://hdl.handle.net/10722/143761
dc.identifier.volume31
dc.languageeng
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1478-3223&site=1
dc.publisher.placeUnited States
dc.relation.ispartofLiver International
dc.relation.referencesReferences in Scopus
dc.rightsThe definitive version is available at www3.interscience.wiley.com
dc.subject.meshCarcinoma, Hepatocellular - blood - metabolism
dc.subject.meshCell Line, Tumor
dc.subject.meshIntercellular Signaling Peptides and Proteins - blood - metabolism
dc.subject.meshLiver Neoplasms - blood - metabolism
dc.subject.meshTumor Markers, Biological - blood - metabolism
dc.subjectBiomarker
dc.subjectDKK1
dc.subjectHCC
dc.subjectPrognosis
dc.subjectWnt
dc.titleClinicopathological and prognostic significance of serum and tissue Dickkopf-1 levels in human hepatocellular carcinoma
dc.typeArticle
Author Affiliations
  1. Merck Research Laboratories
  2. The University of Hong Kong
  3. National University of Singapore
  4. Shanghai Jiao Tong University School of Medicine