Expression and significance of KL-6 mucin in the tissue and serum of hepatoma
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1673-9752.2009.01.015
   		
        
        	
        		- VernacularTitle:KL-6黏蛋白在肝癌组织和血清中的表达及临床意义
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Huanli XU
			        		
			        		;
		        		
		        		
		        		
			        		Yoshinori INAGAKI
			        		
			        		;
		        		
		        		
		        		
			        		Fengshan WANG
			        		
			        		;
		        		
		        		
		        		
			        		Keming ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Norihiro KOKUDO
			        		
			        		;
		        		
		        		
		        		
			        		Wei TANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Carcinoma,hepatoeellular;
			        		
			        		
			        		
				        		KL-6 mucin;
			        		
			        		
			        		
				        		cholangiocarcinoma;
			        		
			        		
			        		
				        		Metastatic liver cancer
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Digestive Surgery
	            		
	            		 2009;8(1):39-42
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To detect the expression of KL-6 mucin in the tissue and serum of hepatoma in different hepatoma patients,and to investigate the value of KL-6 mucin as a tumor marker in the diagnosis of hepatoma.Methods The expression of KL-6 mucin in the hepatoma tissues of 81 patients with hepatocellular carcinoma(HCC),21 patients with cholangiocarcinoma(CC),12 patients with combined hepatocellular and cholangiocarcinoma(HCC-CC)and 56 patients with metastatic liver cancer(MLC)was detected by immunohistochemical analysis.The expression of KL-6 mucin in the serums of 34 HCC patients,8 CC patients,30 MLC patients and 19 healthy individuals was detected by enzyme-linked immunosorbent assay,and all the data were analyzed by t test.Results Expression of KL-6 mucin was detected in the cholangiocarcinoma tissues in all CCand HCC-CC patients.In several hepatoma cells and partial hepatoma tissues of patients with MLC,the expression of KL-6 mucin was detected.No expression of KL-6 mucin was detected in the hepatocellular carcinoma tissuesand non-cancerous tissues of patients with HCC or HCC-CC.The serum levels of KL-6 mucin expression in CC patients were signifcantly higher than those in healthy individuals,HCC and MLC patients(t=5.58,5.34,4.00.P<0.01).The difference of the serum levels of KL-6 mucin expression between MLC patients and healthy individuals had statistical significance(t=2.77,P<0.01).However,no significant difference in serum levels of KL-6 mucin expression was found between HCC patients and healthy individuals and between HCC patients and MLC patients(t=2.03,1.89,P>0.05).Conclusion The expression of KL-6 inucin in CC patients is significantly higher than in patients with other types of hepatoma in both tissue and serum levels.Thus,KL-6 may be a usetul new tmnor marker for distinguishing CC from other types of hepatoma.