Clinical impact of herpesvirus entry mediator expression in human hepatocellular carcinoma.

BACKGROUND: Herpes virus entry mediator (HVEM), also known as tumour necrosis factor receptor (TNFR) superfamily 14, regulates a variety of physiological and pathological responses in both innate and acquired immunity. Although HVEM is also suggested to be a critical regulator in tumours, actual roles in human cancer are largely unknown. This study aimed to clarify clinical importance of HVEM in human hepatocellular carcinoma (HCC).PATIENTS AND METHODS: We studied HVEM expression in 150 HCC patients to explore its clinical relevance, and we examined tumour infiltrating T cells and local immune status of them.RESULTS: HVEM was expressed in HCC cells, while no or only limited expression was observed in normal tissues in the liver. Tumour HVEM expression was significantly correlated with age, serum protein induced by vitamin K absence or antagonist-II (PIVKA-II) level, vascular invasion and tumour node metastasis (TNM) stage. Furthermore, tumour HVEM expression significantly correlated with postoperative recurrence and survival. Importantly, multivariate analysis indicated that the HVEM status had an independent prognostic value. Furthermore, HVEM status was inversely correlated with tumour-infiltrating CD4(+), CD8(+) and CD45RO(+) lymphocytes. In addition, it was also associated with reduced expression of perforin, granzyme B and interferon-γ (IFN-γ). Taken together, tumour-expressing HVEM plays a functionally important role in HCC.CONCLUSION: Tumour-expressing HVEM plays a critical role in human HCC, possibly through regulating immune evasion. Therefore, targeting HVEM may be a novel promising therapeutic strategy for HCC.;博士(医学)・乙第1359号・平成27年5月28日;Copyright © 2014 Elsevier Ltd.;開始ページ : 157;終了ページ : 165;PubMed番号 :



書名 Clinical impact of herpesvirus entry mediator expression in human hepatocellular carcinoma.
著作者等 Elsevier Science Publishers
European Association for Cancer Research
European Organization for Research on Treatment of Cancer
European School of Oncology
Federation of European Cancer Societies
Nakajima Yoshiyuki
Nomi Takeo
Obara Shinsaku
Sho Masayuki
Yamato Ichiro
Yasuda Satoshi
Hokuto Daisuke
書名別名 ヒト肝細胞癌においてherpesvirus entry mediatorの発現がもたらす影響
出版元 Pergamon
刊行年月 1990-
ページ数 v.
大きさ 28 cm
ISSN 09598049
NCID AA1075407X
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言語 英語
出版国 イギリス