AI Article Synopsis

  • Aberrant levels of HOXC6 are linked to various malignant tumors, particularly hepatocellular carcinoma (HCC), and are associated with more severe disease features like higher AFP levels, liver cirrhosis, and larger tumors.
  • Kaplan-Meier analysis indicates that HOXC6 expression is an independent predictor for overall survival and time to recurrence, and it retains prognostic value across different invasiveness levels and risk subgroups.
  • HOXC6 may enhance HCC invasiveness through the epithelial-mesenchymal transition (EMT) process, with studies showing that knocking down HOXC6 reduces cell migration and changes EMT marker expression, confirming its role in poor prognosis for HCC patients.

Article Abstract

Aberrant expression of HOXC6 has been reported in several malignant tumors, yet little is known about the value of HOXC6 in invasion and prognosis of hepatocellular carcinoma (HCC). HOXC6 expression was positively correlated with high AFP level, liver cirrhosis, larger tumor, vascular invasion and BCLC stage. Kaplan-Meier analysis revealed that HOXC6 was an independent predictor for overall survival (OS) and time to recurrence (TTR). In addition, HOXC6 status could act as prognostic predictor in different risk subgroups. Moreover, HOXC6 maintained its prognostic value in different ability of invasiveness. Furthermore, combination of HOXC6 and serum AFP could be a potential predictor for survival in HCC patients. Additionally, further study showed that HOXC6 may promote invasion of HCC by driving epithelial-mesenchymal transition (EMT). Knockdown of HOXC6 significantly decreased the migration and invasion of HCC cells and changed the expression pattern of EMT markers. An opposite expression pattern of EMT markers was observed in HOXC6-transfected cells. In addition, immunohistochemistry and RT-PCR results further confirmed this correlation. In conclusion, HOXC6 contributes to invasion by inducing EMT pathway and predicts poor prognosis of HCC. HOXC6/AFP expression may help to distinguish the different risks of HCC patients after hepatectomy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811246PMC
http://dx.doi.org/10.18632/aging.101363DOI Listing

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