Ziel:
Ziel
dieser
Arbeit
war
es,
das
Vorhandensein
von
Normvarianten
der
arteriellen
Leberversorgung
in
Lebertransplantationsevaluation
zu
beurteilen.
Anschließend
wurde
untersucht,
ob
Vorliegen
einer
Normvariante
bei
Durchführung
Lebertransplantation
mit
verlängerten
Operations-
oder
Implantationszeit
und
einem
erhöhten
Risiko
für
postoperative
Komplikationen
Versterben
korreliert.
Material
Methoden:
In
retrospektiven
Studie
wurden
die
Daten
210
Patienten
ausgewertet,
denen
eine
Evaluation
zur
im
Zeitraum
Januar
2011
bis
September
2016
durchgeführt
wurde.
Zunächst
MR-Angiographien
auf
untersucht.
durchgeführter
Transplantation
operative
Verlauf
Follow-Up
6
Monaten
anhand
Dokumentationen
aus
dem
Krankenhaus-Management-System
ORBIS
ausgewertet.
Bei
transplantierte
Patientenkollektiv
(54
Patienten)
Gruppe
Normtypanatomie
(41
(13
geteilt
miteinander
verglichen.
Ergebnisse:
Im
Gesamtkollektiv
20,73%
festgestellt
79,86%
Normtypanatomie.
Kollektiv
transplantierten
hatten
24,07%
75,93%
keine
arterielle
Gefäßanomalie.
Die
häufigsten
Evaluations-
Transplantationskollektiv
waren
ersetzende
akzessorische
A.
hepatica
dextra
mesenterica
superior
(Hiatt
Typ
III/Abdullah
G2II),
communis
V/Abdullah
G1II),
sinistra
gastrica
II/Abdullah
G2I)
vom
Truncus
coeliacus
und/oder
(Abdullah
G2V).
Betrachtung
des
Kollektivs
ergaben
sich
signifikanten
Unterschiede
zwischen
OP-Dauer
(Normtypanatomie:
259,34
±
57,96
min
vs.
Normvarianten:
285,15
69,19
min;
P=0,172).),
Warmen
Ischämie
Zeit
48,31
9,91
51,17
13,58
P=0,586),
Auftreten
primären
Transplantatversagen
7,32%
0,0%;
P=0,316)
Perfusionsstörungen
(Normtypanatomie
24,39%
23,07%;
P=0,923),
den
Retransplantationszahlen
17,07%
15,38%;
P=0,887),
sowie
3-Monats-Mortalität
7,69%;
P=0,193).
6-Monats-Mortalität
26,82%
P=0,40).
Fazit:
Ein
ubiquitäres
konnte
Versuchsgruppen
bestätigt
werden.
Es
gibt
keinen
Hinweis
darauf,
dass
Anomalien
Lebertransplantationen
ein
höheres
verlängerte
haben.
Durchführungen
präoperativen
Gefäßdarstellung
arterieller
Lebergefäße
bleibt
weiterhin
empfohlen.
Liver International,
Journal Year:
1981,
Volume and Issue:
1(1), P. 33 - 49
Published: March 1, 1981
ABSTRACT—
A
series
of
30
patients
is
reported
whose
primary
hepatic
tumors
had
a
distinctive
histologic
pattern
that
we
have
called
“sclerosing
carcinoma”
(SHC).
Sixty‐nine
percent
those
tested
hypercalcemia
and
low
levels
serum
phosphate.
As
comparison,
38
control
who
either
classical
peripheral
cholangiocarcinoma
or
typical
hepatocellular
carcinoma
were
studied.
In
the
group,
only
two
patients,
also
bone
metastases,
hypercalcemia.
Sclerosing
characterized
by
intense
fibrosis
in
which
tubular
neoplastic
structures
are
embedded.
Although
tumor
each
patient
superficially
resembled
cholangiocarcinoma,
on
close
inspection
63%
found
to
be
apparent
hepatocyte
origin,
20%
apparently
ductal,
13%
mixed
not
distinguishable.
One
patient's
rare
cholangiolocellular
carcinoma.
The
difficulty
histological
diagnosis
was
well
illustrated
fact
none
premortem
biopsies
16
correctly
interpreted
unequivocally
as
liver.
Many
misinterpreted
metastatic
adenocarcinomas,
most
frequently
pancreatic
origin.
We
believe
that,
describing
clinicopathological
features,
more
attention
will
drawn
this
unique
liver
Cancer Management and Research,
Journal Year:
2018,
Volume and Issue:
Volume 10, P. 4945 - 4957
Published: Oct. 1, 2018
Dendritic
cell
(DC)-derived
exosomes
(Dexs)
have
been
proved
to
induce
and
enhance
antigen-specific
T
responses
in
vivo,
previous
clinical
trials
shown
the
feasibility
safety
of
Dexs
multiple
human
cancers.
However,
there
is
little
knowledge
on
efficacy
against
hepatocellular
carcinoma
(HCC)
until
now.In
this
study,
peripheral
blood-derived
DCs
were
loaded
with
recombinant
adeno-associated
viral
vector
(rAAV)-carrying
alpha-fetoprotein
(AFP)
gene
(rAAV/AFP),
high-purity
generated.
Then
naive
cells
stimulated
investigate
specific
cell-mediated
immune
HCC.Our
findings
showed
that
effective
stimulate
proliferation
activation
become
cytotoxic
lymphocytes
(CTLs),
thereby
exhibiting
antitumor
HCC.
In
addition,
Dex-sensitized
DC
precursors
seemed
more
trigger
major
histocompatibility
complex
class
I
(MHC
I)-restricted
CTL
response
allow
make
full
use
minor
antigen
peptides,
maximally
activating
HCC.It
concluded
Dexs,
which
combine
advantages
cell-free
vectors,
are
promising
completely,
or
at
least
part,
replace
mature
(mDCs)
function
as
cancer
vaccines
natural
adjuvant.
International Journal of Nanomedicine,
Journal Year:
2016,
Volume and Issue:
unknown, P. 1395 - 1395
Published: April 1, 2016
Folate
receptor-targeted
liposomes
loaded
with
a
diacid
metabolite
of
norcantharidin
enhance
antitumor
potency
for
H22
hepatocellular
carcinoma
both
in
vitro
and
vivo
Min-Chen
Liu,1
Lin
Xia-Rong
Wang,1
Wu-Ping
Shuai,2
Ying
Hu,3
Min
Han,1
Jian-Qing
Gao1
1Institute
Pharmaceutics,
College
Pharmaceutical
Sciences,
2First
Affiliated
Hospital,
Medicine,
Zhejiang
University,
Hangzhou,
3Zhejiang
College,
Ningbo,
People’s
Republic
China
Abstract:
The
(DM-NCTD)
is
clinically
effective
against
(HCC),
but
limited
by
its
short
half-life
high
incidence
adverse
effects
at
doses.
We
developed
DM-NCTD-loaded,
folic
acid
(FA)-modified,
polyethylene
glycolated
(DM-NCTD/FA-PEG)
liposome
system
to
the
targeting
effect
HCC
moderate
dose
based
on
our
previous
study.
DM-NCTD/FA-PEG
produced
regular
spherical
morphology,
mean
particle
size
approximately
200
nm,
an
encapsulation
efficiency
>80%.
MTT
cytotoxicity
assays
demonstrated
that
showed
significantly
stronger
hepatoma
cell
line
than
did
PEG
without
FA
modification
(P<0.01).
used
liquid
chromatography–mass
spectrometry
determination
DM-NCTD
tissues
tumors,
found
it
be
sensitive,
rapid,
reliable.
In
addition,
biodistribution
study
improved
tumor-targeting
efficiency,
exhibited
highest
treatments
Meanwhile,
results
indicated
although
active
group
had
apparently
increased
DM-NCTD,
risk
kidney
was
higher
normal
group.
With
regard
activity,
inhibited
tumors
tumor-bearing
mice
better
either
free
or
DM-NCTD/PEG
(P<0.01),
induced
considerably
more
significant
cellular
apoptosis
no
obvious
toxicity
model
liver
tissue
mice,
as
shown
histopathological
examination.
All
these
demonstrate
DM-NCTD-loaded
FA-modified
might
have
potential
application
HCC-targeting
therapy.
Keywords:
targeting,
PEGylated
liposome,
norcantharidin,
hepatic
cancer
Cancer Management and Research,
Journal Year:
2019,
Volume and Issue:
Volume 11, P. 1391 - 1400
Published: Feb. 1, 2019
Purpose:
This
study
was
designed
to
evaluate
the
prognostic
value
of
combination
neutrophil-to-lymphocyte
ratio
(NLR)
and
platelet-to-lymphocyte
(PLR)
(neutrophil/platelet-to-lymphocyte
[NLR–PLR])
in
patients
with
hepatocellular
carcinoma
(HCC)
who
receive
transarterial
chemoembolization
(TACE)
therapy.
Patients
methods:
Data
from
216
were
diagnosed
HCC
after
TACE
therapy
retrospectively
collected.
R
software
used
analyze
time-dependent
receiver
operating
characteristic
(ROC)
curves
compare
area
under
ROC
(AUROCs).
Results:
The
long-term
survival
rates
significantly
higher
for
lower
values
than
those
NLR,
PLR,
NLR–PLR.
mean
overall
decreased
gradually
increases
NLR–PLR
score
(
P
<0.0001).
AUROC
consistently
NLR
PLR.
Conclusion:
showed
that
might
be
a
useful
predictor
Keywords:
carcinoma,
chemoembolization,
neutrophil/platelet-to-lymphocyte
Laboratory Investigation,
Journal Year:
2000,
Volume and Issue:
80(3), P. 387 - 394
Published: March 1, 2000
The
cadherin-mediated
cell-cell
adhesion
system
plays
a
critical
role
in
normal
development
and
morphogenesis.
Inactivation
of
this
is
thought
to
be
responsible
for
cancer
invasion
metastasis.
A
human
hepatocellular
carcinoma
(HCC)
cell
line,
KYN-2,
was
observed
have
great
potential
intrahepatic
metastasis
when
orthotopically
implanted
into
the
liver
SCID
mice.
In
vitro
cultures
KYN-2
cells
showed
that
they
formed
trabecular
structures
suspension
but
lost
tight
became
scattered
attached
substratum
such
as
collagen
or
fibronectin.
response
substratum,
subcellular
colocalization
E-cadherin
actin
filaments
were
shown
reduced,
significant
amount
α-catenin
dissociated
from
E-cadherin–catenin
complex
cells.
These
changes
blocked
by
inhibitory
monoclonal
antibodies
against
β1
β5
integrins.
We
found
c-Src
coimmunoprecipitated
with
tyrosine-dephosphorylated
activated
adherent
tyrosine
dephosphorylation
induced
inhibited
addition
findings
indicate
integrin-mediated
cell-substratum
inhibits
adhesion,
possibly
through
activation,
suggest
cross-talk
mediates
transient
inactivation
cadherin
an
important
HCC.
Modulation
interaction
might
provide
new
approach
prevent
recurrence
International Journal of Nanomedicine,
Journal Year:
2014,
Volume and Issue:
unknown, P. 4979 - 4979
Published: Oct. 1, 2014
Abstract:
Hepatocellular
carcinoma
(HCC)
is
the
third
most
common
cause
of
death
related
to
cancer
diseases
worldwide.
The
current
treatment
options
have
many
limitations
and
reduced
success
rates.
In
this
regard,
advances
in
gene
therapy
shown
promising
results
novel
therapeutic
strategies.
However,
depends
on
efficient
specific
delivery
genetic
material
into
target
cells.
main
goal
work
was
develop
a
new
lipid-based
nanosystem
formulation
containing
lipid
lactosyl-PE
for
HCC
obtained
showed
that
incorporation
15%
liposomes
induces
strong
potentiation
lipoplex
biological
activity
HepG2
cells,
not
only
terms
transgene
expression
levels
but
also
percentage
transfected
presence
galactose,
which
competes
with
binding
asialoglycoprotein
receptor
(ASGP-R),
significant
reduction
observed,
showing
transfection
induced
by
could
be
due
its
interaction
ASGP-R,
overexpressed
HCC.
addition,
it
found
nanosystems
promotes
an
increase
their
cell
uptake.
Regarding
physicochemical
properties
lipoplexes,
resulted
DNA
protection
substantial
decrease
mean
diameter
zeta
potential,
conferring
them
suitable
characteristics
vivo
application.
Overall,
study
suggest
constitute
application
strategies
Keywords:
targeted
delivery,
hepatocellular
carcinoma,
lactosyl-PE,
cationic
liposomes,
Journal of Hepatocellular Carcinoma,
Journal Year:
2014,
Volume and Issue:
unknown, P. 163 - 163
Published: Nov. 1, 2014
Abstract:
A
selective
intra-arterial
liver
injection
using
yttrium-90-loaded
microspheres
as
sources
for
internal
radiation
therapy
is
a
form
of
transarterial
radioembolization
(TARE).
Current
data
from
the
literature
suggest
that
TARE
effective
in
hepatocellular
carcinoma
(HCC)
and
associated
with
low
rate
adverse
events;
however,
they
are
all
based
on
retrospective
series
or
non-controlled
prospective
studies,
since
randomized
controlled
trials
comparing
other
liver-directed
therapies
intermediate
locally
advanced
stages
HCC
still
ongoing.
The
available
show
provides
similar
even
better
survival
rates.
very
well
tolerated
has
complications;
these
complications
do
not
result
embolic
effects
but
mainly
unintended
irradiation
to
non-target
tissue,
including
parenchyma.
can
be
further
reduced
by
accurate
patient
selection
strict
pre-treatment
evaluation,
dosimetry
assessment
vascular
anatomy.
First-line
best
indicated
intermediate-stage
patients
(according
Barcelona
Clinic
Liver
Cancer
[BCLC]
staging
classification)
who
poor
candidates
chemoembolization
having
disease
segmental
lobar
branch
portal
vein
thrombosis.
Moreover,
emerging
regarding
use
classified
slightly
above
criteria
transplantation
purpose
downstaging
them.
also
applied
second-line
treatment
progressing
sorafenib;
large
number
Phase
II/III
progress
order
evaluate
association
systemic
therapies.
Given
complexity
correct
algorithm
potential
need
clinical
guidance,
comprehensive
review
was
carried
out
analyzing
both
really
benefit
new
advances
this
which
add
significant
value
therapeutic
weaponry
against
HCC.
Keywords:
radioembolization,
yttrium-90,
Cancer Management and Research,
Journal Year:
2018,
Volume and Issue:
Volume 10, P. 5691 - 5708
Published: Nov. 1, 2018
Liver
-cell
proliferation
occurs
in
hepatocellular
carcinoma
(HCC)
and
liver
regeneration
(LR).
The
development
progression
of
HCC
LR
have
many
similar
molecular
pathways
with
very
different
results.
In
simple
terms,
is
a
controllable
process
organ
recovery
function
reconstruction,
whereas
cancer
uncontrollable.
Do
they
share
common
key
genes?In
this
study,
the
dynamic
transcriptome
profile
at
ten
time
points
(0,
2,
6,
12,
24,
30,
36,
72,
120,
168
hours)
during
rats
after
two-thirds
hepatectomy
eight
stages
(normal,
cirrhosis
without
HCC,
cirrhosis,
low-grade
dysplastic,
high-grade
early,
early
advanced,
advanced
HCC)
representing
stepwise
carcinogenic
from
preneoplastic
lesions
to
end-stage
were
analyzed
detail.
A
variety
bioinformatic
methods,
including
MaSigPro,
weighted
gene-coexpression
network
analysis,
spatial
analysis
functional
enrichment,
used
analyze,
elucidate,
compare
similarities
differences
between
formation.Key
biological
processes
genes
identified.
From
comparison,
we
found
that
cell
angiogenesis
most
significantly
dysregulated
shared
by
HCC.
pattern
cell-proliferation-related
gene
expression
stage
transition
dysplasia
early-stage
showed
patterns
as
whole.
Some
genes,
FYN,
XPO1,
FOXM1,
EZH2,
NRF1,
identified
playing
critical
roles
both
HCC.These
findings
could
contribute
revealing
mechanism
regulation
normal
abnormal
proliferation,
which
provide
new
ideas
treatment
methods
for
regenerative
medicine,
oncological
drug
development,
treatment.
Cancer Management and Research,
Journal Year:
2018,
Volume and Issue:
Volume 10, P. 1037 - 1050
Published: May 1, 2018
Objective:
Acetaldehyde
dehydrogenase
2
(
ALDH2
)
and
cytochrome
P450
2E1
CYP2E1
have
been
associated
with
hepatocellular
carcinoma
(HCC)
susceptibility
prognosis.
The
polymorphisms
rs671
rs2031920
are
reportedly
correlated
the
prevalence
of
HCC
in
other
countries.
aim
this
study
was
to
investigate
associations
between
,
a
population
Guangxi,
southern
China,
an
area
high
incidence
HCC.
Patients
methods:
cohort
included
300
cases,
292
healthy
controls
for
analysis,
another
20
cases
10
ascertainment.
Genotyping
performed
using
polymerase
chain
reaction-restriction
fragment
length
polymorphism
method.
Results:
results
demonstrated
that
mutant
genotypes
(G/A
A/A)
led
significant
differences
susceptibility,
as
compared
wild
genotype
(G/G)
same
C1/C1
non-drinking
individuals
(adjusted
P
=0.010,
OR=0.20,
95%
CI=0.06–0.68).
(C1/C2
C2/C2)
brought
about
(C1/C1)
G/G
=0.025,
OR=0.42,
CI=0.20–0.90).
Drinking
plays
role
=0.004,
OR=0.32,
CI=0.15–0.69),
but
had
no
impact
when
combined
analysis
(all
>0.05).
Conclusion:
These
suggest
may
be
protective
factors
Guangxi
province,
China.
Keywords:
genetic
polymorphism,
Chinese