The Putative Role of Natural Killer Cells in Patients with Hepatitis C Virus-Related Hepatocellular Carcinoma

Natural Killer (NK) cells have crucial roles in immune responses against malignant transformation including hepatocellular carcinoma (HCC). The NKG2D receptor has a critical role in the NK recognition of target cells. We assessed NKG2D receptor expression as a diagnostic biomarker for HCC detection...

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Published inAsian Pacific journal of cancer prevention : APJCP Vol. 22; no. 8; pp. 2559 - 2567
Main Authors Hassouna, Mona M, Radwan, Enas M, Abdelsameea, Eman, Estaphan, Suzanne, Abd Elrhman, Heba E, Abdel-Samiee, Mohamed, Naguib, Mary
Format Journal Article
LanguageEnglish
Published Thailand West Asia Organization for Cancer Prevention 01.08.2021
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Abstract Natural Killer (NK) cells have crucial roles in immune responses against malignant transformation including hepatocellular carcinoma (HCC). The NKG2D receptor has a critical role in the NK recognition of target cells. We assessed NKG2D receptor expression as a diagnostic biomarker for HCC detection and progression in Egyptian patients with hepatitis C virus (HCV)-related HCC. We classified 81 patients into three groups: chronic hepatitis (21), cirrhotic (30) and HCC (30) patients, with 36 individuals enrolled to the control group. We analyzed NK levels in peripheral blood and NKG2D receptor expression in NK cells using flow cytometry. We observed a significant decrease in NKG2D (CD314) expression on circulating NK cells and frequency of NK cells expressing NKG2D (CD314) in HCC patients. Also, in patients, larger foci lesions significantly correlated with decreased NK cell numbers. Multiple foci numbers and patients with a Child score C significantly correlated with decreased circulating NK cells expressing NKG2D and decreased NKG2D expression. The percentage of NK cells in peripheral blood and NKG2D receptor expression could function as potential biomarkers for HCC detection and progression.
AbstractList Natural Killer (NK) cells have crucial roles in immune responses against malignant transformation including hepatocellular carcinoma (HCC). The NKG2D receptor has a critical role in the NK recognition of target cells. We assessed NKG2D receptor expression as a diagnostic biomarker for HCC detection and progression in Egyptian patients with hepatitis C virus (HCV)-related HCC. We classified 81 patients into three groups: chronic hepatitis (21), cirrhotic (30) and HCC (30) patients, with 36 individuals enrolled to the control group. We analyzed NK levels in peripheral blood and NKG2D receptor expression in NK cells using flow cytometry. We observed a significant decrease in NKG2D (CD314) expression on circulating NK cells and frequency of NK cells expressing NKG2D (CD314) in HCC patients. Also, in patients, larger foci lesions significantly correlated with decreased NK cell numbers. Multiple foci numbers and patients with a Child score C significantly correlated with decreased circulating NK cells expressing NKG2D and decreased NKG2D expression. The percentage of NK cells in peripheral blood and NKG2D receptor expression could function as potential biomarkers for HCC detection and progression.
Author Abdel-Samiee, Mohamed
Hassouna, Mona M
Estaphan, Suzanne
Abdelsameea, Eman
Abd Elrhman, Heba E
Radwan, Enas M
Naguib, Mary
AuthorAffiliation 3 Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shebeen El-Kom, Egypt
2 Department of Clinical Pathology, National Cancer Institute, Cairo University, Cairo, Egypt
1 Department of Clinical and Chemical Pathology, National Liver Institute, Menoufia University, Shebeen El-Kom, Egypt
4 Department of Physiology, Faculty of Medicine, Cairo University, Cairo, Egypt
5 Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt
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Issue 8
Keywords natural killer cells
Hepatocellular carcinoma
NKG2D receptor
Hepatitis C Virus
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Snippet Natural Killer (NK) cells have crucial roles in immune responses against malignant transformation including hepatocellular carcinoma (HCC). The NKG2D receptor...
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StartPage 2559
SubjectTerms Carcinoma, Hepatocellular - epidemiology
Carcinoma, Hepatocellular - immunology
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - virology
Case-Control Studies
Egypt - epidemiology
Female
Follow-Up Studies
Hepacivirus - isolation & purification
Hepatitis C - complications
Hepatitis C - virology
Hepatitis, Chronic - complications
Humans
Killer Cells, Natural - immunology
Killer Cells, Natural - virology
Liver Cirrhosis - complications
Liver Neoplasms - epidemiology
Liver Neoplasms - immunology
Liver Neoplasms - pathology
Liver Neoplasms - virology
Male
Middle Aged
Prognosis
ROC Curve
Title The Putative Role of Natural Killer Cells in Patients with Hepatitis C Virus-Related Hepatocellular Carcinoma
URI https://www.ncbi.nlm.nih.gov/pubmed/34452571
https://pubmed.ncbi.nlm.nih.gov/PMC8629465
Volume 22
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