ASSOCIATION OF TERT C228T PROMOTER MUTATION IN PERIPHERAL BLOOD WITH TNM STAGE IN HEPATITIS B VIRUS - INFECTED HEPATOCELLULAR CARCINOMA
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Abstract
Objective: To evaluate the association between the TERT C228T promoter mutation in peripheral blood and the TNM stage in patients with hepatocellular carcinoma (HCC) infected with Hepatitis B virus (HBV). Subjects and methods: A cross-sectional descriptive study was conducted on 159 newly diagnosed HCC patients with HBV infection at Military Hospital 103 and the 108 Central Military Hospital. The TERT C228T promoter mutation in peripheral blood was identified using gene amplification by Nested-PCR combined with Realtime PCR. Results: The rate of TERT C228T mutation in peripheral blood was 25.2%. The mutation rate was related to tumor stage (38.0% in stage T3, T4 vs. 19.3% in stage T1, T2, p<0.05) and increased gradually with disease stage from 10.3% in stage I to 48.0% in stage IV, p <0.05. Conclusion: The TERT promoter C228T mutation in plasma of HCC patients with HBV infection is related to tumor stage and overall stage of HCC, suggesting that this could be a potential prognostic marker.
Article Details
Keywords
Hepatocellular carcinoma, TERT C228T, HBV infection
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