CORRELATION BETWEEN SEPTIN9 GENE METHYLATION IN PLASMA AND TUMOR TISSUE SAMPLES IN HEPATOCELLULAR CARCINOMA
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Abstract
Objective: To evaluate the correlation between SEPTIN9 gene methylation (mSEPT9) in plasma samples and tumor tissue samples in patients with hepatocellular carcinoma (HCC). Subjects and Methods: A cross-sectional descriptive study was conducted on 58 patients diagnosed with HCC according to the 2020 guidelines of the Vietnamese Ministry of Health. The study was carried out at the 103 Military Hospital from January 2021 to June 2024. Plasma and tumor tissue mSEPT9 levels were analyzed using semi-nested PCR. Results: The median (interquartile range) delta Ct value of mSEPT9 in tumor tissue was 9.20 (6.74 - 16.88), significantly lower than that in plasma samples, which was 22.93 (13.77 – 26.82), p < 0.0001. A moderate positive correlation was observed between mSEPT9 levels in plasma and tumor tissue samples (r = 0.33, p = 0.01). Stronger correlations were found in specific subgroups: tumors larger than 50 mm (r = 0.53; p = 0.01), tumors involving both liver lobes (r = 0.80; p = 0.02), and patients in BCLC stages B/C/D (r = 0.58; p = 0.01). Conclusion: Plasma mSEPT9 levels are associated with mSEPT9 levels in tumor tissue, particularly in patients with large tumors (> 50 mm), bilobar lesions, and advanced BCLC stages (B/C/D).
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Keywords
SEPTIN9 gene methylation, hepatocellular carcinoma, liquid biopsy.
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