Predictive value of serum SOCS3 and TXNIP levels for the prognosis of patients with hepatocellular carcinoma treated with TACE

Abstract

Abstract:

ObjectiveTo investigate the prognostic value of serum suppressor of cytokine signaling 3 （SOCS3） and thioredoxin-interacting protein （TXNIP） levels in transcatheter arterial chemoembolization （TACE） treatment of hepatocellular carcinoma （HCC）.MethodsA total of 107 HCC patients who underwent TACE treatment in Wuhan Hanyang Hospital from December 2019 to July 2021 were selected as the observation objects. According to the situation after TACE treatment， the patients were divided into poor prognosis group （n=47） and good prognosis group （n=60）. Serum SOCS3 and TXNIP levels were detected by enzyme-linked immunosorbent assay， the prognostic factors were analyzed by logistic regression. The predictive value of serum SOCS3 and TXNIP levels before treatment for TACE treatment prognosis in patients with HCC was analyzed by receiver operator characteristic （ROC） curve.ResultsThere were no statistically significant differences between good prognosis group and poor prognosis group in age （χ²=0.56，P=0.453）， gender （χ²=0.06，P=0.800）， tumor size （χ²=1.46，P=0.227）， Child-Pugh grade （χ²=0.26，P=0.608）， tumor number （χ²=0.77，P=0.382）， cirrhosis （χ²=0.03，P=0.860）， TACE times （χ²=0.16，P=0.691）， alpha-fetoprotein level before treatment （χ²=0.79，P=0.374）， and hepatitis B surface antigen （χ²=0.58，P=0.446）. The proportion of TNM stage Ⅲ patients in the poor prognosis group （57.45%， 27/47） was higher than that in the good prognosis group （25.00%， 15/60）， with a statistically significant difference （χ²=11.64，P=0.001）. The serum levels of SOCS3 and TXNIP in the good prognosis group before treatment were （114.34±20.39） and （45.64±6.41） pg/ml， respectively， while those in the poor prognosis group were （82.83±15.97） and （34.82±6.36） pg/ml， respectively， serum SOCS3 and TXNIP levels in the poor prognosis group were lower than those in the good prognosis group， with statistically significant differences （t=8.71，P<0.001；t=8.70，P<0.001）. After treatment， the serum SOCS3 and TXNIP levels in the good prognosis group were （139.65±24.32） and （64.75±7.58） pg/ml， respectively， while those in the poor prognosis group were （92.41±16.15） and （41.74±7.23） pg/ml， serum SOCS3 and TXNIP levels in the poor prognosis group were lower than those in the good prognosis group， with statistically significant differences （t=11.48，P<0.001；t=15.90，P<0.001）. Serum SOCS3 and TXNIP levels in both groups were significantly higher after treatment than before （allP<0.05）. Multivariate analysis showed that TNM stage （OR=2.53， 95%CI：1.27-5.02，P=0.008） was an independent risk factor for prognosis in HCC patients after TACE treatment， SOCS3 （OR=0.65， 95%CI：0.44-0.96，P=0.031） and TXNIP （OR=0.57， 95%CI：0.36-0.89，P=0.014） were independent protective factors for prognosis in HCC patients after TACE treatment. ROC curve analysis showed that the sensitivity and specificity of the combined detection of serum SOCS3 and TXNIP before treatment in predicting prognosis of TACE treatment in HCC patients were 81% and 92%， respectively， the area under the curve was 0.92 （95%CI：0.85-0.96）.ConclusionThe low levels of serum SOCS3 and TXNIP before TACE treatment in HCC patients may indicate poor prognosis after TACE treatment. The combined detection of the two has certain predictive value for judging the prognosis of HCC patients after TACE treatment.

Key words:Carcinoma,hepatocellular,Suppressor of cytokine signaling 3 protein,Prognosis,Thioredoxin-interacting protein,Transcatheter arterial chemoembolization

Yao Yixin, Shen Yulin. Predictive value of serum SOCS3 and TXNIP levels for the prognosis of patients with hepatocellular carcinoma treated with TACE[J]. Journal of International Oncology, 2024, 51(4): 217-222.

Figures/Tables4

项目	例数	预后不良组（n=47）	预后良好组（n=60）	χ²值	P值
年龄（岁）
<60	43	17（36.17）	26（43.33）	0.56	0.453
≥60	64	30（63.83）	34（56.67）	0.56	0.453
性别
男	83	37（78.72）	46（76.67）	0.06	0.800
女	24	10（21.28）	14（23.33）	0.06	0.800
肿瘤大小（mm）
<50	48	18（38.30）	30（50.00）	1.46	0.227
≥50	59	29（61.70）	30（50.00）	1.46	0.227
Child-Pugh分级
A级	70	32（68.09）	38（63.33）	0.26	0.608
B级	37	15（31.91）	22（36.67）	0.26	0.608
TNM分期
Ⅰ~Ⅱ	65	20（42.55）	45（75.00）	11.64	0.001
Ⅲ	42	27（57.45）	15（25.00）	11.64	0.001
肿瘤数量（个）
1	75	35（74.47）	40（66.67）	0.77	0.382
>1	32	12（25.53）	20（33.33）	0.77	0.382
肝硬化
有	88	39（82.98）	49（81.67）	0.03	0.860
无	19	8（17.02）	11（18.33）	0.03	0.860
TACE次数（次）
1	41	19（40.43）	22（36.67）	0.16	0.691
≥2	66	28（59.57）	38（63.33）	0.16	0.691
治疗前AFP水平（ng/ml）
<400	53	21（44.68）	32（53.33）	0.79	0.374
≥400	54	26（55.32）	28（46.67）	0.79	0.374
乙型肝炎病毒表面抗原
阳性	78	36（76.60）	42（70.00）	0.58	0.446
阴性	29	11（23.40）	18（30.00）	0.58	0.446

组别	SOCS3
预后良好组（n=60）	114.34±20.39	139.65±24.32^a	45.64±6.41	64.75±7.58^a
预后不良组（n=47）	82.83±15.97	92.41±16.15^a	34.82±6.36	41.74±7.23^a
t值	8.71	11.48	8.70	15.90
P值	<0.001	<0.001	<0.001	<0.001

影响因素	β值	标准误	Waldχ²值	OR值	95%CI	P值
TNM分期	0.93	0.35	7.03	2.53	1.27~5.02	0.008
SOCS3	-0.43	0.20	4.64	0.65	0.44~0.96	0.031
TXNIP	-0.56	0.23	5.97	0.57	0.36~0.89	0.014

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