%A Chen Yu, Ji Hongchen, Cao Dayong, Li Xiao %T Expression and clinical value of NRP-1 in hepatocellular carcinoma %0 Journal Article %D 2017 %J Journal of International Oncology %R 10.3760/cma.j.issn.1673-422X.2017.06.007 %P 428- %V 44 %N 6 %U {https://gjzlx.sdfmu.edu.cn/CN/abstract/article_10225.shtml} %8 2017-06-08 %X ObjectiveTo determine the expression and clinical value of neuropilin1 (NRP1) in hepatocellular carcinoma (HCC). MethodsOne hundred and fiftyone cases of HCC tissues and 89 cases of healthy liver tissues were chosen to compare the expression of NRP1 by immunohistochemistry. Then the relationships between different clinical factors and the expression of NRP1 were analyzed by univariate and multivariate statistical analysis. Moreover, the survival rates were compared by survival analysis between different expressions of NRP1 in HCC patients. ResultsEleven cases were lost to followup or died for non HCC disease, and the effective cases in the final study were 140 cases. The positive expression rates of NRP1 in HCC and normal liver tissues were 65.00% and 35.96% respectively, and the difference was statistically significant (χ2=18.843, P<0.001). According to the expression level of NRP1, 140 patients with HCC were divided into negative expression group (n=49) and positive expression group (n=91). Univariate analysis showed that the expression of NRP1 in HCC was correlated with tumor number (χ2=8.025, P=0.005), TNM stage (χ2=26.467, P<0.001), differentiation degree (χ2=15.296, P<0.001), portal vein invasion (χ2=9.054, P=0.003) and hepatic vein invasion (χ2=5.928, P=0.015). Multivariate statistical analysis showed that TNM stage (OR=1.392, 95%CI: 1.1211.730, χ2=8.950, P=0.003), differentiation degree (OR=1.469, 95%CI: 1.1021.958, χ2=6.862, P=0.009), portal vein invasion (OR=1.829, 95%CI: 1.1572.893, χ2=6.665, P=0.010) and hepatic vein invasion (OR=2.161, 95%CI: 1.1723.987, χ2=6.084, P=0.014) were important factors for NRP1 expression. The median survival time of NRP1 negative HCC patients was significantly longer than that of positive group (44 months vs. 23 months), and the difference was statistically significant (χ2=21.922, P<0.001). ConclusionNRP1 is overexpression in HCC tissue and related to the malignant progress of HCC, and this suggests poor prognosis in patients with HCC.