Clinical significance of circulating anti-p53 antibodies in European patients with hepatocellular carcinoma
1999

Circulating anti-p53 antibodies in liver cancer patients

Sample size: 130 publication Evidence: moderate

Author Information

Author(s): Saffroy R, Lelong J-C, Azoulay D, Salvucci M, Reynes M, Bismuth H, Debuire B, Lemoine A

Primary Institution: Service de Biochimie, Hôpital Paul Brousse, Villejuif Cedex, France

Hypothesis

The presence of anti-p53 serum antibodies may indicate a better prognosis in hepatocellular carcinoma patients.

Conclusion

Anti-p53 serum antibodies may serve as a marker of better prognosis in some hepatocellular carcinoma patients.

Supporting Evidence

  • Nine (7%) HCC patients had anti-p53 serum antibodies before treatment.
  • All negative patients remained negative during a mean follow-up of 30 months.
  • Eight of the nine positive patients remained positive 12–30 months after surgery.
  • A greater incidence of vascular invasion was observed in the tumors of patients with anti-p53 antibodies.
  • Accumulation of p53 protein was higher in tumors of patients with anti-p53 antibodies.
  • Patients with anti-p53 antibodies had a better survival rate without recurrence.

Takeaway

Some liver cancer patients have antibodies that might mean they will do better after treatment.

Methodology

Anti-p53 serum antibodies were assessed using ELISA on 130 patients, and immunohistochemistry was performed on tumors from 52 patients.

Limitations

The study did not find a correlation between anti-p53 antibodies and p53 gene mutations or serum alpha-fetoprotein levels.

Participant Demographics

European patients with hepatocellular carcinoma.

Statistical Information

P-Value

P < 0.03 and P < 0.01 for vascular invasion and p53 protein accumulation respectively; P = 0.05 for survival rate without recurrence.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690095

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication