Metallothionein is the carrier protein of heavy metal ions, such as copper (Cu) and zinc (Zn). In this study, the relationships among immunohistochemical expression of metallothionein, concentrations of Cu and Zn, histological differentiation and proliferative activity of hepatocellular carcinoma were investigated in 5 1 cases. The concentrations of Cu and Zn in both tumor and non-tumor tissues were determined using electron probe microanalysis. Immunohistochemical expression of metallothionein in tumor tissues decreased with the degree of differentiation, whereas the number of hepatocytes positive for Ki-67 increased. Furthermore, the concentrations of Cu and Zn in tumor tissues decreased with the degree of histological differentiation in human hepatocellular carcinoma.Metallothionein, a low molecular weight protein with a high content of cysteine, exhibits selective binding affinity for heavy metal ions (1). Metallothionein appears to play a homeostatic role in the control of extracellular zinc and detoxification of copper and cadmium (2), and also supplies copper and zinc to enzymes which require them as co-factors. Furthermore, metallothionein is a scavenger of free hydroxyl (. OH) and superoxide (02-) radicals, which are produced after various stresses such as X-ray irradiation, exposure to high-pressure oxygen and alkylating agents, and infection (3-6).Previous reports have shown a relationship between metallothionein and the degree of malignancy (7-9). Immunohistochemical over-expression of metallothionein has been demonstrated in a variety of human malignancies such as carcinoma of the thyroid, testicular embryonal carcinoma, and adenocarcinoma of the breast (7-14).On the other hand, reduced expression of metallothionein has been demonstrated by immunohistochemistry in liver tumors (15) and colorectal adenocarcinomas (16). It has been reported that immunohistochemical expression of metallothionein correlates significantly with the tumor stage in colorectal carcinoma (17). However, the relationship between immunohistochemical expression of metallothionein and differentiation in hepatocellular carcinoma has not been clarified. Therefore, the purpose of this study was to examine the relationship between immunohistochemical expression of metallothionein and histological differentiation of hepatocellular carcinoma. Proliferative activity of tumor cells was evaluated using immunohistochemical staining for 19). Furthermore, the concentrations of Cu and Zn, which bind to metallothionein and are necessary as co-factors (20), were evaluated using electron probe microanalysis (21).
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