Abstract. NY-ESO-1 belongs to the cancer testis antigens (CTA) family, and is identified in a variety of tumors. Certain studies have demonstrated that NY-ESO-1 predicts tumor recurrence and treatment response. No reports are currently available regarding the correlation between NY-ESO-1 and the recurrence of hepatocellular carcinoma (HCC) following surgery. The purpose of the present study was to evaluate the association between NY-ESO-1 and relapse of HCC and to explore the possible mechanisms for this correlation. A total of 120 HCC patients were analyzed for the expression of NY-ESO-1 by immunohistochemistry (IHC). A stable NY-ESO-1 over-expressed HepG2 cell line (ESO-HepG2) was established to determine the biological effects of NY-ESO-1 on cell proliferation, cell cycle and migration by using the xCELLigence DP system, flow cytometry and xCELLigence SP system. NY-ESO-1 was positive in 28 of 120 (23.3%) HCC tumor tissues. NY-ESO-1 was not detectable in adjacent normal liver tissues. A close correlation was found between NY-ESO-1 expression and the recurrence of HCC following surgery (P= 0.007). Kaplan-Meier analysis showed a shorter recurrence-free survival (RFS) for patients positive for NY-ESO-1 (log-rank test, P=0.003). The Cox regression model demonstrated that NY-ESO-1 expression was a significant independent predictor for the recurrence of HCC following curative surgery (P= 0.022). Compared with HepG2 cells, ESO-HepG2 cells have increased migration but not proliferation ability. In conclusion, NY-ESO-1 expression is associated with worse HCC outcome following surgery, and the mechanism for this finding may be that NY-ESO-1 increases tumor cell migration.
IntroductionHepatocellular carcinoma (HCC) is the fifth most common cancer in the world and one of the most prevalent malignancies in Asia (1). Current curative treatment options include surgical resection and liver transplantation. Liver transplantation is effective only in the early stages of disease. Surgery is possible in few patients and curative in only a small percentage, due to recurrence following the surgery (2). Besides exploring effective therapeutic methods, investigators are attempting to find biomarkers to predict tumor recurrence. The NY-ESO-1 antigen was originally found in esophageal cancer by serological recombinant cDNA expression cloning (SEREX) and belongs to the cancer/testis antigen (CTA) family (3). NY-ESO-1 expression is restricted to testicular germ cells in normal adult tissues and is found in numerous malignancies including malignant melanoma, hepatoma, breast and lung cancer. The NY-ESO-1 protein is known to be markedly immunogenic for numerous advanced and metastatic types of cancer (4,5). NY-ESO-1 is a potential biomarker for the prediction of tumor recurrence and treatment outcomes in a variety of tumors, including gastrointestinal stromal tumors (6) and cutaneous melanoma (7).Although a number of studies showed inconsistently that NY-ESO-1 is positive in certain HCCs (8-16), two studies have demonstrated that NY-ESO-1 ...