title: Prognostic significance of heat shock protein-27 expression in hepatocellular carcinoma and its relation to histologic grading and survival.
abstract: BACKGROUND
  The expression of heat shock protein-27 (HSP-27) has been detected in some human tumors. In this study the authors investigated HSP-27 expression in patients with hepatocellular carcinoma (HCC) and examined its prognostic significance.
  
  
  METHODS
  Expression of HSP-27 was studied in 58 HCC and adjacent noncancerous liver tissues by immunohistochemical stain. The relation between its expression and eight known prognostic factors was evaluated.
  
  
  RESULTS
  Of the 58 HCC tissues studied, the presence of HSP-27 was demonstrated in 45 tissues (77.6%); low expression (</= 25%) was demonstrated in 17 tissues and high expression (> 25%) was demonstrated in 28 tissues. A significantly higher distribution of HSP-27 expression in HCC tissues compared with adjacent noncancerous liver tissues was obtained (P < 0.0001). Patients with high HSP-27 expression had a significantly higher histologic tumor grade than those with low HSP-27 expression (P = 0.001). The 5-year disease free survival rate of patients with high HSP-27 expression was 21.4% versus 59.3% for patients with low HSP-27 expression (P < 0.001). A similar relation was observed with overall survival (33.3% vs. 64. 8%; P = 0.009). HSP-27 expression was also identified to be a significant and powerful prognostic indicator for disease free survival (odds ratio = 2.25; P = 0.034) and for overall survival (odds ratio = 2.72; P = 0.015).
  
  
  CONCLUSIONS
  The current study data suggest that HSP-27 expression is a powerful prognostic indicator and is related to histologic grade and survival of patients with HCC.
authors.affiliation: Department of Surgery, Veterans General Hospital-Taipei, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
authors.forename: K L
authors.initials: KL
authors.lastname: King
authors.forename: A F
authors.initials: AF
authors.lastname: Li
authors.forename: G Y
authors.initials: GY
authors.lastname: Chau
authors.forename: C W
authors.initials: CW
authors.lastname: Chi
authors.forename: C W
authors.initials: CW
authors.lastname: Wu
authors.forename: C L
authors.initials: CL
authors.lastname: Huang
authors.forename: W Y
authors.initials: WY
authors.lastname: Lui
mesh_terms: D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000378:metabolism* / Q000401:mortality / Q000473:pathology; D016009:Chi-Square Distribution; D005260:Female; D006360:Heat-Shock Proteins / Q000378:metabolism*; D006801:Humans; D008113:Liver Neoplasms / Q000378:metabolism* / Q000401:mortality / Q000473:pathology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009363:Neoplasm Proteins / Q000378:metabolism*; D011379:Prognosis; D018709:Statistics, Nonparametric; D015996:Survival Rate
chemical_list: D006360:Heat-Shock Proteins; D009363:Neoplasm Proteins