title: Immunohistochemical detection of hcv in cirrhosis, dysplastic nodules, and hepatocellular carcinomas with parallel-tissue quantitative RT-PCR.
abstract: Hepatitis C virus is a major risk factor for hepatocarcinogenesis in humans. In situ detection of the virus in early sequential lesions of hepatocarcinogenesis could provide information about the role of the virus in the transformation and promotion process. Parallel in situ detection of HCV proteins and RNA in human tissues were performed in 55 posthepatitis C cirrhosis, 17 dysplastic nodules (DN), and 25 hepatocellular carcinomas (HCC), using immunohistochemistry and tissue quantitative RT-PCR. A consistent cytoplasmic hepatocellular staining was obtained in 73% of cirrhosis cases (with or without HCC) and in 55% DN cases. A few tumoral hepatocytes were unambiguously stained in 28% HCC. The percentage of positive cells and the intensity of immunostaining significantly decreased from cirrhosis to HCC through DN, whereas there was no difference in the prevalence of positivity or the number of viral copies between cirrhosis and HCC using tissue-quantitative RT-PCR. Finally, RT-PCR levels were found parallel with the immunostaining in cirrhosis but not in HCC. These results suggest that HCV protein synthesis may persist but be down-regulated during sequential hepatocarcinogenesis. A putative role of HCV proteins on cell proliferation and differentiation during the early steps of carcinogenesis cannot therefore be excluded.
authors.affiliation: Service d'Anatomie Pathologique, Hôpital Pellegrin, Bordeause, France.
authors.forename: A
authors.initials: A
authors.lastname: Rullier
authors.forename: P
authors.initials: P
authors.lastname: Trimoulet
authors.forename: R
authors.initials: R
authors.lastname: Urbaniak
authors.forename: M
authors.initials: M
authors.lastname: Winnock
authors.forename: D
authors.initials: D
authors.lastname: Zauli
authors.forename: G
authors.initials: G
authors.lastname: Ballardini
authors.forename: J
authors.initials: J
authors.lastname: Rosenbaum
authors.forename: C
authors.initials: C
authors.lastname: Balabaud
authors.forename: P
authors.initials: P
authors.lastname: Bioulac-Sage
authors.forename: B
authors.initials: B
authors.lastname: Le Bail
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000209:etiology / Q000473:pathology / Q000821:virology*; D019084:Fluorescent Antibody Technique, Indirect; D020518:Focal Nodular Hyperplasia / Q000209:etiology / Q000473:pathology / Q000821:virology*; D016174:Hepacivirus / Q000235:genetics / Q000302:isolation & purification*; D006526:Hepatitis C / Q000150:complications / Q000473:pathology / Q000821:virology*; D006801:Humans; D007150:Immunohistochemistry; D008103:Liver Cirrhosis / Q000209:etiology / Q000473:pathology / Q000821:virology*; D008113:Liver Neoplasms / Q000209:etiology / Q000473:pathology / Q000821:virology*; D012367:RNA, Viral / Q000032:analysis; D020133:Reverse Transcriptase Polymerase Chain Reaction; D014758:Viral Core Proteins / Q000032:analysis; D017361:Viral Nonstructural Proteins / Q000032:analysis
chemical_list: D012367:RNA, Viral; D014758:Viral Core Proteins; D017361:Viral Nonstructural Proteins