title: Polyamine metabolism and recurrence after resection for hepatocellular carcinoma.
abstract: OBJECTIVE
  Ornithine decarboxylase activity, a rate-limiting enzyme in polyamine biosynthesis, is correlated with the degree of malignancy of hepatocellular carcinoma. We investigated the relationship between polyamine metabolism in hepatocellular carcinoma tissues and the recurrence after resection of hepatocellular carcinoma.
  
  
  METHODS
  The subjects were 49 patients who underwent liver resection for hepatocellular carcinoma. The relationship between ornithine decarboxylase activity and polyamine concentration in hepatocellular carcinoma tissues and the pathologic findings or recurrence after the operation was studied.
  
  
  RESULTS
  The prevalences of moderately or poorly differentiated hepatocellular carcinoma, portal invasion, and intrahepatic metastasis were higher in patients with a high ornithine decarboxylase activity (> or = 100 pmol putrescine/h/mg protein) than in patients with a low ornithine decarboxylase activity (< 100 pmol putrescine/h/mg protein). The tumor-free survival rate was significantly lower in patients with a high ornithine decarboxylase activity than in patients with a low ornithine decarboxylase activity (p=0.0394). The tumor-free survival rate was significantly lower in patients with a high spermidine concentration (> or = 80 nmol/mg protein) than in patients with a low spermidine concentration (< 80 nmol/mg protein, p = 0.0454).
  
  
  CONCLUSIONS
  A high ornithine decarboxylase activity and a high spermidine concentration of hepatocellular carcinoma were risk factors for recurrence after resection of hepatocellular carcinoma.
authors.affiliation: Department of Gastroenterological and Hepato-Biliary Pancreatic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. m7696493@msic.med.osaka-cu.ac.jp
authors.forename: Shoji
authors.initials: S
authors.lastname: Kubo
authors.forename: Akihiro
authors.initials: A
authors.lastname: Tamori
authors.forename: Hiromu
authors.initials: H
authors.lastname: Tanaka
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Takemura
authors.forename: Taichi
authors.initials: T
authors.lastname: Shuto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hirohashi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Shuhei
authors.initials: S
authors.lastname: Nishiguchi
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000201:enzymology / Q000378:metabolism* / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000201:enzymology / Q000378:metabolism* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009955:Ornithine Decarboxylase / Q000378:metabolism; D011073:Polyamines / Q000378:metabolism*
chemical_list: D011073:Polyamines; D009955:Ornithine Decarboxylase