Detection of serum MMP-7 and MMP-9 in cholangiocarcinoma patients: evaluation of diagnostic accuracy

<p>Abstract</p> <p>Background</p> <p>Cholangiocarcinoma is an aggressive tumor with a tendency for local invasion and distant metastases. Timely diagnosis is very important because surgical resection (R0) remains the only hope for a cure. However, at present, there is no available tumor marker that can differentiate cholangiocarcinoma from benign bile duct disease. Previous studies have demonstrated that matrix metalloproteinase (MMP)-7 and MMP-9 are frequently expressed in cholangiocarcinoma specimens.</p> <p>Methods</p> <p>This study was designed to determine whether the serum levels of MMP-7 and MMP-9 can discriminate cholangiocarcinoma patients from benign biliary tract disease patients in comparison to carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9). We measured the level of CEA, CA19-9, MMP-7 and MMP-9 in the serum of 44 cholangiocarcinoma and 36 benign biliary tract diseases patients.</p> <p>Results</p> <p>Among the serum levels of CEA, CA19-9, MMP-7 and MMP-9, only the serum MMP-7 level was significantly higher in the patients with cholangiocarcinoma (8.9 ± 3.43 ng/ml) compared to benign biliary tract disease patients (5.9 ± 3.03 ng/ml) (<it>p </it>< 0.001). An receiver operating characteristic (ROC) curve analysis revealed that the detection of the serum MMP-7 level is reasonably accurate in differentiating cholangiocarcinoma from benign biliary tract disease patients (area under curve = 0.73; 95% CI = 0.614–0.848). While the areas under the curve of the ROC curves for CEA, CA19-9 and MMP-9 were 0.63 (95% CI = 0.501–0.760), 0.63 (95% CI = 0.491–0.761) and 0.59 (95% CI = 0.455–0.722), respectively.</p> <p>Conclusion</p> <p>Serum MMP-7 appears to be a valuable diagnostic marker in the discrimination of cholangiocarcinoma from benign biliary tract disease. Further prospective studies for serum MMP-7 measurement should be carried out to further investigate the potential of this molecule as a biomarker of cholangiocarcinoma.</p

Expert consensus document:Cholangiocarcinoma: current knowledge and future perspectives consensus statement from the European Network for the Study of Cholangiocarcinoma (ENS-CCA)

Cholangiocarcinoma (CCA) is a heterogeneous group of malignancies with features of biliary tract differentiation. CCA is the second most common primary liver tumour and the incidence is increasing worldwide. CCA has high mortality owing to its aggressiveness, late diagnosis and refractory nature. In May 2015, the "European Network for the Study of Cholangiocarcinoma" (ENS-CCA: www.enscca.org or www.cholangiocarcinoma.eu) was created to promote and boost international research collaboration on the study of CCA at basic, translational and clinical level. In this Consensus Statement, we aim to provide valuable information on classifications, pathological features, risk factors, cells of origin, genetic and epigenetic modifications and current therapies available for this cancer. Moreover, future directions on basic and clinical investigations and plans for the ENS-CCA are highlighted

Developing fragility functions for aquaculture rafts and eelgrass in the case of the 2011 Great East Japan tsunami

Since the two devastating tsunamis in 2004 (Indian Ocean) and 2011 (Great East Japan), new findings have emerged on the relationship between tsunami characteristics and damage in terms of fragility functions. Human loss and damage to buildings and infrastructures are the primary target of recovery and reconstruction; thus, such relationships for offshore properties and marine ecosystems remain unclear. To overcome this lack of knowledge, this study used the available data from two possible target areas (Mangokuura Lake and Matsushima Bay) from the 2011 Japan tsunami. This study has three main components: (1) reproduction of the 2011 tsunami, (2) damage investigation, and (3) fragility function development. First, the source models of the 2011 tsunami were verified and adjusted to reproduce the tsunami characteristics in the target areas. Second, the damage ratio (complete damage) of the aquaculture raft and eelgrass was investigated using satellite images taken before and after the 2011 tsunami through visual inspection and binarization. Third, the tsunami fragility functions were developed using the relationship between the simulated tsunami characteristics and the estimated damage ratio. Based on the statistical analysis results, fragility functions were developed for Mangokuura Lake, and the flow velocity was the main contributor to the damage instead of the wave amplitude. For example, the damage ratio above 0.9 was found to be equal to the maximum flow velocities of 1.3 m s−1 (aquaculture raft) and 3.0 m s−1 (eelgrass). This finding is consistent with the previously proposed damage criterion of 1 m s−1 for the aquaculture raft. This study is the first step in the development of damage assessment and planning for marine products and environmental factors to mitigate the effects of future tsunamis

Investigating beach erosion related with tsunami sediment transport at Phra Thong Island, Thailand, caused by the 2004 Indian Ocean tsunami

10.5194/nhess-20-2823-2020Natural Hazards and Earth System Sciences20102823-284