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J Hepatocell Carcinoma. 2015 Sep 18;2:131-42. doi: 10.2147/JHC.S81309. eCollection 2015.

Type I insulin-like growth factor as a liver reserve assessment tool in hepatocellular carcinoma.

Journal of hepatocellular carcinoma

Reham Abdel-Wahab, Samir Shehata, Manal M Hassan, Mouhammed A Habra, Ghazaleh Eskandari, Peggy T Tinkey, Jennifer Mitchell, Ju-Seog Lee, Hesham M Amin, Ahmed O Kaseb

Affiliations

  1. Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; Department of Clinical Oncology, Assiut University Hospital, Assiut, Egypt.
  2. Department of Clinical Oncology, Assiut University Hospital, Assiut, Egypt.
  3. Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  4. Department of Endocrinology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  5. Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  6. Department of Veterinary Medicine and Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  7. Department of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  8. Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; Graduate School of Biomedical Sciences, Houston, TX, USA.

PMID: 27508202 PMCID: PMC4918293 DOI: 10.2147/JHC.S81309

Abstract

Chronic liver diseases (CLDs) encompass a wide range of illnesses, including nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, and viral hepatitis. Deterioration of liver capacity, with subsequent progression into cirrhosis and hepatocellular carcinoma (HCC), ultimately leads to a further decrease in the hepatic reserve. The Child-Turcotte-Pugh scoring system is the standard tool for assessing underlying liver reserve capacity in routine practice and in clinical trials of CLD and HCC. In this review, we highlight the clinical significance of insulin-like growth factor-I (IGF-I) and the growth hormone (GH) signaling pathway in HCC. IGF-I could be a marker for liver reserve capacity in CLDs and HCC in clinical practice. This approach could improve the risk assessment and stratifications of patients on the basis of their underlying liver reserve, either before active treatment in routine practice or before they are enrolled in clinical trials.

Keywords: IGF-I; chronic liver disease; growth hormone

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