LOS ANGELES, April 15 (Xinhua) -- Blood DNA can be an
early predictor for liver cancer, according to a study published in the April 15
issue of Clinical Cancer Research.
Using DNA isolated from serum samples as a baseline
biomarker, researchers at Columbia University's Mailman School of Public Health
have discovered a means for early detection of liver cancer, according to the
study.
The scientists examined changes in certain tumor
suppressor genes that have been associated with the development of liver
carcinomas.
The researchers studied the blood of patients
enrolled in a cancer screening program in Taiwan, who provided repeated blood
samples prior to diagnosis. A total of 12,000 males and over 11,900 females
recruited during 1991-1992 are being followed.
With screenings of these patients, scientists found
changes associated with cancer in serum DNA, presumably released from the tumor,
one to nine years before actual clinical diagnosis.
Since most hepatocellular or liver carcinomas (HCC)
are diagnosed at an advanced and usually fatal stage, the development of
screening methods for early detection is critical.
Certain clinical risk factors such as age and
hepatitis B and Cvirus infections, are well-documented risk factors for the
development of HCC in the study.
According to the findings, these factors coupled with
smoking and alcohol status, and alterations found in this study in serum DNA,
resulted in an overall predictive accuracy of 89 percent for detection of HCC.
This is the first study to prospectively examine
potential biomarkers for early detection of liver cancer in high-risk
populations, including those with chronic hepatitis B and C virus infections.
HCC is one of the most common deadly diseases
worldwide, which claims the lives of almost 500,000 people annually.
The findings are extremely encouraging, said Regina
Santella, professor of Environmental Health Sciences at the Mailman School of
Public Health.
Having the tools to identify liver cancer at earlier
stages is truly a breakthrough for addressing the challenges of this highly
lethal form of cancer, she said.