| Objective:To explore the relationship between Spinal Protein 2 (SPON2) and Metastasis Associated in Colon Cancer 1 (MACC1) proteins expression in hepatocellular carcinoma cancer (HCC) tissues and clinicopathological features and transcatheter arterial chemoembolization (TACE) efficacy.Methods:140 patients who were diagnosed with HCC and underwent TACE from March 2022 to September 2024 in our hospital were collected as research subjects, and the SPON2, MACC1 protein expression in the cancer tissue and paracancer tissue of HCC patients were detected and compared. The correlation between SPON2 and MACC1 protein expression in HCC tissues was analyzed. SPON2 and MACC1 proteins expression in cancer tissues of different clinicopathological features were compared. After 3 months of follow-up, HCC patients were divided into ineffective group and effective group according to the TACE efficacy. Multivariate logistic regression was used to analyze the influencing factors of TACE efficacy, and receiver operating characteristic (ROC) curve was used to analyze the predictive value of SPON2 and MACC1 protein expression of TACE efficacy.Results:SPON2 and MACC1 proteins positive expression rates in HCC cancer tissues were significantly higher than those in paracancer tissues (P<0.05). There was a positive correlation between SPON2 and MACC1 protein expression in HCC cancer tissues (P<0.05). SPON2 and MACC1 proteins positive expression rates in HCC cancer tissues were significantly correlated with Child-Pugh grade, tumor diameter, differentiation degree, Chinese liver cancer staging (CNLC) stage, microvascular invasion, lymph node metastasis, portal vein cancer thrombolus and alpha-fetoprotein (AFP) level (P<0.05). Multivariate logistic regression analysis showed that Child-Pugh grade B, low differentiation degree, microvascular invasion, lymph node metastasis, AFP level>400 μg/L, SPON2 and MACC1 protein positive expression were risk factors for poor TACE efficacy in HCC patients (P<0.05). ROC curve analysis showed that, the area under the curve (AUC) of SPON2 and MACC1 protein expression combined to predict TACE efficacy in HCC patients was 0.882, which was significantly higher than that of 0.807 and 0.786 by single detection (P<0.05).Conclusion:SPON2 and MACC1 positive protein expression in HCC tissues are closely related to clinicopathological features of patients, and they are risk factors for poor TACE efficacy, which can be used as predictors for TACE efficacy in patient with HCC. |
