The expression levels of the two novel oncoproteins uridine-cytidine kinase
like-1 (UCKL-1) and mitochondrial ribosomal protein S18-2 (MRPS18-2) were
assessed in samples of hepatitis C virus (HCV)-associated hepatocellular
carcinoma (HCC) using immunohistochemistry. Tissue microarray (TMA) paraffin
blocks were prepared from 42 HCC tumor samples with the corresponding
peri-tumor tissues and from 11 tissues of a liver with HCV-induced cirrhosis.
We found that the UCKL-1 signal in the liver tissues of the peri-tumor zone in
the HCC samples was stronger than that in cirrhosis (50 ± 49.44 vs. 24.27
± 14.53; p = 0.014). The MRPS18-2 expression was weak,
and there was no differences between the groups (p = 0.26).
Noteworthy, the UCKL-1 protein was expressed at higher levels in peri-tumor
tissues in the cases of HCC recurrence; this was confirmed for 27 older
patients (63.78 ± 9.22 vs. 53.53 ± 4.07 years, p < 0.001),
in parallel with enhanced UCKL-1 staining in former HCC
nodules (62.69 ± 50.4 vs. 26.0 ± 30.19, p = 0.006)
and microvascular invasion (p = 0.02). A multivariate analysis
of prognostic factors for HCC recurrence showed that the best predictive
factors for these conditions were UCKL-1 expression in tumor, vascular
invasion, and HCC treatment modality, other than liver transplantation (odds
ratios: 1.029, 18.143 and 11.984, R2 = 0.633,
p = 0.002). In conclusion, the high UCKL-1 expression might be
a prognostic factor for HCC relapse, in combination with age and microvascular
invasion. MRPS18-2 protein expression has no prognostic significance in the
cases of HCV-associated HCC.