A Novel Prognostic Nomogram Based on TIGIT and NKG2A Can Predict Relapse-Free Survival of Hepatocellular Carcinoma After Hepatectomy

  • 0Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.

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Summary

This summary is machine-generated.

TIGIT and NKG2A immune checkpoints are significant prognostic factors for hepatocellular carcinoma (HCC) patients undergoing liver resection. Their expression predicts overall survival (OS) and relapse-free survival (RFS), aiding in risk stratification.

Area Of Science

  • Immunology
  • Oncology
  • Hepatology

Background

  • Hepatocellular carcinoma (HCC) presents a significant global health challenge.
  • TIGIT (T cell immunoreceptor with Ig and ITIM domains) and NKG2A (NK cell receptor) are emerging immune checkpoints implicated in HCC progression.

Purpose Of The Study

  • To investigate the prognostic value of TIGIT and NKG2A expression in HCC patients.
  • To assess their impact on overall survival (OS) and relapse-free survival (RFS) after radical liver resection.

Main Methods

  • Retrospective analysis of 144 HCC patients who underwent radical liver resection.
  • Quantification of TIGIT and NKG2A expression using the immunoreactive score.
  • Application of Cox proportional hazards models and random forest algorithms for risk factor identification and survival prediction.

Main Results

  • TIGIT and NKG2A expression were identified as independent predictors of RFS.
  • TIGIT expression significantly influenced OS.
  • Developed prognostic models demonstrated good discriminative ability (concordance index > 0.7) for predicting 1-, 3-, and 5-year OS and RFS.

Conclusions

  • TIGIT and NKG2A expression are significant prognostic indicators for HCC patients post-liver resection.
  • The developed prognostic models offer potential for improved risk stratification and clinical management of HCC.