Quantitative Assessment of Expression of Lactate Dehydrogenase and its Isoforms 3 and 4 may Serve as Useful Indicators of Progression of Gallbladder Cancer: A Pilot Study |
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| Authors: | Tekcham Dinesh Singh Mustafa Ahmed Barbhuiya Sanjeev Gupta Braj Raj Shrivastav Viswajit Jalaj Nidisha Agarwal Pramod Kumar Tiwari |
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| Institution: | (1) Centre for Genomics, Molecular and Human Genetics, School of Studies in Zoology, Jiwaji University, Gwalior, 474011, India;(2) Department of Pathology, Cancer Hospital and Research Institute (CHRI), Gwalior, 474009, India;(3) Department of Surgery, Cancer Hospital and Research Institute (CHRI), Gwalior, 474009, India;(4) Department of Surgery, Gajra Raja Medical College (GRMC), Gwalior, 474009, India; |
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| Abstract: | We have studied the expression of lactate dehydrogenase and its isoforms in gall bladder cancer, cholelithiasis and chronic
cholecystitis. Quantitative and qualitative assays of lactate dehydrogenase and its various isoforms were carried out in the
blood sera of patients and healthy controls along with parallel estimation of various liver function test enzymes. Statistical
analysis was done using the software Graph Pad Prism. Significantly high expression of lactate dehydrogenase along with alkaline
phosphatase and total bilirubin (P ≤ 0.05) was observed in all the three clinical conditions as compared to controls. LDH showed an increasing trend from stage
I to stage IV of GBC indicating a significant positive association with the disease progression. The levels of LDH 3 and 4
isoforms appeared significantly more elevated in GBC than cholelithiasis or chronic cholecystitis. We suggest that a careful
estimation of total LDH and its isoforms 3 and 4 alone or along with alkaline phosphatase and total bilirubin during different
clinical stages, like chronic cholecystitis, cholelithiasis and GBC, may prove to be a potentially useful biomarker in the
prognostic management of gall bladder diseases, specifically GBC. |
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| Keywords: | Gallbladder cancer Lactate dehydrogenase Cholelithiasis Chronic cholecystitis |
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