DCP as a biomarker for TACE efficacy in hepatocellular carcinoma

IntroductionPrimary hepatocellular carcinoma (PHC) requires advanced diagnostic and therapeutic strategies. While transcatheter arterial chemoembolization (TACE) is a cornerstone treatment, efficacy assessment remains challenging.MethodsWe retrospectively analyzed 90 PHC patients treated with TACE....

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Main Authors: Hui Xie, Youwei Li, Jie Yang, Yuwei Tan, Jin Xu, Xiao Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1560210/full
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author Hui Xie
Youwei Li
Jie Yang
Yuwei Tan
Jin Xu
Xiao Yang
author_facet Hui Xie
Youwei Li
Jie Yang
Yuwei Tan
Jin Xu
Xiao Yang
author_sort Hui Xie
collection DOAJ
description IntroductionPrimary hepatocellular carcinoma (PHC) requires advanced diagnostic and therapeutic strategies. While transcatheter arterial chemoembolization (TACE) is a cornerstone treatment, efficacy assessment remains challenging.MethodsWe retrospectively analyzed 90 PHC patients treated with TACE. Serum DCP levels were measured pre-treatment and at 1, 4, and 8 weeks post-treatment. Treatment response was evaluated using mRECIST criteria.ResultsLow DCP patients (≤40 mAU/mL) showed significantly higher response rates (53.3%) compared to high DCP (>300 mAU/mL, 30.0%, p<0.05). The hazard ratio for treatment failure was 1.62 (95% CI: 1.09–2.23, p<0.01) per unit increase in log-transformed DCP. Median overall survival was 24.5 months for low DCP versus 12.6 months for high DCP patients (log-rank p<0.001).DiscussionDCP serves as a robust biomarker for predicting TACE efficacy, enabling personalized treatment strategies in PHC management.
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institution Kabale University
issn 2234-943X
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publishDate 2025-07-01
publisher Frontiers Media S.A.
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series Frontiers in Oncology
spelling doaj-art-448bda72ffcc4a09beca2cdda23346c62025-08-20T03:58:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-07-011510.3389/fonc.2025.15602101560210DCP as a biomarker for TACE efficacy in hepatocellular carcinomaHui XieYouwei LiJie YangYuwei TanJin XuXiao YangIntroductionPrimary hepatocellular carcinoma (PHC) requires advanced diagnostic and therapeutic strategies. While transcatheter arterial chemoembolization (TACE) is a cornerstone treatment, efficacy assessment remains challenging.MethodsWe retrospectively analyzed 90 PHC patients treated with TACE. Serum DCP levels were measured pre-treatment and at 1, 4, and 8 weeks post-treatment. Treatment response was evaluated using mRECIST criteria.ResultsLow DCP patients (≤40 mAU/mL) showed significantly higher response rates (53.3%) compared to high DCP (>300 mAU/mL, 30.0%, p<0.05). The hazard ratio for treatment failure was 1.62 (95% CI: 1.09–2.23, p<0.01) per unit increase in log-transformed DCP. Median overall survival was 24.5 months for low DCP versus 12.6 months for high DCP patients (log-rank p<0.001).DiscussionDCP serves as a robust biomarker for predicting TACE efficacy, enabling personalized treatment strategies in PHC management.https://www.frontiersin.org/articles/10.3389/fonc.2025.1560210/fulldes-gamma-carboxyprothrombintransarterial chemoembolizationhepatocellular carcinomatreatment responsebiomarker
spellingShingle Hui Xie
Youwei Li
Jie Yang
Yuwei Tan
Jin Xu
Xiao Yang
DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
Frontiers in Oncology
des-gamma-carboxyprothrombin
transarterial chemoembolization
hepatocellular carcinoma
treatment response
biomarker
title DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
title_full DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
title_fullStr DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
title_full_unstemmed DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
title_short DCP as a biomarker for TACE efficacy in hepatocellular carcinoma
title_sort dcp as a biomarker for tace efficacy in hepatocellular carcinoma
topic des-gamma-carboxyprothrombin
transarterial chemoembolization
hepatocellular carcinoma
treatment response
biomarker
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1560210/full
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