RT Journal Article SR Electronic T1 PAI-1, t-PA and Circulating hTERT DNA as Related to Virus Infection in Liver Carcinogenesis JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 223 OP 228 VO 28 IS 1A A1 DIVELLA, ROSA A1 LACALAMITA, ROSANNA A1 TOMMASI, STEFANIA A1 COVIELLO, MARIA A1 DANIELE, ANTONELLA A1 GARRISI, VITO MICHELE A1 ABBATE, INES A1 SIMONE, GIOVANNI A1 GADALETA, COSIMO A1 PARADISO, ANGELO A1 QUARANTA, MICHELE YR 2008 UL http://ar.iiarjournals.org/content/28/1A/223.abstract AB Background: Liver carcinogenesis seems to be heavely influenced by hepatitis B and C viral (HBV, HCV) infection. The aim of our study was to improve the detection of hepatocellular carcinoma (HCC) by measuring alfa-fetoprotein (AFP) in addition to other molecular markers by estimating the plasma levels of human catalytic fraction of reverse telomerase (hTERT) DNA, plasminogen activator inhibitor-1 (PAI-1) and tissue plasminogen activator (t-PA) in 75 patients with liver desease. Patients and Methods: A control group was enrolled (N=30). PAI-1 and t-PA levels were detected with enzyme-linked immunoassorbent assay (ELISA), DNA hTERT was performed with real time polymerase chain reaction (RT-PCR). Results: PAI-1, t-PA and hTERT DNA levels were much higher than in controls. PAI-1 and t-PA levels were higher in the presence of both viruses compared to their absence, p<0.001. Moreover, hTERT was significantly higher in the presence of both viruses, p<0.05 and in the presence of HCV alone, p<0.05. No decrease or increase of AFP was noted in these patients. Conclusion: Our data suggest the reliability of PAI-1, t-PA and hTERT in detecting HCC, in particular when the carcinogenesis is affected by virus infection.