International Journal of Medical Sciences

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16 December 2018

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Int J Med Sci 2013; 10(6):683-690. doi:10.7150/ijms.5947

Research Paper

Glutathione S-Transferase P1 Correlated with Oxidative Stress in Hepatocellular Carcinoma

Tao Li1, Xin-Ping Zhao2, Li-Yuan Wang1, Shuai Gao1, Jing Zhao1, Yu-Chen Fan1,3, Kai Wang1,3 ✉

1. Department of Hepatology, Qilu Hospital, Shandong University, Jinan 250012, China;
2. Department of infectious diseases, The third hospital of Zaozhuang city, Zaozhuang 277100, China;
3. Institute of Hepatology, Shandong University, Jinan 250012, China.


Background: Glutathione-S-transferase P1 (GSTP1) is an important phase II enzyme that can protect cells from oxidative stress in various human cancers. However, few clinical studies were undertaken on the relationship between GSTP1 and oxidative stress in hepatocellular carcinoma (HCC). The present study was therefore aimed to evaluate the potential associations between GSTP1 and oxidative stress in HCC patients.

Methods: The GSTP1 expression in peripheral blood mononuclear cells (PBMCs) was determined by flow cytometry from 38 HCC patients and 38 chronic hepatitis B (CHB) patients. The GSTP1 mRNA level in PBMCs was determined by real-time quantitative polymerase chain reaction. Enzyme-linked-immunosorbent-assay (ELISA) was performed to measure the oxidative stress status, including plasma levels of malondialdehyde (MDA), xanthine oxidase (XOD), reduced glutathione hormone (GSH) and glutathione-S-transferases (GST).

Results: Significantly decreased GSTP1 protein expression was found in HCC patients than in CHB patients (P<0.05). The GSTP1 mRNA expression of HCC patients was also decreased compared with CHB patients (P<0.05). MDA and XOD levels were significantly higher in HCC patients than in CHB patients, while plasma GSH and GST levels were statistically lower in HCC patients than in CHB patients. GSTP1 expression level was correlated with plasma levels of MDA (P<0.01), XOD (P = 0.01) and GSH (P< 0.01), GST (P< 0.01).

Conclusion: We demonstrated that the reduced GSTP1 expression might contribute to oxidative stress in the development of HCC from CHB.

Keywords: Glutathione S transferases, flow cytometry, oxidative stress, hepatocellular carcinoma, chronic hepatitis B.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See for full terms and conditions.
How to cite this article:
Li T, Zhao XP, Wang LY, Gao S, Zhao J, Fan YC, Wang K. Glutathione S-Transferase P1 Correlated with Oxidative Stress in Hepatocellular Carcinoma. Int J Med Sci 2013; 10(6):683-690. doi:10.7150/ijms.5947. Available from