Diagnostic Performance of Epithelial Cell Adhesion Molecule for Early Detection of Hepatocellular Carcinoma Among HCV High-Risk Patients.

OBJECTIVE: Hepatocellular carcinoma (HCC) is often diagnosed at advanced stage where hopeless for effective therapies. Identification of more reliable biomarkers for early detection of HCC is urgently needed. Circulating tumor cells (CTCs) represent a unique liquid biopsy carrying comprehensive biological information of the primary tumor. Herein, we sought to develop a novel score based on the combination of the most significant CTCs biomarkers with routine laboratory tests for accurate detection of HCC. MATERIAL & METHODS: Epithelial cell adhesion molecule (EpCAM), α-fetoprotein, albumin, and platelets count were assayed in HCC patients (98), liver cirrhosis patients (77). Areas under receiving operating curve (AUCs) were calculated and used for construction on novel score. RESULTS: A novel score named EpCAM-HCC = AFP (U/L) × 0.11 - Albumin (g/dl) × 1.5 + EpCAM % × 2.9 - Platelets count (×109)/L× 0.75 - 93. EpCAM-HCC score produce AUC of 1 for differentiate patients with HCC from those with liver cirrhosis with sensitivity and specificity of a cut-off 1.7 (i.e., less than 1.7 the case is considered cirrhotic, whereas above 1.7 it is considered HCC. CONCLUSION: EpCAM-HCC score could replace AFP during screening of HCV patients and early detection of HCC.

Insight into the Effect of Sulfonation Techniques on the Adsorption Properties of -SO3H Surface-Functionalized Coal as Adsorbent for Malachite Green Dye: Steric and Energetic Investigation.

Natural coal (N.C) was sulfonated with sulfuric acid by normal stirring (MS.C) and sonication waves (SS.C) to obtain -SO3H functionalized coal as enhanced adsorbents of malachite green dye (MG). The sulfonated products exhibit enhanced surface area (MS.C (27.2 m2/g) and SS.C (45.8 m2/g)) as compared to N.C. SS.C achieved higher acid density (14.2 mmol/g) and sulfur content (13.2 wt. %) as compared to MS.C. The impact of the sulfonation processes on the adsorption of MG was assessed based on the monolayer isotherm model of one energy. The MG Q sat of N.C (121.3 mg/g), MS.C (226.3 mg/g), and SS.C (296.4 mg/g) validate the significant effect of the sulfonation processes by the sonication waves. This is in agreement with the active site densities that reflect the saturation of SS.C by more active sites (180.74 mg/g) than MS.C (120.38 mg/g) and N.C (70.84 mg/g). The MS.C and SS.C can adsorb three MG molecules as compared to two molecules per site of N.C. The Gaussian energy (<8 kJ/mol) and adsorption energy (<40 kJ/mol)) reflects the physisorption of MG involving van der Waals forces, hydrogen bonding, and dipole bonding forces. The thermodynamic functions demonstrate the uptake of MG by exothermic, spontaneous, feasible reactions.