Journal of Epidemiology
Online ISSN : 1349-9092
Print ISSN : 0917-5040
ISSN-L : 0917-5040
Original Article
Serum Hepatocyte Growth Factor and Cancer Mortality in an Apparently Healthy Japanese Population
Maki Otsuka, Hisashi Adachi, David R. Jacobs, Jr., Yuji Hirai, Mika Enomoto, Ako Fukami, Shun-ichi Kumagae, Yasuki Nanjo, Kuniko Yoshikawa, Eishi Esaki, Eita Kumagai, Kanako Yokoi, Kinuka Ogata, Eri Tsukagawa, Akiko Kasahara, Kyoko Ohbu, Tsutomu Imaizumi
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Keywords: cytokine, prospective study, Seven Countries Study, mortality, cancer
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2012 Volume 22 Issue 5 Pages 395-401

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Abstract

Background: In patients with cancer, hepatocyte growth factor (HGF) is elevated and is a predictor of prognosis. We investigated whether serum HGF was a predictive marker for cancer death in a population of community-dwelling Japanese.
Methods: We studied 1492 apparently healthy Japanese adults who underwent health examinations in 1999. Those who reported a history of liver disease or malignancy on a baseline questionnaire were excluded, and plasma HGF was measured in the remaining 1470 participants, who were followed periodically for 10 years. Multivariate proportional hazards regression was used to estimate cancer mortality.
Results: A total of 169 participants died during follow-up (61 from cancer, 32 from cerebrocardiovascular disease, and 76 from other diseases). Mean HGF at baseline was significantly higher among decedents than among survivors (0.26 ± 0.11 vs 0.23 ± 0.09 ng/ml, respectively; P < 0.01). The Cox proportional hazards model showed that age, systolic blood pressure, HGF (hazard ratio, 1.27; 95% CI, 1.06–1.52; P = 0.009), albumin level, smoking status, and creatinine were independent predictors of all-cause death. Age, HGF (hazard ratio, 1.31; 95% CI, 1.04–1.65; P = 0.02), and total cholesterol were independent predictive markers for cancer death.
Conclusions: Serum HGF was a predictor of cancer death in an apparently healthy population of community-dwelling Japanese.

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© 2012 by the Japan Epidemiological Association
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