Endothelial angiopoietin-2 overexpression in explanted livers identifies subjects at higher risk of recurrence of hepatocellular carcinoma after liver transplantation.

The survival rate was borderline significant in patients with higher median AFP values at the time of the transplant ( p = 0.070, log-rank test) while it was significantly lower in patients in the highest AFP quartile (i.e., 21 ng/ml) ( p = 0.027, log-rank test).

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Angiopoietin-2 staining was abundant both in hepatocyte cytoplasms and in the sinusoidal endothelia, but it was the latter that was highly significant in recurrent HCCs, highlighting the important role of endothelium in neoangiogenic activation.

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