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[血管内皮生长因子在肺癌患者癌症恶病质综合征中的作用]

[VEGF in the cancer anorexia-cachexia syndrome in patients with lung cancer].

作者信息

Weryńska Bozena, Kosacka Monika, Gołecki Marcin, Jankowska Renata

机构信息

Katedry i Kliniki Pulmonologii i Nowotworów Pluc Akademii Medycznej, Wrocławiu.

出版信息

Pneumonol Alergol Pol. 2006;74(2):186-90.

Abstract

Cancer anorexia-cachexia syndrome( CACS) occurs in 30-80% of patients with cancer. CACS is connected with poor prognosis and higher risk of treatment complications. CACS belongs to the common cause of death in cancer patients. Main role in the development of this syndrome play cytokines like TNF, interleukin 1 and 6 and interferon alpha and gamma. The importance of a lot of other substances is still unknown. VEGF promotes new vessels development,enhance vascular permeability and plays a role in inflammatory reaction. The aim of this study was comparison of VEGF levels in patients with lung cancer with and without CACS and in control group. The serum levels of VEGF were measured by ELISA method. The VEGF was significatly higher in patients with lung cancer then in control group (p = 0.004). There were no correlations between VEGF and weight lost, histological type and stage of disease. This suggest that VEGF doesnt play a role in development of CACS.

摘要

癌症恶病质综合征(CACS)发生于30%至80%的癌症患者中。CACS与预后不良及治疗并发症的高风险相关。CACS是癌症患者常见的死亡原因之一。细胞因子如肿瘤坏死因子、白细胞介素1和6以及干扰素α和γ在该综合征的发展中起主要作用。许多其他物质的重要性仍不清楚。血管内皮生长因子(VEGF)促进新血管生成,增强血管通透性,并在炎症反应中起作用。本研究的目的是比较有和没有CACS的肺癌患者以及对照组中VEGF的水平。采用酶联免疫吸附测定(ELISA)法测量血清VEGF水平。肺癌患者的VEGF水平显著高于对照组(p = 0.004)。VEGF与体重减轻、组织学类型和疾病分期之间无相关性。这表明VEGF在CACS的发展中不起作用。

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