Kosacka Monika, Weryńska Bozena, Gołecki Marcin, Porebska Irena, Passowicz-Muszyńska Ewa, Jankowska Renata
Z Katedry i Kliniki Pulmonologii i Nowotworów Płuc Akademii Medycznej we Wrocławiu.
Wiad Lek. 2007;60(7-8):335-40.
The pathogenesis of cancer anorexia-cachexia syndrome (CACS) is very complicated. In development of this syndrome play a role: metabolism of glucose, tumor necrosis factor (TNF), interleukin 1, interleukin 6, interferon a, interferon y, the oncological treatment and many other factors. Vascular endothelial growth factor (VEGF) is the most important proangiogenic factor. It promotes new vessels development, enhances vascular permeability and recruits monocytes. Many factors play a role in regulation of VEGF level. One of the most important is transforming growth factor beta (TGF-beta). Vascular endothelial growth factor and TGF-beta play a role in inflammation reaction too. The aim of this study was the evaluation of correlation between VEGF and TGF-beta in CACS in lung cancer.
We measured the serum level of VEGF and TGF-beta in 40 patients with lung cancer (20 with and 20 without CACS) and in control group. The serum level was measured by ELISA method.
The correlation between VEGF and TGF-beta was not statistically significant in patients with CACS (p = 0.67), but the statistical significance was in patients without CACS (p = 0.006) and in control group (p = 0.035).
Results suggest, that VEGF regulation in CACS may be more complicated.
癌症恶病质综合征(CACS)的发病机制非常复杂。在该综合征的发展过程中,葡萄糖代谢、肿瘤坏死因子(TNF)、白细胞介素1、白细胞介素6、干扰素α、干扰素γ、肿瘤治疗及许多其他因素都发挥了作用。血管内皮生长因子(VEGF)是最重要的促血管生成因子。它促进新血管生成,增强血管通透性并募集单核细胞。许多因素在VEGF水平的调节中发挥作用。其中最重要的因素之一是转化生长因子β(TGF-β)。血管内皮生长因子和TGF-β在炎症反应中也发挥作用。本研究的目的是评估肺癌CACS中VEGF与TGF-β之间的相关性。
我们测量了40例肺癌患者(20例伴有CACS,20例不伴有CACS)及对照组血清中VEGF和TGF-β的水平。血清水平采用ELISA法测定。
伴有CACS的患者中,VEGF与TGF-β之间的相关性无统计学意义(p = 0.67),但在不伴有CACS的患者中具有统计学意义(p = 0.006),在对照组中也具有统计学意义(p = 0.035)。
结果表明,CACS中VEGF的调节可能更为复杂。