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血清肝细胞生长因子和白细胞介素-6 是预测非小细胞肺癌的有效预后标志物。

Serum hepatocyte growth factor and interleukin-6 are effective prognostic markers for non-small cell lung cancer.

机构信息

Department of Thoracic Surgery, Saitama Cancer Center, 818 Komuro, Ina, Saitama 362-0806, Japan.

出版信息

Anticancer Res. 2012 Aug;32(8):3251-8.

Abstract

AIM

We surveyed prognostic biomarkers for resectable non-small cell lung cancer (NSCLC).

PATIENTS AND METHODS

We obtained preoperative serum from 109 patients, and measured the levels of hepatocyte growth factor (HGF), interleukin-6 (IL-6), and nicotinamide N-methytransferase (NNMT) in the sera.

RESULTS

The median HGF and IL-6 contents were 860 pg/ml and 2.7 pg/ml, respectively. Analysis of survival curves indicated that an HGF or IL-6 level higher than the median was associated with poor overall survival (HGF, p=0.019; IL-6, p=0.002). In addition, we analyzed stage III lung cancer alone. Higher HGF and IL-6 levels were associated with poor overall survival (HGF, p=0.016; IL-6, p=0.013). Disease-free survival was not statistically significantly affected by these cytokine contents. The tumor status (pT factor) and nodal status (pN factor) were not associated with the survival of stage III patients.

CONCLUSION

The levels of HGF and IL-6 in serum could be useful prognostic indicators of the survival of patients with stage III NSCLC undergoing surgery and chemotherapy.

摘要

目的

我们调查了可切除的非小细胞肺癌(NSCLC)的预后生物标志物。

患者与方法

我们从 109 名患者中获得了术前血清,并测量了血清中肝细胞生长因子(HGF)、白细胞介素-6(IL-6)和烟酰胺 N-甲基转移酶(NNMT)的水平。

结果

HGF 和 IL-6 的中位数含量分别为 860pg/ml 和 2.7pg/ml。生存曲线分析表明,HGF 或 IL-6 水平高于中位数与总体生存不良相关(HGF,p=0.019;IL-6,p=0.002)。此外,我们单独分析了 III 期肺癌。较高的 HGF 和 IL-6 水平与总体生存不良相关(HGF,p=0.016;IL-6,p=0.013)。这些细胞因子含量并未显著影响无病生存率。肿瘤状态(pT 因素)和淋巴结状态(pN 因素)与 III 期患者的生存无关。

结论

血清中 HGF 和 IL-6 的水平可能是接受手术和化疗的 III 期 NSCLC 患者生存的有用预后指标。

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