Saigusa Susumu, Tanaka Koji, Inoue Yasuhiro, Toiyama Yuji, Okugawa Yoshinaga, Iwata Takashi, Mohri Yasuhiko, Kusunoki Masato
Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.
Int Surg. 2014 May-Jun;99(3):223-9. doi: 10.9738/INTSURG-D-13-00259.1.
Interleukin-13 (IL-13) is an immunosuppressive cytokine produced by several immune cells and cancer cells. The aim of this retrospective study was to determine if serum IL-13 levels have an association with clinical outcome in patients with colorectal cancer. A total of 241 patients with colorectal cancer were enrolled in the present study. Preoperative serum IL-13 concentrations were measured by enzyme-linked immunosorbent assay. We analyzed the association of serum IL-13 levels with clinicopathological variables. Patients with lymph node metastasis, lymphatic invasion, vascular invasion, distant metastases or advanced stage of disease had significantly lower serum IL-13 levels. Low serum IL-13 was significantly associated with both poor recurrence-free and overall survival. Multivariate analysis showed that low IL-13 levels were an independent predictive marker for poor prognosis. In conclusion, our data suggest that low serum IL-13 levels may be a useful predictive marker for poor prognosis in colorectal cancer.
白细胞介素-13(IL-13)是一种由多种免疫细胞和癌细胞产生的免疫抑制细胞因子。这项回顾性研究的目的是确定血清IL-13水平与结直肠癌患者临床结局之间是否存在关联。本研究共纳入241例结直肠癌患者。采用酶联免疫吸附测定法检测术前血清IL-13浓度。我们分析了血清IL-13水平与临床病理变量之间的关联。有淋巴结转移、淋巴管浸润、血管浸润、远处转移或疾病晚期的患者血清IL-13水平显著较低。低血清IL-13与无复发生存期和总生存期较差均显著相关。多因素分析表明,低IL-13水平是预后不良的独立预测指标。总之,我们的数据表明,低血清IL-13水平可能是结直肠癌预后不良的有用预测指标。