Arduino Paolo G, Menegatti Elisa, Cappello Nazario, Martina Eugenio, Gardino Nicolò, Tanteri Carlotta, Cavallo Franco, Scully Crispian, Broccoletti Roberto
1 Department of Surgical Sciences, University of Turin, Turin - Italy.
Int J Biol Markers. 2015 May 26;30(2):e262-6. doi: 10.5301/jbm.5000142.
Salivary and serum levels of interleukin-6 (IL-6) and interleukin-8 (IL-8) have previously been studied in oral cancer with conflicting results.
We designed a controlled study to assess the correlation between pretreatment salivary and serum levels of IL-6 and IL-8, and all-cause survival and cancer recurrence in oral cancer patients.
Fifty-two oral cancer patients and 52 healthy control cases were selected. In univariate analysis, salivary IL-6 and IL-8 seemed to be more expressed in cases (p<0.001 and p = 0.010, respectively). Multivariate analysis showed that higher pretreatment saliva IL-6 levels were significantly associated with better survival (hazard ratio [HR] = 8.62; 95% confidence interval [95% CI], 1.21-62.50; p = 0.031).
To date, this is the largest prospective controlled study that has analyzed the pretreatment salivary and serum levels of IL-6 and IL-8 in oral cancer patients, suggesting salivary IL-6 as a possible prognostic biomarker. But further validation in a larger sample is still necessary.
此前对口腔癌患者唾液和血清中白细胞介素-6(IL-6)及白细胞介素-8(IL-8)水平进行了研究,但结果相互矛盾。
我们设计了一项对照研究,以评估口腔癌患者治疗前唾液和血清中IL-6及IL-8水平与全因生存率及癌症复发之间的相关性。
选取了52例口腔癌患者和52例健康对照者。单因素分析显示,病例组中唾液IL-6和IL-8表达似乎更高(分别为p<0.001和p = 0.010)。多因素分析表明,治疗前唾液IL-6水平较高与更好的生存率显著相关(风险比[HR]=8.62;95%置信区间[95%CI],1.21 - 62.50;p = 0.031)。
迄今为止,这是分析口腔癌患者治疗前唾液和血清中IL-6及IL-8水平的最大规模前瞻性对照研究,提示唾液IL-6可能是一种预后生物标志物。但仍需在更大样本中进行进一步验证。