Sotirović J, Perić A, Vojvodić D, Baletić N, Zaletel I, Stanojević I, Erdoglija M, Milojević M
Department of Otorhinolaryngology,Military Medical Academy,Belgrade,Serbia.
Institute for Medical Research, Military Medical Academy,Belgrade,Serbia.
J Laryngol Otol. 2017 May;131(5):455-461. doi: 10.1017/S0022215117000573. Epub 2017 Mar 15.
This study aimed to evaluate serum cytokine concentrations in healthy individuals and laryngeal squamous cell carcinoma patients.
A total of 59 laryngeal squamous cell carcinoma patients and 44 healthy controls were included. Multiplex analysis of interleukins 2, 4, 5, 6, 10, 12, 13 and 17 and interferon-gamma with respect to the presence of laryngeal carcinoma, tumour-node-metastasis T stage, nodal involvement and larynx subsite was performed.
Statistical analysis revealed no difference in serum cytokine levels between patients and healthy controls. The serum interleukin-12 concentration was significantly higher in patients with early (T1-2) than in those with late (T3-4) stage disease and without nodal involvement (p < 0.05). Serum interleukin-10 levels were significantly higher in T3-4 stage than in T1-2 stage patients (p < 0.05). Additionally, serum interleukin 10, 12 and 13 concentrations (p < 0.05) and interleukin-6 concentration (p < 0.01) were significantly higher in patients with T1-2 stage supraglottic vs glottic tumours.
Serum cytokines level cannot be used as laryngeal squamous cell carcinoma markers. Progression from T1-2 to T3-4 stage is followed by decreased serum interleukin-12 levels and increased interleukin-10 levels. Nodal involvement is associated with lower serum interleukin-12 levels. In patients with early stage tumours, serum interleukin 6, 10, 12 and 13 concentrations are significantly higher in those with supraglottic vs glottic tumours.
本研究旨在评估健康个体和喉鳞状细胞癌患者的血清细胞因子浓度。
共纳入59例喉鳞状细胞癌患者和44例健康对照。针对喉癌的存在、肿瘤-淋巴结-转移(TNM)分期、淋巴结受累情况及喉亚部位,对白细胞介素2、4、5、6、10、12、13和17以及干扰素-γ进行多重分析。
统计分析显示,患者与健康对照之间的血清细胞因子水平无差异。早期(T1-2)患者血清白细胞介素-12浓度显著高于晚期(T3-4)且无淋巴结受累的患者(p<0.05)。T3-4期患者血清白细胞介素-10水平显著高于T1-2期患者(p<0.05)。此外,T1-2期声门上型肿瘤患者的血清白细胞介素10、12和13浓度(p<0.05)以及白细胞介素-6浓度(p<0.01)显著高于声门型肿瘤患者。
血清细胞因子水平不能用作喉鳞状细胞癌的标志物。从T1-2期进展到T3-4期后,血清白细胞介素-12水平降低,白细胞介素-10水平升高。淋巴结受累与血清白细胞介素-12水平降低有关。在早期肿瘤患者中,声门上型肿瘤患者的血清白细胞介素6、10、12和13浓度显著高于声门型肿瘤患者。