Ozmen Hilal Kiziltunc, Erdemci Burak, Askin Seda, Sezen Orhan
Departments of Radiation Oncology, Ataturk University School of Medicine, 25240, Erzurum, Turkey.
Departments of Medical Biochemistry, Ataturk University School of Medicine, Erzurum, Turkey.
Open Med (Wars). 2017 Jun 16;12:189-194. doi: 10.1515/med-2017-0028. eCollection 2017.
In this study, serum carnitine (CRNT) and adiponectin (APN) levels and the correlation of these parameters in patients with breast cancer before and after treatment with radiotherapy (RT) were determined.
Serum adiponectin and carnitine levels were assessed in 58 patients with breast carcinoma and 30 control subjects. Serum carnitine and APN levels were determined using a specific enzyme-linked immunosorbent assay.
While serum carnitine level was significantly lower in the patients with breast cancer after RT compared with the control group and before treatment (p=0.002 and p=0.019, respectively), serum APN level was significantly higher than in the control group and before treatment ( p=0.003 and p=0.027, respectively). Carnitine level showed a negative correlation with APN level in the patients after RT (r= -0.626, p= 0.001). There was no correlation between carnitine and APN levels in subjects of control group and before treatment. Also, neither carnitine nor APN levels demonstrated correlation other parameters.
Results suggest that increased serum adiponectin and decreased carnitine levels in breast cancer after RT than control group. Carnitine level showed a negative correlation with APN level in the patient with breast cancer after RT. While carnitine, HDL-C and total cholesterol levels are decreased, trygliceride and LDL-C levels are increased in patients than control group. In addition, serum APN concentration was inversely correlated with serum carnitine levels. Furthermore, increased serum APN level in breast cancer after RT might be associated with hypocarnitinemia.
在本研究中,测定了乳腺癌患者放疗(RT)前后血清肉碱(CRNT)和脂联素(APN)水平以及这些参数之间的相关性。
对58例乳腺癌患者和30例对照受试者的血清脂联素和肉碱水平进行评估。采用特异性酶联免疫吸附测定法测定血清肉碱和APN水平。
与对照组及放疗前相比,乳腺癌患者放疗后血清肉碱水平显著降低(分别为p = 0.002和p = 0.019),而血清APN水平显著高于对照组及放疗前(分别为p = 0.003和p = 0.027)。放疗后患者的肉碱水平与APN水平呈负相关(r = -0.626,p = 0.001)。对照组及放疗前受试者的肉碱和APN水平之间无相关性。此外,肉碱和APN水平与其他参数均无相关性。
结果表明,与对照组相比,乳腺癌患者放疗后血清脂联素升高而肉碱水平降低。放疗后乳腺癌患者的肉碱水平与APN水平呈负相关。与对照组相比,患者的肉碱、高密度脂蛋白胆固醇(HDL-C)和总胆固醇水平降低,而甘油三酯和低密度脂蛋白胆固醇(LDL-C)水平升高。此外,血清APN浓度与血清肉碱水平呈负相关。此外,放疗后乳腺癌患者血清APN水平升高可能与低肉碱血症有关。