Kadri Colakoglu M, Bostanci E B, Ozdemir Y, Dalgic T, Aksoy E, Ozer I, Ozogul Y, Oter V
Bratisl Lek Listy. 2017;118(7):394-398. doi: 10.4149/BLL_2017_077.
Obesity is one of the most serious public health problem worldwide. Adipose tissue synthetize and secrete many growth factors and several cytokines known as adipokines. Studies demonstrated changes in the levels of these adipokines in many types of cancer associated with obesity. In this study, we aimed to evaluate the possible relationship between adiponectin and leptin levels with pancreas cancer and disease stage, representative of Turkish population.
The study was conducted between April 2012 - November 2013. Study included 46 patients - 46 control subjects, who had pancreatic carcinoma. Results between the patients and the control group and relationship between the disease stage and results were evaluated.
The comparison of preoperative adiponectin and leptin levels of the study group with the levels of the control group showed that there was no correlation with adiponectin and pancreas cancer. In contrast, leptin levels in the study group were significantly lower than in the control group. There was no correlation between the disease stage and adiponectin and leptin levels.
There was a significant correlation between low leptin levels and pancreatic cancer, while adiponectin had no correlation. Differential diagnosis of pancreas cancer can be made by evaluating low leptin levels with elevated tumor markers (Tab. 3, Ref. 17).
肥胖是全球最严重的公共卫生问题之一。脂肪组织合成并分泌多种生长因子以及几种被称为脂肪因子的细胞因子。研究表明,在许多与肥胖相关的癌症类型中,这些脂肪因子的水平会发生变化。在本研究中,我们旨在评估脂联素和瘦素水平与胰腺癌及疾病分期之间可能存在的关系,研究对象为土耳其人群。
本研究于2012年4月至2013年11月进行。研究纳入了46例胰腺癌患者和46例对照受试者。评估了患者与对照组之间的结果以及疾病分期与结果之间的关系。
将研究组术前脂联素和瘦素水平与对照组水平进行比较,结果显示脂联素与胰腺癌无相关性。相比之下,研究组的瘦素水平显著低于对照组。疾病分期与脂联素和瘦素水平之间无相关性。
低瘦素水平与胰腺癌之间存在显著相关性,而脂联素无相关性。通过评估低瘦素水平与升高的肿瘤标志物可对胰腺癌进行鉴别诊断(表3,参考文献17)。