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白细胞介素-6在肺癌、口腔癌、食管癌和胆囊癌诊断中的临床意义。

Clinical significance of interleukin-6 in diagnosis of lung, oral, esophageal, and gall bladder carcinomas.

作者信息

Vinocha Anjali, Grover Rajesh K, Deepak Rani

机构信息

Department of Lab Medicine, Delhi State Cancer Institute, New Delhi, India.

出版信息

J Cancer Res Ther. 2018 Sep;14(Supplement):S758-S760. doi: 10.4103/0973-1482.183217.

Abstract

INTRODUCTION

Chronic inflammation predisposes to cancer. Cytokines play an essential role in cancer pathogenesis. Interleukin-6 (IL-6) is a pleiotropic cytokine that enables growth and differentiation of tumors. The effects of IL-6 are mediated by signal transducers and activators of transcription 3 (STAT3). STAT3 deficiency reduced tumor incidence and growth while STAT3 hyperactivation has an opposite effect; also it negatively regulates p53 gene. IL-6/STAT3 signaling is crucial in carcinogenesis linked to inflammation. Increased IL-6 levels are observed in cancer. Studies investigating the role of IL-6 is limited.

AIM

This study aims at determining IL-6 levels in lung, oral, esophageal, and gallbladder cancer patients.

MATERIALS AND METHODS

Subjects consisted of 175 patients with lung, oral, gall bladder, and esophageal cancers. The patients included 68 females and 107 males with an average age of 52 years. Fifty healthy individuals served as controls. IL-6 was detected by electrochemiluminescent immunoassay principle.

RESULTS

IL-6 values were determined in 175 (21 lung, 55 oral, 17 esophageal and 82 gallbladder) cancer patients. Of these, 147/175 (18 lung, 43 oral, 13 esophageal and 73 gallbladder) cancer patients (84%) showed higher IL-6 levels as compared to control group (normal range: <7 pg/ml).

CONCLUSION

This indicates a significant correlation between IL-6 overexpression and cancer development, highlighting the significance of IL-6 in oral, lung, esophageal, and gallbladder carcinomas. IL-6 may be used as a tumor marker for cancer diagnosis. It may be a clinically significant predictor and may represent a target for cancer treatment. However, to definitely conclude this, further extensive studies would be required.

摘要

引言

慢性炎症易引发癌症。细胞因子在癌症发病机制中起关键作用。白细胞介素 - 6(IL - 6)是一种多效性细胞因子,可促进肿瘤生长和分化。IL - 6的作用由信号转导和转录激活因子3(STAT3)介导。STAT3缺陷可降低肿瘤发生率和生长速度,而STAT3过度激活则有相反作用;此外,它还对p53基因起负调控作用。IL - 6/STAT3信号传导在与炎症相关的致癌过程中至关重要。癌症患者体内IL - 6水平升高。关于IL - 6作用的研究有限。

目的

本研究旨在测定肺癌、口腔癌、食管癌和胆囊癌患者的IL - 6水平。

材料与方法

研究对象包括175例肺癌、口腔癌、胆囊癌和食管癌患者。患者包括68名女性和107名男性,平均年龄52岁。50名健康个体作为对照。采用电化学发光免疫分析原理检测IL - 6。

结果

对175例(21例肺癌、55例口腔癌、17例食管癌和82例胆囊癌)癌症患者测定了IL - 6值。其中,147/175例(18例肺癌、43例口腔癌、13例食管癌和73例胆囊癌)癌症患者(84%)IL - 6水平高于对照组(正常范围:<7 pg/ml)。

结论

这表明IL - 6过表达与癌症发展之间存在显著相关性,凸显了IL - 6在口腔癌、肺癌、食管癌和胆囊癌中的重要性。IL - 6可作为癌症诊断的肿瘤标志物。它可能是具有临床意义的预测指标,也可能代表癌症治疗的靶点。然而,要明确得出此结论,还需要进一步广泛研究。

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