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唾液分泌型免疫球蛋白A反应性:与同一组乳腺癌幸存者中皮质醇和α-淀粉酶模式的比较。

Salivary secretory immunoglobulin A reactivity: a comparison to cortisol and α-amylase patterns in the same breast cancer survivors.

作者信息

Lambert Maude, Couture-Lalande Marie-Ève, Brennan Kelly, Basic Aldin, Lebel Sophie, Bielajew Catherine

机构信息

University of Ottawa, Ottawa, Canada.

出版信息

Contemp Oncol (Pozn). 2018;22(3):191-201. doi: 10.5114/wo.2018.78946. Epub 2018 Sep 30.

Abstract

INTRODUCTION

One way to examine the extent to which the stress associated with a breast cancer experience (BC) impacts stress-related physiological mechanisms is to study the secretion patterns of associated biomarkers. Unlike cortisol and α-amylase (sAA), biomarkers of immune functioning such as secretory immunoglobulin A (SIgA) have rarely been examined in BC survivors.

AIM OF THE STUDY

This study had two principal aims: the first was to evaluate the basal secretion profiles of SIgA as well as its response to an acute stressor as a marker of immune health in BC survivors and women with no history of BC, and the second was to determine how SIgA stress-related patterns compare to published cortisol and sAA patterns in the same women.

RESULTS

Overall, the findings indicate that BC survivors exhibit a blunted cortisol reaction to an acute stressor, a generally elevated diurnal sAA concentration pattern, and normal SIgA profiles, compared to women with no history of cancer. This study serves as a foundation for future research to elucidate the relationships between BC experience variables, stress biomarkers, and health outcomes in BC survivors.

摘要

引言

研究与乳腺癌经历(BC)相关的压力对与压力相关的生理机制影响程度的一种方法是研究相关生物标志物的分泌模式。与皮质醇和α-淀粉酶(sAA)不同,免疫功能生物标志物如分泌型免疫球蛋白A(SIgA)在乳腺癌幸存者中很少被研究。

研究目的

本研究有两个主要目的:一是评估SIgA的基础分泌情况及其对急性应激源的反应,以此作为乳腺癌幸存者和无乳腺癌病史女性免疫健康的标志物;二是确定在同一女性中,SIgA与压力相关的模式与已发表的皮质醇和sAA模式相比如何。

结果

总体而言,研究结果表明,与无癌症病史的女性相比,乳腺癌幸存者对急性应激源的皮质醇反应减弱,日间sAA浓度模式普遍升高,而SIgA水平正常。本研究为未来阐明乳腺癌经历变量、压力生物标志物和乳腺癌幸存者健康结果之间的关系奠定了基础。

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