Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China.
Medical Research Center and Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.
Dis Markers. 2021 Feb 12;2021:8867368. doi: 10.1155/2021/8867368. eCollection 2021.
The present study is aimed at examining the serum levels of brain-derived neurotrophic factor (BDNF) and investigating its role in differential diagnosis of colorectal cancer (CRC). . In a Chinese population, we conducted a case-control study to compare the diagnostic performance of serum levels of BDNF and carcinoembryonic antigen (CEA) for CRC. We enrolled 61 healthy controls, 31 patients with adenomas, and 81 patients with CRC. We explored the correlation between serum levels of BDNF and several pathological features, such as tumor differentiation and TNM staging. . The serum levels of BDNF were significantly ( < 0.0001) higher in patients with CRC (10.64 ± 3.84, = 81) than in the healthy controls (4.69 ± 1.69 ng/mL, = 61). Serum BDNF also correlated with tumor size, tumor differentiation, and TNM staging ( < 0.05). For early diagnosis, the combination of BDNF (AUC 0.719; 95% CI, 0.621-0.816) and CEA (AUC 0.733; 95% CI, 0.632-0.909) slightly improved the diagnostic performance for CRC (AUC 0.823; 95% CI, 0.737-0.909). . Combined detection of serum BDNF and CEA may thus have the potential to become a new laboratory method for the early clinical diagnosis of CRC.
本研究旨在检测脑源性神经营养因子(BDNF)的血清水平,并探讨其在结直肠癌(CRC)鉴别诊断中的作用。我们在中国人群中进行了一项病例对照研究,比较了血清 BDNF 和癌胚抗原(CEA)对 CRC 的诊断性能。我们纳入了 61 名健康对照者、31 名腺瘤患者和 81 名 CRC 患者。我们探讨了血清 BDNF 水平与肿瘤分化和 TNM 分期等几种病理特征之间的相关性。CRC 患者的血清 BDNF 水平明显高于健康对照组( < 0.0001)(10.64 ± 3.84, = 81)和(4.69 ± 1.69 ng/mL, = 61)。血清 BDNF 还与肿瘤大小、肿瘤分化和 TNM 分期相关( < 0.05)。为了进行早期诊断,BDNF(AUC 0.719;95%CI,0.621-0.816)和 CEA(AUC 0.733;95%CI,0.632-0.909)的联合检测略微提高了 CRC(AUC 0.823;95%CI,0.737-0.909)的诊断性能。因此,联合检测血清 BDNF 和 CEA 可能成为 CRC 早期临床诊断的新实验室方法。