Dharmajaya Ridha, Sari Dina Keumala
Department of Neurosurgery, Faculty of Medicine Universitas Sumatera Utara, Medan, Indonesia.
Department of Nutrition, Faculty of Medicine Universitas Sumatera Utara, Medan, Indonesia.
Ann Med Surg (Lond). 2021 Feb 2;63:102107. doi: 10.1016/j.amsu.2021.01.055. eCollection 2021 Mar.
Brain tumor is one of the most devastating diseases in the world. The Pathogenesis is vary in multiple aspect of mechanism. The tumor microenvironment contains many different noncancerous cell types in addition to cancer cells. Inflammation is thought to be one of the factors that influence the oncogenesis process in brain tumors.
This study is a case controlled analytical study that analyzes the relationship between levels of inflammatory markers with the type of brain tumor. Samples of 35 people were then categorized according to the variables above and analyzing to measure its significance.
Based on demografic study, most sample was male with age was 41-50 years It was found that high levels of procalcitonin were found in the case of glioma brain tumors. Procalcitonin level was considered a significant marker in predicting the severity of a brain tumor (p < 0.005). There was no significant value between the C-Reactive Protein and Neutrophyl-Lymphocyte ratio values for brain tumors.
Abnormal inflammation is a characteristic of malignant cancers and malignant transformation of low-grade gliomas and other brain tumor. Inflammation-induced activation of transcription factors contributes to the survival and rapid growth of glioma cells.
As in other malignant cancers, inflammation may contribute to tumor progression. Biomarkers based on inflammation, such as the classical example of Procalcitonin and C-reactive protein, have been used to assess prognosis of glioma patients. These results should be validated and extended in larger clinical studies.
脑肿瘤是世界上最具毁灭性的疾病之一。其发病机制在多个方面存在差异。肿瘤微环境除癌细胞外还包含许多不同类型的非癌细胞。炎症被认为是影响脑肿瘤发生过程的因素之一。
本研究是一项病例对照分析研究,分析炎症标志物水平与脑肿瘤类型之间的关系。然后根据上述变量对35人的样本进行分类并进行分析以衡量其显著性。
基于人口统计学研究,大多数样本为年龄在41 - 50岁的男性。发现在胶质瘤脑肿瘤病例中降钙素原水平较高。降钙素原水平被认为是预测脑肿瘤严重程度的一个重要标志物(p < 0.005)。脑肿瘤的C反应蛋白和中性粒细胞与淋巴细胞比值之间没有显著意义。
异常炎症是恶性肿瘤以及低级别胶质瘤和其他脑肿瘤恶性转化的一个特征。炎症诱导的转录因子激活有助于胶质瘤细胞的存活和快速生长。
与其他恶性肿瘤一样,炎症可能促进肿瘤进展。基于炎症的生物标志物,如降钙素原和C反应蛋白的经典例子,已被用于评估胶质瘤患者的预后。这些结果应在更大规模的临床研究中得到验证和扩展。