C 反应蛋白作为子宫内膜癌的诊断和预后因素。
C-reactive protein as a diagnostic and prognostic factor of endometrial cancer.
机构信息
Department of Perinatology, Gynecology and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Łukasiewicza 1, 85-821, Bydgoszcz, Poland; Department of Obstetrics and Gynecology, St. Adalbert's Hospital in Gdańsk, Copernicus Healthcare Entity, Jana Pawła II 50, 80-462, Gdańsk, Poland.
Department of Pharmacology and Therapeutics, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, M. Curie 9, 85-090, Bydgoszcz, Poland.
出版信息
Crit Rev Oncol Hematol. 2021 Aug;164:103419. doi: 10.1016/j.critrevonc.2021.103419. Epub 2021 Jul 8.
Endometrial cancer (EC) is the sixth most commonly occurring cancer in women and its morbidity and mortality are continuously increasing. Considering experience with different types of cancers, C-reactive protein (CRP) appears to be a promising diagnostic and prognostic factor. Aiming to investigate its potential in view of EC authors of this paper reviewed databases for metanalysis, randomized controlled trials and review articles. Studies indicate CRP > 3.33 mg/l correlates with the EC incidence with HR = 2.29 (p < 0.05). Moreover, High-sensitivity CRP assay allows to detect CRP in very low concentrations and distinguish patients with endometriosis, soft tissue sarcomas and possibly EC. Perioperational CRP, as well as its changes are independent prognostic factors for EC. However, CRP-to-albumin ratio as well as Glasgow Prognostic Score (GPS) have greater prognostic value that CRP alone. Additionally, CRP is possibly a mediator of carcinogenesis and cancer progression through activation of inter alia FcgRs/MAPK/ERK, FcgRs/IL-6/AKT/STAT3 and FcgRs/NF-κB/NLRP3 pathways.
子宫内膜癌(EC)是女性第六大常见癌症,其发病率和死亡率持续上升。考虑到不同类型癌症的经验,C 反应蛋白(CRP)似乎是一种有前途的诊断和预后因素。本文作者旨在调查 CRP 在 EC 中的潜在作用,为此他们对荟萃分析、随机对照试验和综述文章的数据库进行了回顾。研究表明,CRP>3.33mg/l 与 EC 发病率相关,HR=2.29(p<0.05)。此外,高敏 CRP 检测法可以检测到非常低浓度的 CRP,并区分子宫内膜异位症、软组织肉瘤和可能的 EC 患者。围手术期 CRP 及其变化是 EC 的独立预后因素。然而,CRP 与白蛋白比值以及格拉斯哥预后评分(GPS)比单独 CRP 具有更大的预后价值。此外,CRP 可能通过激活 FcgRs/MAPK/ERK、FcgRs/IL-6/AKT/STAT3 和 FcgRs/NF-κB/NLRP3 等途径,作为癌症发生和癌症进展的介质。