Department of Pediatric Surgery and Urology, Medical University of Bialystok, Bialystok, Poland.
Department of Neurosurgery, Medical University of Bialystok, Bialystok, Poland.
Adv Med Sci. 2022 Sep;67(2):229-233. doi: 10.1016/j.advms.2022.04.002. Epub 2022 May 17.
Recent increase in incidence of meningiomas suggests the need to search for new risk factors. Leptin, a potentially pro-angiogenic and proliferative agent, could be a candidate for this role, as its expression correlates with body mass index (BMI). Because development of meningioma has also been linked to sex hormones, bisphenol A (BPA), a known xenoestrogen, can also be taken into consideration as a potential risk factor. The aim of this study was to determine plasma concentrations of both substances in patients with meningiomas and to match it to patients with gliomas - a group of brain tumors less hormone- and BMI-dependent.
MATERIALS & METHODS: Concentrations of BPA and leptin were measured in plasma of 24 patients with low grade meningioma and in 29 patients with glioma, using gas chromatography-mass spectrometry (GC-MS) and ELISA kits, respectively. The concentrations of both substances in patients with neoplasms were interpreted in relation to their concentration in healthy population, published in recent reports.
Free and conjugated BPA were present in both meningioma and glioma patients. Moreover, their concentrations far exceeded those reported in the healthy population. Nevertheless, the level of leptin revealed to be significantly higher in meningioma patients than in glioma patients.
Occurrence of both meningioma and glioma may be accompanied by increased concentrations of leptin and BPA. Further large-scale studies are needed to clarify whether the presence of both substances may play a role in pathogenesis or influence clinical course in patients with brain neoplasms.
脑膜瘤发病率的近期增加表明有必要寻找新的危险因素。瘦素是一种潜在的促血管生成和增殖剂,可能是这种作用的候选者,因为它的表达与体重指数(BMI)相关。由于脑膜瘤的发展也与性激素有关,双酚 A(BPA)作为一种已知的外源性雌激素,也可以被视为一种潜在的危险因素。本研究的目的是确定脑膜瘤患者和胶质瘤患者(一组较少依赖于激素和 BMI 的脑肿瘤患者)的血浆中这两种物质的浓度,并将其与之匹配。
使用气相色谱-质谱联用(GC-MS)和酶联免疫吸附测定(ELISA)试剂盒分别测量 24 例低级别脑膜瘤患者和 29 例胶质瘤患者血浆中的 BPA 和瘦素浓度。将两种物质在肿瘤患者中的浓度与最近报道的健康人群中的浓度进行比较。
游离和结合的 BPA 均存在于脑膜瘤和胶质瘤患者中。而且,它们的浓度远远超过了健康人群中的报道浓度。然而,瘦素水平在脑膜瘤患者中明显高于胶质瘤患者。
脑膜瘤和胶质瘤的发生可能伴随着瘦素和 BPA 浓度的升高。需要进一步的大规模研究来阐明这两种物质的存在是否可能在发病机制中发挥作用,或影响脑肿瘤患者的临床病程。