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血清细胞因子和细胞黏附分子在结直肠癌无创诊断中的作用。

A role for serum cytokines and cell adhesion molecules in the non-invasive diagnosis of colorectal cancer.

作者信息

Farc Ovidiu, Berindan-Neagoe Ioana, Zaharie Florin, Budisan Liviuta, Zanoaga Oana, Cristea Victor

机构信息

Department of Immunology, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Research Center for Functional Genomics, Biomedicine and Translational Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.

出版信息

Oncol Lett. 2022 Jul 26;24(3):323. doi: 10.3892/ol.2022.13443. eCollection 2022 Sep.

Abstract

Colorectal cancer (CRC) remains a major cause of cancer-related mortality. Consequently, new diagnostic and therapeutic approaches are being investigated including the serum levels of cytokines and other molecules, although the results are often inconclusive. Thus, the present study aimed to determine whether serum level of cytokines, cell adhesion molecules or matrix metalloproteinases (MMPs), alone or in combination, may contribute to the non-invasive diagnosis of CRC. The serum levels of nine cytokines [ILs; IL-1β, IL-4, IL-6, IL-8, IL-10, IL-17, IL-22 and IL-33, and interferon (IFN)-γ], two cell adhesion molecules (intercellular adhesion molecule-1 and P-selectin) and an MMP-7 were measured by ELISA in 33 patients with CRC and 35 healthy controls. Combined capacity of all molecules to detect the presence of CRC was assessed by logistic regression. Molecules and molecule combinations were tested for all stages and tumor grades. A significant increase was identified for IL-8 in patients compared with healthy controls; IL-10 was found to be significantly decreased. The biomarker potential of each significantly modified molecule was tested: IL-8 had a sensitivity of 0.865, a specificity of 0.600 and an area under the curve (AUC) of 0.777; for IL-10, sensitivity was 0.65, specificity was 0.69, with an AUC of 0.689. Logistic regression determined the best discriminative potential between patients and control groups for the combination IL-4 + IL-6 + IL-8 + IFN-γ, with 0.97 sensitivity and 0.58 specificity. For the early stages of CRC, the combination IL-6 + IL-8 + IL-22 showed good performance. It was concluded that increased IL-8 had potential as single biomarker in CRC. Cytokine combinations are superior to single cytokine analysis in showing the presence of CRC.

摘要

结直肠癌(CRC)仍然是癌症相关死亡的主要原因。因此,人们正在研究新的诊断和治疗方法,包括细胞因子和其他分子的血清水平,尽管结果往往尚无定论。因此,本研究旨在确定细胞因子、细胞黏附分子或基质金属蛋白酶(MMPs)的血清水平单独或联合使用是否有助于CRC的非侵入性诊断。通过酶联免疫吸附测定法(ELISA)检测了33例CRC患者和35例健康对照者血清中9种细胞因子[白细胞介素(ILs);IL-1β、IL-4、IL-6、IL-8、IL-10、IL-17、IL-22和IL-33,以及干扰素(IFN)-γ]、2种细胞黏附分子(细胞间黏附分子-1和P-选择素)和一种MMP-7的水平。通过逻辑回归评估所有分子联合检测CRC存在的能力。对所有分期和肿瘤分级的分子及分子组合进行了测试。与健康对照者相比,患者的IL-8水平显著升高;IL-10水平显著降低。对每个显著改变的分子的生物标志物潜力进行了测试:IL-8的敏感性为0.865,特异性为0.600,曲线下面积(AUC)为0.777;IL-10的敏感性为0.65,特异性为0.69,AUC为0.689。逻辑回归确定IL-4 + IL-6 + IL-8 + IFN-γ组合在区分患者和对照组方面具有最佳潜力,敏感性为0.97,特异性为0.58。对于CRC的早期阶段,IL-6 + IL-8 + IL-22组合表现良好。得出的结论是,IL-8升高有潜力作为CRC的单一生物标志物。细胞因子组合在显示CRC存在方面优于单一细胞因子分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ada/9353784/cd449728ba70/ol-24-03-13443-g00.jpg

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