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血清瘦素水平与乳腺癌。

SERUM LEPTIN LEVEL IN BREAST CANCER.

机构信息

Department of Orthopedics and Traumatology, Osijek University Hospital Center, Osijek, Croatia.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

出版信息

Acta Clin Croat. 2022 Mar;61(1):79-85. doi: 10.20471/acc.2022.61.01.10.

Abstract

Leptin is a polypeptide which is mostly produced in white fat tissue and is an important proinflammatory, proangiogenic, proinvasive and mitotic factor. There is ever more evidence suggesting the key role of leptin in the occurrence of breast cancer. The aim of the study was to investigate serum leptin levels in patients with benign breast tumors, as well as in various breast cancer phenotypes, taking into account leptin levels connected to menopausal status and body mass index (BMI). The study included 97 patients having their breast tumor surgically removed. Serum leptin level was determined by ELISA method in all study patients. Study results showed that significantly more women, regardless of having malignant or benign tumors, were postmenopausal and had a significantly higher level of leptin compared to the premenopausal group. The highest level of leptin was recorded in the group of postmenopausal obese women compared to other postmenopausal women but also compared to premenopausal women. According to BMI alone, obese women had a significantly higher level of leptin regardless of the type of tumor. The most significant differences in leptin levels observed through BMI were found in the Luminal B1 group. In conclusion, serum leptin level was shown to be a good diagnostic parameter suggesting a higher possibility of breast cancer development.

摘要

瘦素是一种主要在白色脂肪组织中产生的多肽,是一种重要的促炎、促血管生成、促侵袭和有丝分裂因子。越来越多的证据表明瘦素在乳腺癌的发生中起关键作用。本研究旨在探讨良性乳腺肿瘤患者以及各种乳腺癌表型患者的血清瘦素水平,并考虑与绝经状态和体重指数(BMI)相关的瘦素水平。该研究纳入了 97 名接受乳房肿瘤手术切除的患者。所有研究患者均采用 ELISA 法测定血清瘦素水平。研究结果表明,无论患有恶性肿瘤还是良性肿瘤,更多的女性处于绝经后状态,且绝经后组的瘦素水平显著高于绝经前组。与其他绝经后女性相比,绝经后肥胖女性的瘦素水平最高,与绝经前女性相比也是如此。仅根据 BMI 评估,无论肿瘤类型如何,肥胖女性的瘦素水平均显著升高。通过 BMI 观察到的瘦素水平的最大差异发生在 Luminal B1 组。总之,血清瘦素水平是一种很好的诊断参数,提示发生乳腺癌的可能性更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9199/9616027/07bf3206e231/acc-61-79-f1.jpg

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