Tian Qi, Zeng Hui, Lu Qi-Quan, Xie Hai-Ying, Li Yong
Clinical Laboratory, Hanyang Hospital Affiliated to Wuhan University of Science and Technology/Wuhan Hanyang Hospital, Wuhan 430050, Hubei Province, China.
Clinical Laboratory, Wuhan Seventh Hospital, Wuhan 430071, Hubei Province, China.
World J Gastrointest Surg. 2024 Sep 27;16(9):2934-2941. doi: 10.4240/wjgs.v16.i9.2934.
Despite significant advancements in the medical treatment of primary hepatocellular carcinoma (PHC) in recent years, enhancing therapeutic effects and improving prognosis remain substantial challenges worldwide.
To investigate the expression levels of serum vascular endothelial growth factor (VEGF) and interleukin (IL)-17 in patients with PHC and evaluate their diagnostic value while exploring their relationship with patients' clinical characteristics.
The study included 50 patients with confirmed PHC who visited Wuhan Hanyang Hospital from January 2021 to January 2022, and 50 healthy individuals from the same period served as the control group. Serum VEGF and IL-17 levels in both groups were measured by Enzyme-Linked Immunosorbent Assay, and their diagnostic value was assessed using receiver operating characteristic (ROC) curves. Pearson correlation analysis was performed to examine the relationship between serum VEGF and IL-17 levels. Pathological data of the PHC patients were analyzed to determine the relationship between serum VEGF and IL-17 levels and pathological characteristics.
Serum VEGF and IL-17 levels were significantly higher in the study group compared to the control group ( < 0.05). No significant association was observed between serum VEGF and IL-17 levels and gender, age, combined cirrhosis, tumor diameter, or degree of differentiation ( > 0.05). However, there was a significant relationship between clinical TNM stage, tumor metastasis, and serum VEGF and IL-17 levels ( < 0.05). Correlation analysis revealed a positive correlation between serum VEGF and IL-17 ( < 0.05). ROC analysis demonstrated that both serum VEGF and IL-17 had good diagnostic efficacy for PHC.
Serum VEGF and IL-17 levels were significantly higher in PHC patients compared to healthy individuals. Their levels were closely related to pathological features such as tumor metastasis and clinical TNM stage, and there was a significant positive correlation between VEGF and IL-17. These biomarkers may serve as valuable reference indicators for the early diagnosis and treatment guidance of PHC.
尽管近年来原发性肝细胞癌(PHC)的医学治疗取得了显著进展,但在全球范围内,提高治疗效果和改善预后仍然是重大挑战。
探讨PHC患者血清血管内皮生长因子(VEGF)和白细胞介素(IL)-17的表达水平,评估其诊断价值,并探索它们与患者临床特征的关系。
该研究纳入了2021年1月至2022年1月期间到武汉汉阳医院就诊的50例确诊为PHC的患者,同期50名健康个体作为对照组。采用酶联免疫吸附测定法检测两组血清VEGF和IL-17水平,并使用受试者工作特征(ROC)曲线评估其诊断价值。进行Pearson相关性分析以检验血清VEGF和IL-17水平之间的关系。分析PHC患者的病理数据,以确定血清VEGF和IL-17水平与病理特征之间的关系。
研究组血清VEGF和IL-17水平明显高于对照组(<0.05)。血清VEGF和IL-17水平与性别、年龄、合并肝硬化、肿瘤直径或分化程度之间未观察到显著关联(>0.05)。然而,临床TNM分期、肿瘤转移与血清VEGF和IL-17水平之间存在显著关系(<0.05)。相关性分析显示血清VEGF和IL-17之间呈正相关(<0.05)。ROC分析表明,血清VEGF和IL-17对PHC均具有良好的诊断效能。
与健康个体相比,PHC患者血清VEGF和IL-17水平明显更高。它们的水平与肿瘤转移和临床TNM分期等病理特征密切相关,且VEGF与IL-17之间存在显著正相关。这些生物标志物可能作为PHC早期诊断和治疗指导的有价值参考指标。