Fattahi Mohammad Javad, Sedaghat Fatemeh, Haghshenas Mohammad Reza, Ariafar Ali, Shiravani Zahra, Malekzadeh Mahyar, Madani Shima
Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Urology-Oncology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Caspian J Intern Med. 2024 Aug 30;15(4):636-643. doi: 10.22088/cjim.15.4.636. eCollection 2024 Fall.
Bladder cancer is one of the most common cancers in the world and is associated with high treatment costs and mortality. The role of different enzymes and molecules in this cancer has been the subject of extensive research in recent years. Among these, the role of metabolic enzymes such as FASN and LDH has been studied less than others. Therefore, the present study was designed to investigate the role of FASN and LDH in bladder cancer patients.
One hundred cases diagnosed with bladder cancer and 50 sex-age- matched healthy individuals as control were examined. FASN and LDH serum levels in both patients and controls were determined by human-specific sandwich ELISA kits.
Serum levels of FASN and LDH elevated in bladder cancer patients in comparison to healthy individuals (P= 0.03, P= 0.01, respectively). We also found that than higher stages of bladder cancer (III-IV) had higher serum levels of LDH and FASN compared to early stages (I-II) (P= 0.007 and P= 0.006, respectively). Moreover, there was a statistically significant association between smoking history and serum FASN levels in bladder cancer patients (P=0.015). However, there were no remarkable associations between the serum levels of LDH and FASN with other clinicopathological features including sex, age, tumor grade, and tumor size.
The data indicate that LDH and FASN may be good and useful biomarkers in the diagnosis and clinical management of bladder cancer. However, further studies are needed.
膀胱癌是世界上最常见的癌症之一,与高昂的治疗成本和死亡率相关。近年来,不同酶和分子在这种癌症中的作用一直是广泛研究的主题。其中,脂肪酸合酶(FASN)和乳酸脱氢酶(LDH)等代谢酶的作用研究相对较少。因此,本研究旨在探讨FASN和LDH在膀胱癌患者中的作用。
对100例诊断为膀胱癌的患者和50例年龄、性别匹配的健康个体作为对照进行检查。采用人特异性夹心酶联免疫吸附测定(ELISA)试剂盒测定患者和对照组的FASN和LDH血清水平。
与健康个体相比,膀胱癌患者的FASN和LDH血清水平升高(P分别为0.03和0.01)。我们还发现,与早期(I-II期)相比,膀胱癌较高分期(III-IV期)的LDH和FASN血清水平更高(P分别为0.007和0.006)。此外,膀胱癌患者的吸烟史与血清FASN水平之间存在统计学显著关联(P = 0.015)。然而,LDH和FASN的血清水平与其他临床病理特征(包括性别、年龄、肿瘤分级和肿瘤大小)之间没有显著关联。
数据表明,LDH和FASN可能是膀胱癌诊断和临床管理中良好且有用的生物标志物。然而,还需要进一步研究。