Atul Ajith, Palanivelu Elamurugan Thirthar, Sudharsanan Sundaramurthi, Vijayakumar Chellappa, Shamanna Sreenath Gubbi, Balasubramaniyan Vairappan
Department of Surgery, Jawaharlal Institute of Postgraduation Medical Education and Research (JIPMER), Puducherry, India.
Department of Biochemistry, Jawaharlal Institute of Postgraduation Medical Education and Research (JIPMER), Puducherry, India.
Turk J Surg. 2024 Sep 30;40(3):212-218. doi: 10.47717/turkjsurg.2024.6421. eCollection 2024 Sep.
Gastric carcinoma is a leading cause of morbidity and mortality worldwide. Early detection can help reduce mortality rates. Biomarkers are being investigated globally for their potential in disease screening, monitoring, and follow-up in various cancers. However, currently, there is insufficient data on the role of biomarkers in gastric carcinoma.
This single center case control study was conducted from June 2018 to March 2021 from South India. Blood samples were collected from 85 patients diagnosed with gastric carcinoma and 85 apparently healthy individuals serving as the control group. The samples were collected in a fasting state. The serum levels of biomarkers interferon gamma (IFNγ), interleukin 10 (IL-10), and matrix metalloproteinase 7 (MMP7) were measured using enzyme-linked immunosorbent assay (ELISA) and compared between the two groups. Additionally, the levels of biomarkers were compared within the gastric cancer group based on disease location, stage, and histotype.
The serum levels of IFNγ and IL-10 were found to be significantly elevated in gastric carcinoma patients compared to the healthy control group. Both biomarkers exhibited high sensitivity and specificity in detecting carcinoma of the stomach. However, there was no significant difference in the serum level of MMP7 between gastric cancer patients and control group.
IFNγ and IL-10 show promise as potential molecular biomarkers for the detection of gastric carcinoma. Further, well designed studies, involving larger and more diverse populations matched for stage and histological types, are necessary to establish the screening and monitoring utility of these biomarkers in gastric carcinoma.
胃癌是全球发病和死亡的主要原因之一。早期检测有助于降低死亡率。全球正在研究生物标志物在各种癌症的疾病筛查、监测和随访中的潜力。然而,目前关于生物标志物在胃癌中的作用的数据不足。
本单中心病例对照研究于2018年6月至2021年3月在印度南部进行。从85例诊断为胃癌的患者和85例明显健康的个体(作为对照组)采集血样。样本在空腹状态下采集。使用酶联免疫吸附测定(ELISA)测量生物标志物干扰素γ(IFNγ)、白细胞介素10(IL-10)和基质金属蛋白酶7(MMP7)的血清水平,并在两组之间进行比较。此外,根据疾病部位、分期和组织学类型在胃癌组内比较生物标志物水平。
与健康对照组相比,发现胃癌患者的IFNγ和IL-10血清水平显著升高。两种生物标志物在检测胃癌方面均表现出高敏感性和特异性。然而,胃癌患者和对照组之间MMP7的血清水平没有显著差异。
IFNγ和IL-10有望成为检测胃癌的潜在分子生物标志物。此外,需要设计更完善的研究,纳入更大规模、更多样化且在分期和组织学类型上匹配的人群,以确定这些生物标志物在胃癌筛查和监测中的效用。