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Profiles of circulating inflammatory cytokines in colorectal cancer (CRC), high cancer risk conditions,and health are distinct. Possible implications for CRC screening and surveillance
Authors:Malgorzata Krzystek-Korpacka  Dorota Diakowska  Bartosz Kapturkiewicz  Marek Bębenek  Andrzej Gamian
Affiliation:1. Department of Medical Biochemistry, Wroclaw Medical University, Wroclaw, Poland;2. Department of Gastrointestinal and General Surgery, Wroclaw Medical University, Wroclaw, Poland;3. First Department of Oncological Surgery of Lower Silesian Oncology Center, Wroclaw, Poland;4. Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland
Abstract:Alternate colorectal cancer (CRC) screening and surveillance strategies are needed to pre-select candidates for invasive methods. We compared systemic inflammatory profiles in CRC (n = 99), health (n = 98), high CRC-risk conditions (n = 48) and overt inflammation (n = 69) by multiplexed analysis of IL-1β, IL-6, IL-8, FGF-2, G-CSF, GM-CSF, MCP-1, MIP-1α, TNF-α, VEGF-A, and PDGF-B and CEA. Cytokines corresponded with CRC advancement. FGF2, GM-CSF, IL-1β, IL-6, MIP-1α, PDGF-BB, TNF-α, and VEGF-A were higher than in controls already in stage I CRC with FGF2, IL1-β, and MIP-1α higher than in high CRC-risk individuals as well. Cytokine panels devised to differentiate early CRC from controls, adenomas, or inflammatory bowel disease patients (IBD) had good accuracy but only IBD panel had promising specificity at 95% sensitivity.
Keywords:Colorectal cancer   Biomarker   Multiplex   Cancer screening   Cytokines
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