结直肠癌组织和血清生长分化因子15与宿主因子的直接三角比较。

IF 3.6 3区 医学 Q2 ONCOLOGY
American journal of cancer research Pub Date : 2025-03-15 eCollection Date: 2025-01-01 DOI:10.62347/WTCF3616
Shinji Yamashita, Yoshinaga Okugawa, Koki Higashi, Yuki Sato, Takashi Ichikawa, Ryo Uratani, Takahito Kitajima, Tadanobu Shimura, Hiroki Imaoka, Mikio Kawamura, Yuhki Koike, Hiromi Yasuda, Shigeyuki Yoshiyama, Yoshiki Okita, Masaki Ohi, Yuji Toiyama
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引用次数: 0

摘要

生长分化因子15 (GDF-15)是结直肠癌(CRC)的潜在生物标志物,与肌肉减少症和恶病质相关。然而,其在结直肠癌中的临床意义尚不清楚。我们通过将组织和术前血清GDF-15水平与宿主因子进行独特的三角比较,研究了GDF-15在结直肠癌患者中的临床意义。我们评估了214例结直肠癌患者的428份组织和214份血清样本。我们测量了组织和血清中GDF-15的水平,并评估了它们与肿瘤预后和宿主因素的关系。虽然癌组织GDF-15水平与临床病理因素或生存率无显著相关性,但术前血清GDF-15水平与疾病进展指标(如T分期晚期、病理分期晚期)显著相关。术前血清GDF-15水平高与无病生存期和总生存期差相关,是无病生存期和总生存期的独立预后因素。术前血清GDF-15水平与宿主因素(包括体重指数、腰肌质量指数、肌内脂肪组织含量和c反应蛋白)之间存在显著相关性。综上所述,术前血清GDF-15反映机体成分、炎症等宿主因素,是CRC患者肿瘤管理的有用指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Direct triangular comparison of tissue and serum growth differentiation factor 15 with host factors in colorectal cancer.

Growth differentiation factor 15 (GDF-15) is a potential biomarker for colorectal cancer (CRC) and is associated with sarcopenia and cachexia. However, its clinical significance in CRC remains unclear. We investigated the clinical significance of GDF-15 in CRC patients by a unique triangular comparison of tissue and preoperative serum GDF-15 levels with host factors. We evaluated 428 tissue and 214 serum samples from 214 CRC patients. We measured tissue and serum levels of GDF-15 and assessed their association with oncological outcomes and host factors. While cancer tissue GDF-15 levels showed no significant associations with clinicopathological factors or survival, preoperative serum GDF-15 levels were significantly correlated with indicators of disease progression, such as advanced T stage and advanced pathological stage. High preoperative serum GDF-15 level was associated with poor disease-free survival and overall survival and was an independent prognostic factor for disease-free survival and overall survival. Significant correlations were observed between preoperative serum GDF-15 levels and host factors, including body mass index, psoas muscle mass index, intramuscular adipose tissue content, and C-reactive protein. In conclusion, preoperative serum GDF-15 reflects host factors such as body composition and inflammation and is a useful marker for the oncological management of CRC patients.

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来源期刊
自引率
3.80%
发文量
263
期刊介绍: The American Journal of Cancer Research (AJCR) (ISSN 2156-6976), is an independent open access, online only journal to facilitate rapid dissemination of novel discoveries in basic science and treatment of cancer. It was founded by a group of scientists for cancer research and clinical academic oncologists from around the world, who are devoted to the promotion and advancement of our understanding of the cancer and its treatment. The scope of AJCR is intended to encompass that of multi-disciplinary researchers from any scientific discipline where the primary focus of the research is to increase and integrate knowledge about etiology and molecular mechanisms of carcinogenesis with the ultimate aim of advancing the cure and prevention of this increasingly devastating disease. To achieve these aims AJCR will publish review articles, original articles and new techniques in cancer research and therapy. It will also publish hypothesis, case reports and letter to the editor. Unlike most other open access online journals, AJCR will keep most of the traditional features of paper print that we are all familiar with, such as continuous volume, issue numbers, as well as continuous page numbers to retain our comfortable familiarity towards an academic journal.
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