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Circulating Inflammatory Mediators as Potential Prognostic Markers of Human Colorectal Cancer

Giuseppe Di Caro ; Michele Carvello ; Samantha Pesce ; Marco Erreni ; Federica Marchesi ; Jelena Todoric ; Matteo Sacchi ; Marco Montorsi ; Paola Allavena ; Antonino Spinelli

PLoS ONE, 01 January 2016, Vol.11(2), p.e0148186 [Rivista Peer Reviewed]

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  • Titolo:
    Circulating Inflammatory Mediators as Potential Prognostic Markers of Human Colorectal Cancer
  • Autore: Giuseppe Di Caro ; Michele Carvello ; Samantha Pesce ; Marco Erreni ; Federica Marchesi ; Jelena Todoric ; Matteo Sacchi ; Marco Montorsi ; Paola Allavena ; Antonino Spinelli
  • Note di contenuto: Background Cytokines and chemokines in the tumor microenvironment drive metastatic development and their serum levels might mirror the ongoing inflammatory reaction at the tumor site. Novel highly sensitive tools are needed to identify colorectal cancer patients at high risk of recurrence that should be more closely monitored during post-surgical follow up. Here we study whether circulating inflammatory markers might be used to predict recurrence in CRC patients. Methods Circulating levels of the inflammatory cytokines IL-1, IL-6, IL-10, TNFalpha, CCL2, CXCL8, VEGF and the acute phase protein Pentraxin-3 were measured by ELISA in preoperative serum samples prospectively collected from a cohort of sixty-nine patients undergoing surgical resection for stage 0-IV CRC and associated with post-operative disease recurrence. Results Cox multivariate analysis showed that combined high levels ([greater than or equal to]ROC cut off-value) of CXCL8, VEGF and Pentraxin3 were associated with increased risk of disease recurrence [HR: 14.28; 95%CI: (3.13-65.1)] independently of TNM staging. Kaplan-Meier analysis showed that CXCL8, VEGF and Pentraxin3 levels were significantly associated with worse survival (P0.001). Conclusions Circulating inflammatory mediators efficiently predicted postoperative recurrence after CRC surgery. Therefore, this study suggest that their validation in large-scale clinical trials may help in tailoring CRC post-surgical management.
  • Fa parte di: PLoS ONE, 01 January 2016, Vol.11(2), p.e0148186
  • Soggetti: Sciences (General)
  • Lingua: Inglese
  • Tipo: Articolo
  • Identificativo: E-ISSN: 1932-6203 ; DOI: 10.1371/journal.pone.0148186

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