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Pretreatment serum levels of hematopoietic cytokines in patients with colorectal adenomas and cancer

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background and aim

Hematopoietic cytokines (HCs) regulate the proliferation and differentiation of hematopoietic progenitor cells, and it was proved that HCs can promote cancer growth. The aim of this study is to determine whether HCs might be useful in the diagnosis of colorectal cancer.

Materials and methods

We compared the serum levels of stem cell factor (SCF), interleukin 3 (IL-3), granulocyte–macrophage colony-stimulating factor (GM-CSF), and macrophage colony-stimulating factor (M-CSF) in 97 colorectal cancer patients with those in 35 patients with colorectal adenomas and 65 healthy subjects (control group). Additionally, we investigated commonly accepted tumor markers, such as carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA 19-9). HCs were determined using enzyme linked immunosorbent assay (ELISA). CEA and CA 19-9 were measured by microparticle enzyme immunoassay.

Results

Serum levels of GM-CSF, M-CSF, and tumor markers were significantly higher in cancer patients as compared to the control group and adenomas patients. Of these, hematopoietic cytokines were found elevated in the higher proportion of patients than CEA and CA 19-9. The sensitivity of SCF was higher than the sensitivity of other cytokines, but diagnostic specificity and predictive value were highest for M-CSF. Moreover, the M-CSF area under the receiver operating characteristic curve was larger than the areas of other cytokines. The highest values of diagnostic parameters were observed for the combined use of M-CSF with CEA.

Conclusion

The obtained data support the M-CSF usefulness as a tumor marker for colorectal cancer, especially in combination with CEA.

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Acknowledgement

This work was supported by the State Committee for Scientific Research (KBN) (grant 3 PO5B 02325).

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Authors and Affiliations

  1. Department of Biochemical Diagnostics, Medical University of Bialystok, M. Skłodowska-Curie 24A, 15-276, Biaystok, Poland

    Barbara Mroczko & Maciej Szmitkowski

  2. Department of Gastroenterology, Medical University of Bialystok, Bialystok, Poland

    Urszula Wereszczyńska-Siemiątkowska

  3. Second Department of General Surgery, Medical University of Bialystok, Bialystok, Poland

    Bogna Okulczyk & Bogusław Kędra

Authors
  1. Barbara Mroczko
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  2. Maciej Szmitkowski
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  3. Urszula Wereszczyńska-Siemiątkowska
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  4. Bogna Okulczyk
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  5. Bogusław Kędra
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Corresponding author

Correspondence to Maciej Szmitkowski.

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Mroczko, B., Szmitkowski, M., Wereszczyńska-Siemiątkowska, U. et al. Pretreatment serum levels of hematopoietic cytokines in patients with colorectal adenomas and cancer. Int J Colorectal Dis 22, 33–38 (2007). https://doi.org/10.1007/s00384-006-0099-4

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  • DOI: https://doi.org/10.1007/s00384-006-0099-4

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