Progressive Increase of Matrix Metalloprotease-9 and Interleukin-8 Serum Levels during Carcinogenic Process in Human Colorectal Tract 英文参考文献.docVIP
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Progressive Increase of Matrix Metalloprotease-9 and Interleukin-8 Serum Levels during Carcinogenic Process in Human Colorectal Tract 英文参考文献
ProgressiveIncreaseofMatrixMetalloprotease-9and
Interleukin-8SerumLevelsduringCarcinogenicProcess
inHumanColorectalTract
FiorellaBiasi1,TinaGuina1,MarcoMaina1,MarioNano1,AlessandroFalcone1,EmilianoAroasio2,
GiorgioMariaSaracco1,MauroPapotti1,GabriellaLeonarduzzi1,GiuseppePoli1*
1DepartmentofClinicalandBiologicalSciences,UniversityofTurin,SanLuigiGonzagaHospital,Orbassano(Turin),Italy,2ClinicalBiochemistryLaboratory,SanLuigi
GonzagaHospital,Orbassano(Turin),Italy
Abstract
Background: Inflammatory reactions, known to promote tumor growth and invasion, have been found associated with
colorectalcarcinoma(CRC).Macrophagesarethechiefcomponentoftheinflammatoryinfiltrationthatoccursearlyinthe
progression from non-invasive to malignant tumor, with a switch from the pro-inflammatory phenotype to the tumor-
promoting phenotype. Tumor and stromaare additional sources of inflammation-related molecules. The study aimed to
evaluate,duringcolorectalcarcinogenesisfrombenigntomalignantphases:i)thetrendofserumlevelsofIL-8,IL-6,TGFb1,
VEGFandMMPs;ii)theparalleltrendofCRPserumlevels;iii)derangementoftheprincipalTGFb1receptors(TGFb1RI/RII)in
tumortissues.
Methodology/Principal findings: 96 patients with colon adenomas or CRC at different stages of progression, and 17
controls,wererecruited.SerumIL-8,IL-6,TGFb1,VEGF,MMPsandCRPlevelswereanalyzedbeforeendoscopyorsurgery.
TGFb1receptorswereevaluatedinadenomabiopsiesandsurgically-removedcolorectaladenocarcinomas.Serumlevelsof
IL-8inadenocarcinomapatientswereincreasedfromstageII,whenalsotheenzymaticactivityofMMP-9increased.Ofnote,
theincreasingtrendofthetwoserummarkerswasfoundsignificantlycorrelated.TrendofserumCRPwasalsoverysimilar
tothatofIL-8andMMP-9,butjustbelowstatisticalsignificance.TGFb1levelswereloweratstageIIICRC,whileIL-6and
VEGF levels had no significant variations. In tissue specimens, TGFb1 receptors were already absent in about 50% of
adenomas,andthispercentageofmissingreceptorsmarkedlyincreasedinCRCstagesIIIandIV.
Conclusions:
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