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Interleukin-6 and interleukin-8 serum levels in prognosis of hormone- dependent breast cancer

机译:白细胞介素-6和白细胞介素-8血清水平在激素依赖性乳腺癌的预后

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Background: Increasing amount of evidence points to the importance of immunity in breast cancer. The prognostic value of cytokines and their effect on tumorigenesis remains inconsistent. Aim: To investigate the prognostic significance of IL6 and IL8 and their association with ER and HER2 in estrogen-dependent (ER + ) breast cancer. Material and methods: The study included 79 premenopausal women with early and locally advanced ER+ breast cancer. All patients received adjuvant hormonal therapy: tamoxifen alone (56/79) or combination with LHRH agonist goserelin (23/79). IL6 and IL8 serum protein levels were measured by ELISA. Cox proportional hazards regression analysis was implemented for prognostic evaluation of the data categorized based on metastasis outcome. Results: IL6 associated with good (P = 0.001, HR = 0.05) and IL8 with poor disease outcome (P = 0.03, HR = 2.5) in the whole group of patients. Multivariate analyses highlighted IL6 as the independent prognostic factor (P = 0.001, HR = 0.0007). When patients were classified according to ER or HER2 status, IL6 did not have prognostic significance in ER~low and ER~hlgh subgroups, while IL8 retained prognostic significance only in the ER~high subgroup (P = 0.04, HR = 2.8). IL6 was significant in both HER2- (P = 0.001, HR = 0.05) and HER2 + subgroups (P = 0.002, HR = 0.04), while IL8 retained its prognostic significance only in the HER2 + subgroup (P = 0.001, HR = 77.8). Conclusions: This study contributes to the clarification of the prognostic performance of IL6 and IL8 by providing their first prognostic evaluation in the homogenized ER+ breast cancer patient group. IL6 was indicated as a marker of favorable, whereas IL8 was a marker of unfavorable disease outcome.
机译:背景:越来越多的证据表明乳腺癌免疫力的重要性。细胞因子的预后价值及其对肿瘤发生的影响仍然存在不一致。目的:探讨IL6和IL8的预后意义及其与ER和HER2在雌激素依赖性(ER +)乳腺癌中的关系。材料和方法:该研究包括79名患有早期和局部晚期ER +乳腺癌的前寄生妇女。所有患者均接受佐剂激素治疗:单独毒素(56/79)或与LHRH激动剂Goserelin组合(23/79)。通过ELISA测量IL6和IL8血清蛋白水平。基于转移结果分类的数据的预后评估实施了Cox比例危害回归分析。结果:IL6与良好(p = 0.001,hr = 0.05)和IL8相关的疾病结果差(p = 0.03,hr = 2.5)。多变量分析突出显示IL6作为独立预后因子(P = 0.001,HR = 0.0007)。当患者根据ER或HER2状态进行分类时,IL6在ER〜低和HLGH亚组中没有预后意义,而IL8仅在ER〜高亚组中保留了预后意义(P = 0.04,HR = 2.8)。 IL6在HER2-(P = 0.001,HR = 0.05)和HER2 +亚组中是显着的(p = 0.002,HR = 0.04),而IL8仅保留在HER2 +亚组中的预后意义(P = 0.001,HR = 77.8 )。结论:本研究通过在均质ER +乳腺癌患者组中提供其首次预后评价,有助于澄清IL6和IL8的预后性能。 IL6表示为有利的标志物,而IL8是不利疾病结果的标志物。

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