PMID- 15162825 OWN - NLM STAT- MEDLINE DCOM- 20041007 LR - 20191210 IS - 1341-9625 (Print) IS - 1341-9625 (Linking) VI - 9 IP - 1 DP - 2004 Feb TI - Impact of serum interleukin-18 level as a prognostic indicator in patients with epithelial ovarian carcinoma. PG - 42-6 AB - BACKGROUND: Interleukin-18 (IL-18), a cytokine produced by macrophages, is capable of inducing T-lymphocyte synthesis of interferon-gamma (IFN-gamma). In this study, for the first time, the serum concentration of IL-18 and its significance as a prognostic indicator was evaluated in patients with epithelial ovarian cancer. METHODS: The serum IL-18 level was measured by an enzyme-linked immunosorbent assay (ELISA) in 69 patients with epithelial ovarian cancer and 8 healthy controls. Relationships between the IL-18 level and clinicopathological features were examined by univariate and multivariate analyses. RESULTS: The median serum IL-18 level in the ovarian cancer patients was 229.6 pg/ml, and the level was significantly elevated compared with that in the normal controls (151.3 pg/ml; P < 0.01). No significant correlations were detected between the IL-18 level and stage or histology (P = 0.08 and P = 0.12, respectively). On univariate analysis, overall survival was shown to be affected by IL-18 serum levels. However, multivariate analysis failed to demonstrate an independent prognostic significance for IL-18 serum levels, while confirming the role of previously established prognostic variables, such as performance status, stage, and residual tumor. CONCLUSION: This study showed that IL-18 serum levels were elevated in ovarian cancer patients and were correlated with overall survival, although they were shown not to be an independent prognostic factor. FAU - Akahiro, Jun-ichi AU - Akahiro J AD - Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. jakahira-tohoku@umin.ac.jp FAU - Konno, Ryo AU - Konno R FAU - Ito, Kiyoshi AU - Ito K FAU - Okamura, Kunihiro AU - Okamura K FAU - Yaegashi, Nobuo AU - Yaegashi N LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Int J Clin Oncol JT - International journal of clinical oncology JID - 9616295 RN - 0 (Biomarkers, Tumor) RN - 0 (Interleukin-18) SB - IM MH - Adult MH - Biomarkers, Tumor/blood MH - Female MH - Follow-Up Studies MH - Humans MH - Interleukin-18/*blood MH - Japan MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Staging MH - Neoplasms, Glandular and Epithelial/*blood/*diagnosis/mortality MH - Ovarian Neoplasms/*blood/*diagnosis/mortality MH - Predictive Value of Tests MH - Prognosis MH - Statistics as Topic MH - Survival Analysis MH - Women's Health EDAT- 2004/05/28 05:00 MHDA- 2004/10/08 09:00 CRDT- 2004/05/28 05:00 PHST- 2004/05/28 05:00 [pubmed] PHST- 2004/10/08 09:00 [medline] PHST- 2004/05/28 05:00 [entrez] AID - 10.1007/s10147-003-0360-6 [doi] PST - ppublish SO - Int J Clin Oncol. 2004 Feb;9(1):42-6. doi: 10.1007/s10147-003-0360-6.