PMID- 20578967 OWN - NLM STAT- MEDLINE DCOM- 20110218 LR - 20161018 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 48 IP - 10 DP - 2010 Oct TI - Serum soluble tumour necrosis factor receptor type I concentrations independently predict prognosis in patients with breast cancer. PG - 1481-6 LID - 10.1515/CCLM.2010.278 [doi] AB - BACKGROUND: The aim of this study was to exploit the potential clinical use of circulating cytokine assessment in patients with breast cancer. METHODS: The following circulating cytokines were measured in 210 histopathologically confirmed, untreated breast cancer patients: interleukin 6 (IL-6), tumour necrosis factor-alpha (TNFalpha), interleukin 8 (IL-8), soluble tumour necrosis factor receptor type I (sTNF RI), sTNF RII, interleukin 1 receptor antagonist (IL-1ra), interleukin 10 (IL-10), macrophage colony-stimulating factor, vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF). The patients have been followed-up for 10 years. RESULTS: bFGF and VEGF showed the highest diagnostic sensitivity. Only IL-6 concentrations were related to the clinical stage. A high percentage of patients in clinical stage I showed increased serum sTNF RII, VEGF and bFGF concentrations, of which only sTNF RII was found to be increased in a smaller percentage of patients with more advanced disease compared with patients with early stage disease. Patients aged 50 years and more presented with significantly higher concentrations of sTNF RI, IL-10, IL-6 and VEGF compared with younger patients. In multivariate analysis, a significant value of pretreatment serum sTNF RI concentrations, next to stage and oestrogen receptors status, was its utility as an independent prognostic factor of the overall survival in patients with breast cancer. CONCLUSIONS: Serum sTNF RI may be considered an additional, independent and clinically useful factor of poor prognosis in patients with breast cancer. FAU - Fuksiewicz, Malgorzata AU - Fuksiewicz M AD - Department of Tumour Markers, Maria Sklodowska-Curie Cancer Centre and Institute of Oncology, Warsaw, Poland. fuksiewiczm@coi.pl FAU - Kowalska, Maria AU - Kowalska M FAU - Kotowicz, Beata AU - Kotowicz B FAU - Rubach, Maryna AU - Rubach M FAU - Chechlinska, Magdalena AU - Chechlinska M FAU - Pienkowski, Tadeusz AU - Pienkowski T FAU - Kaminska, Janina AU - Kaminska J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100627 PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Cytokines) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Vascular Endothelial Growth Factor A) RN - 103107-01-3 (Fibroblast Growth Factor 2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/*blood/*diagnosis MH - Cytokines/blood MH - Female MH - Fibroblast Growth Factor 2/blood MH - Follow-Up Studies MH - Humans MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Receptors, Tumor Necrosis Factor, Type I/*blood MH - Sensitivity and Specificity MH - Solubility MH - Survival Analysis MH - Vascular Endothelial Growth Factor A/blood EDAT- 2010/06/29 06:00 MHDA- 2011/02/22 06:00 CRDT- 2010/06/29 06:00 PHST- 2010/06/29 06:00 [entrez] PHST- 2010/06/29 06:00 [pubmed] PHST- 2011/02/22 06:00 [medline] AID - 10.1515/CCLM.2010.278 [doi] PST - ppublish SO - Clin Chem Lab Med. 2010 Oct;48(10):1481-6. doi: 10.1515/CCLM.2010.278. Epub 2010 Jun 27.