PMID- 22199331 OWN - NLM STAT- MEDLINE DCOM- 20120222 LR - 20151119 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 31 IP - 12 DP - 2011 Dec TI - Prospective study evaluating the plasma concentrations of twenty-six cytokines and response to morphine treatment in cancer patients. PG - 4561-8 AB - Cytokine signaling is involved in pain and opioid-receptor signaling. In this prospective study, we studied the plasma cytokine levels in order to identify candidate biomarkers for predicting resistance to morphine treatment in a cohort of opioid-treatment-naive cancer patients. We analyzed pain rating and the plasma concentrations of 26 cytokines at baseline and after morphine treatment using a multiplex immunoassay system for the following cytokines: eotaxin, colony stimulating factor, granulocyte (G-CSF), colony stimulating factor granulocyte-macrophage (GM-CSF), interferon alpha2 (IFN-alpha2), IFN-gamma, interleukin 1alpha (IL-1alpha), IL-1beta, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12 (p40), IL-12 (p70), IL-13, IL-15, IL-17, IP-10, monocyte chemotactic protein 1 (MCP-1), macrophage inflammatory protein 1alpha (MIP-1alpha), MIP-1beta, tumor necrosis factor-alpha (TNF-alpha) and TNF-beta. No correlation was observed between the clinical characteristics and the numerical rating scale for pain at baseline or among patients who developed resistance to morphine treatment. Interestingly, the plasma concentration of MIP-1alpha significantly decreased during morphine treatment (day 8 vs. baseline, p=0.03). Regarding the baseline plasma cytokine concentrations, none of the cytokine levels were correlated with the numerical rating scale for pain at baseline; however, the baseline plasma concentrations of eotaxin, IL-8, IL-12 (p40), IL-12 (p70), MIP-1alpha and MIP-1beta were significantly lower in patients who required a high dose of morphine or who developed resistance to morphine treatment. In conclusion, this is the first report revealing that the plasma concentrations of several cytokines were significantly modulated during treatment and were correlated with treatment outcome of morphine. Our results suggest that plasma cytokine levels may be promising biomarkers for morphine treatment and that they warrant further study. FAU - Makimura, Chihiro AU - Makimura C AD - Department of Medical Oncology, Kinki University Faculty of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Arao, Tokuzo AU - Arao T FAU - Matsuoka, Hiromichi AU - Matsuoka H FAU - Takeda, Masayuki AU - Takeda M FAU - Kiyota, Hidemi AU - Kiyota H FAU - Tsurutani, Junji AU - Tsurutani J FAU - Fujita, Yoshihiko AU - Fujita Y FAU - Matsumoto, Kazuko AU - Matsumoto K FAU - Kimura, Hideharu AU - Kimura H FAU - Otsuka, Masatomo AU - Otsuka M FAU - Koyama, Atsuko AU - Koyama A FAU - Imamura, Chiyo K AU - Imamura CK FAU - Yamanaka, Takeharu AU - Yamanaka T FAU - Tanaka, Kyoko AU - Tanaka K FAU - Nishio, Kazuto AU - Nishio K FAU - Nakagawa, Kazuhiko AU - Nakagawa K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Biomarkers, Tumor) RN - 0 (Chemokine CCL3) RN - 0 (Cytokines) RN - 187348-17-0 (Interleukin-12) RN - 76I7G6D29C (Morphine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/metabolism MH - Chemokine CCL3/blood MH - Cytokines/*blood MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Interleukin-12/blood MH - Male MH - Middle Aged MH - Morphine/*therapeutic use MH - Neoplasms/blood/*drug therapy MH - Prospective Studies EDAT- 2011/12/27 06:00 MHDA- 2012/02/23 06:00 CRDT- 2011/12/27 06:00 PHST- 2011/12/27 06:00 [entrez] PHST- 2011/12/27 06:00 [pubmed] PHST- 2012/02/23 06:00 [medline] AID - 31/12/4561 [pii] PST - ppublish SO - Anticancer Res. 2011 Dec;31(12):4561-8.