PMID- 32486367 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 6 DP - 2020 May 31 TI - Soluble Urokinase Plasminogen Activator Receptor (suPAR) Concentrations are Elevated in Patients with Neuroendocrine Malignancies. LID - 10.3390/jcm9061647 [doi] LID - 1647 AB - Neuroendocrine neoplasia (NEN) comprises heterogeneous tumors that are challenging to diagnose and, especially in cases of poorly differentiated (G3) NEN, are associated with very limited survival. Novel biomarkers allowing an early diagnosis as well as an optimal selection of suitable treatment options are urgently needed to improve the outcome of these patients. Recently, alterations of soluble urokinase-type plasminogen activator receptor (suPAR) serum levels were described in various types of cancers. However, the role of circulating suPAR as a biomarker in patients with NEN is unknown. In this study, we measured suPAR serum levels in a large and well-characterized cohort of 187 patients with NEN (neuroendocrine carcinomas (NEC) n = 30; neuroendocrine tumors (NET), n = 157) as well as 44 healthy controls. suPAR concentrations were significantly elevated in patients compared to controls. However, suPAR concentrations were independent of tumor-related factors such as the proliferation activity according to Ki-67, tumor grading, TNM (TNM classification of malignant tumors) stage, somatostatin receptor expression or clinical features such as functional or nonfunctional disease and the presence of tumor relapse. Interestingly, suPAR concentrations in NET patients were similar when compared to those measured in NEC patients. In contrast to previous results from other malignancies, in our analysis suPAR levels were not a significant predictor of overall survival. In conclusion, our data suggests that suPAR serum concentrations are elevated in NEN patients but do not allow prediction of outcome. FAU - Ozdirik, Burcin AU - Ozdirik B AUID- ORCID: 0000-0002-8885-737X AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Stueven, Anna AU - Stueven A AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Knorr, Jana AU - Knorr J AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Geisler, Lukas AU - Geisler L AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Mohr, Raphael AU - Mohr R AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Demir, Munevver AU - Demir M AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Hellberg, Teresa AU - Hellberg T AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Loosen, Sven H AU - Loosen SH AUID- ORCID: 0000-0003-3447-1161 AD - Department of Medicine III, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074 Aachen, Germany. FAU - Benz, Fabian AU - Benz F AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Wiedenmann, Bertram AU - Wiedenmann B AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Tacke, Frank AU - Tacke F AUID- ORCID: 0000-0001-6206-0226 AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Wree, Alexander AU - Wree A AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Jann, Henning AU - Jann H AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. FAU - Roderburg, Christoph AU - Roderburg C AD - Department of Hepatology and Gastroenterology, Campus Virchow Klinikum and Campus Charite Mitte, Charite University Medicine Berlin, 13353 Berlin, Germany. LA - eng PT - Journal Article DEP - 20200531 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7355627 OTO - NOTNLM OT - biomarker OT - neuroendocrine carcinoma OT - neuroendocrine tumor OT - soluble urokinase-type plasminogen activator receptor OT - survival COIS- The authors declare no conflict of interest. EDAT- 2020/06/04 06:00 MHDA- 2020/06/04 06:01 PMCR- 2020/05/31 CRDT- 2020/06/04 06:00 PHST- 2020/05/05 00:00 [received] PHST- 2020/05/18 00:00 [revised] PHST- 2020/05/25 00:00 [accepted] PHST- 2020/06/04 06:00 [entrez] PHST- 2020/06/04 06:00 [pubmed] PHST- 2020/06/04 06:01 [medline] PHST- 2020/05/31 00:00 [pmc-release] AID - jcm9061647 [pii] AID - jcm-09-01647 [pii] AID - 10.3390/jcm9061647 [doi] PST - epublish SO - J Clin Med. 2020 May 31;9(6):1647. doi: 10.3390/jcm9061647.