PMID- 32518781 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 8 IP - 10 DP - 2020 May 26 TI - Serum von Willebrand factor for early diagnosis of lung adenocarcinoma in patients with type 2 diabetes mellitus. PG - 1916-1922 LID - 10.12998/wjcc.v8.i10.1916 [doi] AB - BACKGROUND: The elevation of plasma von Willebrand factor (vWF) has been proposed to be a predictor of lung cancer. Type 2 diabetes mellitus (T2DM) causes endothelial activation, resulting in the secretion of vWF. However, the role of vWF in patients with T2DM complicated with lung cancer remains unclear. AIM: To investigate the clinical value of serum vWF as a tumor marker in patients with T2DM combined with lung adenocarcinoma in situ (AIS). METHODS: This study enrolled 43 patients with T2DM combined with lung AIS (T2DM + AIS group), 43 patients with T2DM alone (T2DM group), 43 patients with lung AIS alone (AIS group), and 43 healthy volunteers (control group). The serum levels of vWF, insulin-like growth factor 1, and insulin-like growth factor binding protein 3 were determined. Multiple linear stepwise regression was performed to determine the correlations among variables. RESULTS: Serum concentration of vWF in the T2DM + AIS group was significantly higher than those in the T2DM, AIS, and control groups (P < 0.05). Serum vWF levels in the T2DM and AIS groups were significantly higher than that in the control group (P < 0.05). There was no significant difference in serum vWF level between the T2DM and AIS groups. In the T2DM + AIS group, serum vWF was independently associated and positively correlated with serum levels of insulin-like growth factor 1 and insulin-like growth factor binding protein 3 (P < 0.05). CONCLUSION: Serum vWF level may represent a novel biomarker for the early diagnosis of lung AIS. CI - (c)The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Zhou, Ying-Yi AU - Zhou YY AD - Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. FAU - Du, Xuan AU - Du X AD - Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. FAU - Tang, Jia-Li AU - Tang JL AD - Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. FAU - Wang, Qiu-Ping AU - Wang QP AD - Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. FAU - Chen, Ke AU - Chen K AD - Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. FAU - Shi, Bi-Min AU - Shi BM AD - Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China. gtmake144523@163.com. LA - eng PT - Journal Article PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC7262717 OTO - NOTNLM OT - Adenocarcinoma in situ OT - Correlation OT - Early diagnosis OT - Type 2 diabetes mellitus OT - von Willebrand factor COIS- Conflict-of-interest statement: There are no conflicts of interest to report. EDAT- 2020/06/11 06:00 MHDA- 2020/06/11 06:01 PMCR- 2020/05/26 CRDT- 2020/06/11 06:00 PHST- 2020/02/10 00:00 [received] PHST- 2020/04/18 00:00 [revised] PHST- 2020/04/24 00:00 [accepted] PHST- 2020/06/11 06:00 [entrez] PHST- 2020/06/11 06:00 [pubmed] PHST- 2020/06/11 06:01 [medline] PHST- 2020/05/26 00:00 [pmc-release] AID - 10.12998/wjcc.v8.i10.1916 [doi] PST - ppublish SO - World J Clin Cases. 2020 May 26;8(10):1916-1922. doi: 10.12998/wjcc.v8.i10.1916.