PMID- 38230764 OWN - NLM STAT- MEDLINE DCOM- 20240304 LR - 20240304 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 13 IP - 3 DP - 2024 Feb TI - Biomarkers of peripheral blood neutrophil extracellular traps in the diagnosis and progression of malignant tumors. PG - e6935 LID - 10.1002/cam4.6935 [doi] LID - e6935 AB - BACKGROUND AND AIMS: The mortality rate associated with malignant tumors remains high and there is a lack of effective diagnostic and tumor progression markers. Neutrophil extracellular traps (NETs) can promote tumor-associated thrombosis, invasive metastasis, and inflammatory responses, but there is a lack of research on the value of measuring NETs in the peripheral blood of patients with malignancies. METHODS: We included 263 patients with malignancies (55 gliomas, 101 ovarian, 64 colorectal, and 43 lung cancers) and 75 healthy controls in this study. We compared the levels of citrullinated histone H3 (citH3), cell-free DNA (cfDNA), and systemic inflammation-related parameters, including neutrophils, lymphocytes, monocytes, platelets, neutrophil-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio, systemic immune inflammation index, and systemic inflammation response index. We assessed the value of changes in NETs in peripheral blood to determine the diagnosis, venous thromboembolism, clinical staging, and systemic inflammatory response in patients with malignancy. RESULTS: The levels of citH3 and cfDNA in peripheral blood can distinguish between healthy controls and tumor patients. The levels of citH3 and cfDNA before clinical intervention did not predict the risk of combined venous thromboembolism in oncology patients in the short-term after clinical intervention. The levels of citH3, cfDNA, and systemic inflammation-related parameters in the peripheral blood of tumor patients increased with the clinical stage. There was a correlation between cfDNA levels in peripheral blood and systemic inflammation-related parameters in tumor patients, and this correlation was more significant in patients with advanced tumors. CONCLUSIONS: Changes in NETs in the peripheral blood differ between healthy controls and patients with malignant tumors. NETs may be involved in tumor-induced systemic inflammatory responses through interaction with circulating inflammatory cells, thus promoting tumor progression. NETs may be used as markers to assist in the diagnosis and progression of tumor malignancy. CI - (c) 2024 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Wang, Min AU - Wang M AUID- ORCID: 0009-0006-2371-0285 AD - Department of Blood Transfusion, Second Hospital of Jilin University, Changchun, China. FAU - Lv, Xiaoyan AU - Lv X AD - Department of Experimental Medicine, Second Hospital of Jilin University, Changchun, China. FAU - Wang, Ying AU - Wang Y AD - Department of Experimental Medicine, Second Hospital of Jilin University, Changchun, China. FAU - Li, Yao AU - Li Y AD - Department of Blood Transfusion, Second Hospital of Jilin University, Changchun, China. FAU - Li, Honghong AU - Li H AD - Department of Blood Transfusion, Second Hospital of Jilin University, Changchun, China. FAU - Shen, Zhongjun AU - Shen Z AD - Department of Blood Transfusion, Second Hospital of Jilin University, Changchun, China. FAU - Zhao, Liyan AU - Zhao L AD - Department of Blood Transfusion, Second Hospital of Jilin University, Changchun, China. LA - eng GR - 20200801023GH/The Jilin Province Science and Technology Development Planning Project/ PT - Journal Article DEP - 20240117 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Histones) RN - 0 (Biomarkers, Tumor) RN - 0 (Cell-Free Nucleic Acids) SB - IM MH - Humans MH - Neutrophils MH - *Extracellular Traps MH - *Venous Thromboembolism MH - Histones MH - Biomarkers, Tumor MH - *Lung Neoplasms MH - *Cell-Free Nucleic Acids MH - Inflammation/diagnosis PMC - PMC10905219 OTO - NOTNLM OT - cell-free DNA OT - citrullinated histone H3 OT - neutrophil extracellular traps OT - systemic inflammatory response OT - tumor progression OT - tumor-associated thrombosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2024/01/17 12:44 MHDA- 2024/03/04 06:43 PMCR- 2024/01/17 CRDT- 2024/01/17 08:04 PHST- 2023/12/20 00:00 [revised] PHST- 2023/05/02 00:00 [received] PHST- 2023/12/24 00:00 [accepted] PHST- 2024/03/04 06:43 [medline] PHST- 2024/01/17 12:44 [pubmed] PHST- 2024/01/17 08:04 [entrez] PHST- 2024/01/17 00:00 [pmc-release] AID - CAM46935 [pii] AID - 10.1002/cam4.6935 [doi] PST - ppublish SO - Cancer Med. 2024 Feb;13(3):e6935. doi: 10.1002/cam4.6935. Epub 2024 Jan 17.