PMID- 38354749 OWN - NLM STAT- Publisher LR - 20240214 IS - 1439-4286 (Electronic) IS - 0018-5043 (Linking) DP - 2024 Feb 14 TI - Elevated Levels of Interleukin-18 are Associated with Lymph Node Metastasis in Papillary Thyroid Carcinoma. LID - 10.1055/a-2255-5718 [doi] AB - Interleukin-18 (IL-18) is a proinflammatory cytokine that primarily stimulates the Th1 immune response. IL-18 exhibits anticancer activity and has been evaluated in clinical trials as a potential cancer treatment. However, evidence suggests that it may also facilitate the development and progression of some cancers. So far, the impact of IL-18 on papillary thyroid cancer (PTC) has not been investigated. In this study, we found that the expression of IL-18 was significantly increased in PTC compared to normal thyroid tissue. Elevated IL-18 expression was closely associated with lymphovascular invasion and lymph node metastases. Furthermore, compared to PTC patients with no nodal metastasis, serum IL-18 levels were slightly increased in patients with 1-4 nodal metastases and significantly elevated in patients with 5 or more nodal metastases. The pro-metastatic effect of IL-18 may be attributed to the simultaneous increase in the expression of S100A10, a known factor that is linked to nodal metastasis in PTC. In addition, the activation of several pathways, such as the intestinal immune network for lgA production and Staphylococcus aureus infection, may be involved in the metastasis process. Taken together, IL-18 may trigger pro-metastatic activity in PTC. Therefore, suppressing the function of IL-18 rather than enhancing it appears to be a reasonable strategy for treating aggressive PTC. CI - Thieme. All rights reserved. FAU - Chun, Wang AU - Chun W AD - Pathology, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Lu, Meiyin AU - Lu M AD - Graduate School, Shantou University Medical College, Shantou, China. AD - Department of Biobank, Shenzhen Baoan Women's and Children's Hospital, Shenzhen, China. FAU - Chen, Jiakang AU - Chen J AD - Pathology, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Li, Jian AU - Li J AD - Pathology, Peking University Shenzhen Hospital, Shenzhen, China. AD - State Key Laboratory of Chemical Oncogenomics, Peking University Shenzhen Graduate School, Shenzhen, China. LA - eng PT - Journal Article DEP - 20240214 PL - Germany TA - Horm Metab Res JT - Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme JID - 0177722 SB - IM COIS- The authors declare that they have no conflict of interest. EDAT- 2024/02/15 00:42 MHDA- 2024/02/15 00:42 CRDT- 2024/02/14 19:03 PHST- 2024/02/15 00:42 [medline] PHST- 2024/02/15 00:42 [pubmed] PHST- 2024/02/14 19:03 [entrez] AID - 10.1055/a-2255-5718 [doi] PST - aheadofprint SO - Horm Metab Res. 2024 Feb 14. doi: 10.1055/a-2255-5718.