摘要
目的:探讨外周血IL-8和sFas在不同绝经状态、不同雌激素受体状态(ER)、不同转移情况的乳腺癌术后复发及转移患者中的表达及其临床意义。方法:采用酶联免疫双抗体夹心法检测94例乳腺癌术后复发及转移患者和30例正常人的血清IL-8和sFas水平,并比较它们与绝经状态、ER状态、不同转移情况的关系以及化疗对其影响。结果:1)乳腺癌患者血清IL-8及sFas水平明显高于正常人(P<0.05)。2)血清IL-8与雌激素受体(ER)状态和骨转移关系密切:ER(-)者高于ER(+)者(P<0.05);有骨转移者高于局部复发及/或区域淋巴结转移(P<0.01)以及肝、肺转移者(P<0.05)。3)血清sFas水平与绝经状态及肝、肺转移关系密切:绝经后患者高于绝经前患者(P<0.05);有肝、肺转移者高于局部复发及/或区域淋巴结转移(P<0.01)以及骨转移者(P<0.05)。4)化疗后血清sFas水平较化疗前下降(P<0.05),而血清IL-8无明显变化。结论:血清IL-8和sFas水平与乳腺癌患者的生物学行为及预后有一定关系,值得进一步研究。
Objective: To study the correlationship between the serum IL-8 and soluble Apo-1/Fas and the clinicopathological parameters in postoperative breast cancer patients with recurrent and metastatic foci. Methods: Serum IL-8 and soluble Apo-1/Fas (sFas) was measured by enzyme linked immunosorbent assay (ELISA) in 94 recurrent and metastatic breast cancer patients before and after chemotherapy, as compared with 30 healthy controls. Results: (1) Levels of IL-8 and sFas in breast cancer patients were significantly higher than those in healthy controls (P〈0.05); (2) Serum IL-8 was correlated with estrogen-receptor (ER) status and bone metastasis: Levels of IL-8 were significantly higher in ER-negative patients compared with ER-positive patients (P〈0.05), and in patients with bone metastasis compared to patients with local recurrence and/or regional lymph node metastasis (P〈0.01) and patients with liver and/or lung metastasis (P〈0.05), respectively. (3) Serum sFas was correlated with menopausal status and liver and/or lung metastasis: Levels of sFas were significantly higher in postmenopausal patients compared with premenopausal patients (P〈0.05), and in patients with liver and/orlung metastasis compared with patients with local recurrence and/or rigional lymph node metastasis (P〈0.01) and patients with bone metastasis (P〈0.05), respectively. (4) Levels of sFas were remarkably reduced in breast cancer patients after chemotherapy (P〈0.05), but there is no significant difference in IL-8 level between pretreatment patients and patients after chemotherapy (P 〉 0.05). Conclusion: Serum IL-8 and sFas are correlated with biological behaviors and prognosis in breast cancer patients and deserve further investigation.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2005年第15期864-866,共3页
Chinese Journal of Clinical Oncology