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Immunol Invest ; 46(7): 677-688, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28872976

RESUMEN

The aim of the study was to correlate serum levels of IL-2, IL-5, IL-6, IL-8, IL-10, and TNF-α with clinical, laboratory, and pathological prognostic factors in patients with primary ovarian malignancy. Patients treated at the Pelvic Mass Ambulatory of the Discipline of Gynecology and Obstetrics/Oncology Research Institute (IPON) of the UFTM with confirmed diagnosis of malignant ovarian neoplasia (n = 26) were evaluated. Serum collection was performed preoperatively for the determination of tumor markers. The cytokines IL-2, IL-5, IL-6, IL-8, IL-10, and TNF-α were assayed by enzyme-linked immunosorbent assay (ELISA). The prognostic factors were compared using the Mann-Whitney test, with significance level lower than 0.05. When evaluating IL6, it was observed that higher serum levels were associated with overall survival less than 60 months (p = 0.0382). In the evaluation of IL8, higher serum levels were associated with neutrophil-to-lymphocyte ratio (NLR) ≥ 4 and platelet-to-lymphocyte ratio (PLR) ≥ 200 (p = 0.0198 and p = 0.0072, respectively), altered values of serum CA125 (p = 0.0457), and stage IIIC (p = 0.0486). Therefore, increased levels of IL-6 and IL-8 are associated with factors of worse prognosis in ovarian cancer. Additional studies with a larger sample of patients are needed to confirm the role of cytokines as prognostic factors, in the definition of treatment, and in the development of future target therapies.


Asunto(s)
Cistadenocarcinoma Seroso/inmunología , Cistoadenoma Mucinoso/inmunología , Tumor de Células de la Granulosa/inmunología , Interleucina-6/sangre , Interleucina-8/sangre , Neutrófilos/inmunología , Neoplasias Ováricas/inmunología , Adulto , Anciano , Biomarcadores de Tumor/sangre , Cistadenocarcinoma Seroso/diagnóstico , Cistadenocarcinoma Seroso/mortalidad , Cistoadenoma Mucinoso/diagnóstico , Cistoadenoma Mucinoso/mortalidad , Citocinas/sangre , Ensayo de Inmunoadsorción Enzimática , Femenino , Tumor de Células de la Granulosa/diagnóstico , Tumor de Células de la Granulosa/mortalidad , Humanos , Persona de Mediana Edad , Estadificación de Neoplasias , Neoplasias Ováricas/diagnóstico , Neoplasias Ováricas/mortalidad , Pronóstico , Análisis de Supervivencia
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