Neutrophil Gelatinase-Associated Lipocalin as Potential Predictive Biomarker of Melanoma and Non-Melanoma Skin Cancers in Psoriatic Patients: A Pilot Study

被引:5
作者
Verdelli, Alice [1 ]
Caproni, Marzia [1 ]
Coi, Alessio [2 ]
Corra, Alberto [3 ]
Degl'Innocenti, Donatella [4 ]
Vasarri, Marzia [4 ]
Quintarelli, Lavinia [1 ]
Volpi, Valter [1 ]
Cipollini, Emanuele Maria [1 ]
Barletta, Emanuela [4 ]
机构
[1] Univ Florence, Azienda USL Toscana Ctr, Rare Dermatol Unit, Dept Hlth Sci,Sect Dermatol, I-50125 Florence, Italy
[2] CNR, Inst Clin Physiol, Unit Epidemiol Rare Dis & Congenital Anomalies, I-56127 Pisa, Italy
[3] Univ Florence, Dept Hlth Sci, Sect Dermatol, I-50125 Florence, Italy
[4] Univ Florence, Dept Expt & Clin Biomed Sci, Viale Morgagni 50, I-50134 Florence, Italy
关键词
human neutrophil gelatinase-associated lipocalin; lipocalin; psoriasis; skin cancers; non-melanoma skin cancers; melanoma; biomarkers; VITAMIN-D; CUTANEOUS MELANOMA; SERUM LIPOCALIN-2; RISK; NGAL; INFLAMMATION; ROLES; EXPRESSION; MARKERS; MATRIX;
D O I
10.3390/ijms232012291
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Background: Studies have demonstrated a higher risk of nonmelanoma skin cancers (NMSC) and a modestly increased melanoma risk in patients with psoriasis. To date, no biomarkers predictive of evolution have been identified yet. Methods: The aim of this prospective case-control study was to investigate the potential role of neutrophil gelatinase-associated lipocalin (NGAL) as a predictive biomarker of skin cancers in psoriatic patients. Patients with a diagnosis of psoriasis were enrolled, as well as healthy subjects and patients with skin cancers as controls. Plasma protein expression of NGAL, metalloproteinases (MMP)-2, and MMP-9 was performed by an enzyme-linked immunosorbent assay (ELISA). In all the patients who developed skin cancer at follow-up, NGAL, MMP-2, and MMP-9 serum levels were dosed again. Results: Plasma NGAL levels were significantly higher in psoriatic patients with NMSC than without (182.3 +/- 36.6 ng/mL vs. 139.9 +/- 39.3 ng/mL) (p < 0.001). Plasma NGAL levels were significantly higher (p < 0.00001) in patients with psoriasis and NMSC than in patients with skin tumors without psoriasis (182.3 vs. 122.9). Patients with psoriasis who developed NMSC at follow-up showed increased plasma MMP-9 levels. Conclusion: NGAL seems to play a role in the pathogenesis of NMSC but not melanoma in patients with psoriasis.
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