Circulating microparticles are prognostic biomarkers in advanced non-small cell lung cancer patients

被引:21
作者
Wang, Chin-Chou [1 ,2 ,3 ]
Tseng, Chia-Cheng [1 ,4 ]
Chang, Huang-Chih [1 ,4 ]
Huang, Kuo-Tung [1 ,4 ]
Fang, Wen-Feng [1 ]
Chen, Yu-Mu [1 ]
Yang, Cheng-Ta [5 ]
Hsiao, Chang-Chun [4 ,6 ,7 ]
Lin, Meng-Chih [1 ]
Ho, Chi-Kung [2 ]
Yip, Hon-Kan [6 ,7 ,8 ,9 ,10 ,11 ]
机构
[1] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Coll Med, Div Pulm & Crit Care Med,Dept Internal Med, Kaohsiung, Taiwan
[2] Kaohsiung Med Univ, Dept Publ Hlth, Kaohsiung, Taiwan
[3] Chang Gung Univ Sci & Technol, Dept Resp Care, Chiayi Campus, Chiayi, Taiwan
[4] Chang Gung Univ, Grad Inst Clin Med Sci, Coll Med, Kaohsiung, Taiwan
[5] Chang Gung Univ, Chang Gung Mem Hosp, Dept Pulm & Crit Care Med, Coll Med, Taoyuan, Taiwan
[6] Kaohsiung Chang Gung Mem Hosp, Ctr Shockwave Med & Tissue Engn, Kaohsiung, Taiwan
[7] Chang Gung Univ, Coll Med, Kaohsiung, Taiwan
[8] Kaohsiung Chang Gung Mem Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
[9] China Med Univ, China Med Univ Hosp, Dept Med Res, Taichung, Taiwan
[10] Asia Univ, Dept Nursing, Taichung, Taiwan
[11] Kaohsiung Chang Gung Mem Hosp, Inst Translat Res Biomed, Kaohsiung, Taiwan
关键词
advanced non-small cell lung cancer; microparticles; disease control; disease progression; PLATELET-DERIVED MICROPARTICLES; SHED MEMBRANE MICROPARTICLES; 1ST-LINE TREATMENT; OPEN-LABEL; CHEMOTHERAPY; ANGIOGENESIS; MORTALITY; MULTICENTER; GEFITINIB; ERLOTINIB;
D O I
10.18632/oncotarget.18372
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We investigated whether circulating microparticles (MPs) could serve as prognostic biomarkers in non-small cell lung cancer (NSCLC) patients. We enrolled 25 control subjects and 136 NSCLC patients categorized into disease-progression (DP, n=42) and disease-control (DC, n=94) groups. Flow cytometric analysis showed that levels of four types of circulating microparticles (EDAc-MPs, EDAp-MPs, PDAc-MPs and PDAp-MPs) were higher in the study patients than the control subjects (P < 0.04). DP patients showed poor initially performance status and more non-adenocarcinomas than DC patients. DC patients showed more EGFR mutations and poorer performance to targeted therapy than DP patients (P < 0.01). Three months after therapy, the levels of all four types of circulating MPs were lower in DC than DP patients (P < 0.02), and were comparable to the levels in control subjects. In addition, the levels of circulating MPs after 3 months accurately predicted one-year prognostic outcomes (P < 0.05). This study showed that circulating MPs are valuable prognostic biomarkers in advanced NSCLC patients.
引用
收藏
页码:75952 / 75967
页数:16
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