Serum C-reactive Protein (CRP) Levels in Cancer Patients are Linked with Tumor Burden and are Reduced by Anti-hypertensive Medication

被引:29
作者
Koukourakis, Michael I. [1 ]
Kambouromiti, Georgia [2 ]
Pitsiava, Dimitra [3 ]
Tsousou, Pelagia [1 ]
Tsiarkatsi, Maria [1 ]
Kartalis, George [3 ]
机构
[1] Democritus Univ Thrace, Univ Hosp Alexandroupolis, Dept Radiotherapy Oncol, Alexandroupolis 68100, Greece
[2] Democritus Univ Thrace, Univ Hosp Alexandroupolis, Dept Biochem, Alexandroupolis 68100, Greece
[3] Democritus Univ Thrace, Univ Hosp Alexandroupolis, Dept Internal Med, Alexandroupolis 68100, Greece
关键词
CRP; cancer; hypertension; coronary disease; obesity; COLORECTAL-CANCER; GASTRIC-CANCER; BLOOD-PRESSURE; INTERLEUKIN-6; CELLS; RISK; HYPERTENSION; APOPTOSIS; SURVIVAL; BINDS;
D O I
10.1007/s10753-009-9116-4
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
High levels of CRP relate with advanced disease and poor prognosis of cancer patients. CRP serum levels were measured in 684 cancer patients who had undergone complete surgery or inoperable patients. Patients with inoperable tumors had significantly higher CRP levels (1.21 +/- 2.2 vs. 0.40 +/- 0.4 mg/dL; p < 0.0001). No association with gender, diabetes, autoimmune disease, thyroid disease or allergy was noted. Significantly higher CRP levels were noted in operated patients with hypertension (0.55 +/- 0.5 vs. 0.35 +/- 0.4; p = 0.001), coronary disease (0.73 +/- 0.8 vs. 0.39 +/- 0.4; p = 0.01) and obesity (0.51 +/- 0.5 vs. 0.37 +/- 0.4; p = 0.04). On the contrary, analysis in the group of inoperable patients showed that hypertensive patients had significantly lower CRP levels (0.64 +/- 1.0 vs. 1.36 +/- 2.4; p = 0.008). Although the tumor itself is the main factor defining increased CRP levels in cancer patients, hypertension, coronary disease and obesity are also linked with high CRP levels. Anti-hypertensive drugs appear as potent suppressors of the tumor-induced CRP production.
引用
收藏
页码:169 / 175
页数:7
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