RT Journal Article SR Electronic T1 Increased Plasma Levels of Serine Proteinase Inhibitors in Lung Cancer Patients JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 241 OP 248 VO 24 IS 1 A1 INGA ZELVYTE A1 ANDERS WALLMARK A1 EEVA PIITULAINEN A1 ULLA WESTIN A1 SABINA JANCIAUSKIENE YR 2004 UL http://ar.iiarjournals.org/content/24/1/241.abstract AB Background: Tumor growth and invasiveness occur through infiltration of tumor cells into the host cells and by angiogenesis, which is modulated by proteinases and antiproteinases released from tumor cells that carry out tissue remodelling. A number of studies have revealed variations in the plasma levels of serine proteases and their inhibitors among tumor types. Patients and Methods: By immunological methods we analysed the levels of serine protease inhibitors AAT, ACT and SLPI in newly diagnosed lung cancer patients (n=14) compared to non-smoker and smoker, age- and gendermatched control groups (n=16), and also in an expanded group of lung cancer patients with local tumors (n=14) and with metastasis (n=18). Results: Our data show that plasma levels of AAT, ACT and SLPI were elevated in lung cancer patients by 1.43-fold, p<0.01, 2.57-fold, p<0.01 and 1.6-fold, p<0.001, respectively when compared to controls. In addition, we found that levels of AAT and ACT were higher by 1.47-fold, p<0.001 and 2.27-fold, p<0.001, respectively in lung cancer cases with metastasis compared to localized tumor. Conclusion: These inhibitor levels may provide measures of cancer progression in individual patients and possibly offer useful information for an understanding of the mechanisms of metastasis.