Pretreatment plasma levels and diagnostic utility of hematopoietic cytokines in cervical cancer or cervical intraepithelial neoplasia patients

Folia Histochem Cytobiol. 2012 Jul 4;50(2):213-9. doi: 10.5603/fhc.2012.0030.

Abstract

In this study, we compared plasma levels and the diagnostic utility of hematopoietic growth factors (HGFs) with SCC-Ag in cervical cancer patients in relation to control groups and cervical intraepithelial neoplasia (CIN) patients and healthy subjects. Pretreatment plasma levels of HGFs (SCF, GM-CSF, G-CSF and M-CSF) were determined by the use of immunoenzyme assay (ELISA), and SCC-Ag by chemiluminescent microparticle immunoassay (CMIA). Significantly different concentrations of GM-CSF, G-CSF and M-CSF were observed in the group of patients with cervical cancer and CIN compared to the healthy controls. Significant differences in plasma levels of GM-CSF and M-CSF between cervical cancer and benign lesions patients were also found. The HGFs and SCC-Ag diagnostic specificities received high values. The diagnostic sensitivity and the predictive value of a positive and negative test result were higher for M-CSF than for antigen SCC in the cancer group. The M-CSF area under the ROC curve (AUC) was the largest from hematopoietic cytokines and SCC-Ag. These results suggest the potential utility of M-CSF as a good candidate for a marker of cervical cancer as well as benign lesions of this organ (CIN).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigens, Neoplasm / blood
  • Biomarkers, Tumor / blood
  • Case-Control Studies
  • Cytokines / blood*
  • Female
  • Hematopoiesis*
  • Humans
  • Middle Aged
  • ROC Curve
  • Serpins / blood
  • Uterine Cervical Dysplasia / blood*
  • Uterine Cervical Dysplasia / diagnosis
  • Uterine Cervical Dysplasia / drug therapy*
  • Uterine Cervical Neoplasms / blood*
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / drug therapy*
  • Young Adult

Substances

  • Antigens, Neoplasm
  • Biomarkers, Tumor
  • Cytokines
  • Serpins
  • squamous cell carcinoma-related antigen