Plasma soluble vascular adhesion molecule-1 levels are persistently elevated during the first month after colorectal cancer resection

Introduction Plasma from the second and third weeks after minimally invasive colorectal resection (MICR) has high levels of the proangiogenic proteins VEGF and angiopoietin 2 and also stimulates, in vitro, endothelial cell (EC) proliferation and migration, which are critical to wound and tumor angio...

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Veröffentlicht in:Surgical endoscopy 2012-06, Vol.26 (6), p.1759-1764
Hauptverfasser: Shantha Kumara, H. M. C., Tohme, Samer T., Herath, Sonali A. C., Yan, Xiaohong, Senagore, Anthony J., Nasar, Abu, Kalady, Matthew F., Baxter, Raymond, Whelan, Richard L.
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container_end_page 1764
container_issue 6
container_start_page 1759
container_title Surgical endoscopy
container_volume 26
creator Shantha Kumara, H. M. C.
Tohme, Samer T.
Herath, Sonali A. C.
Yan, Xiaohong
Senagore, Anthony J.
Nasar, Abu
Kalady, Matthew F.
Baxter, Raymond
Whelan, Richard L.
description Introduction Plasma from the second and third weeks after minimally invasive colorectal resection (MICR) has high levels of the proangiogenic proteins VEGF and angiopoietin 2 and also stimulates, in vitro, endothelial cell (EC) proliferation and migration, which are critical to wound and tumor angiogenesis. Soluble vascular cell adhesion molecule-1 (sVCAM-1) stimulates EC chemotaxis and angiogenesis. The impact of MICR on blood levels of sVCAM-1 is unknown. This study’s purpose was to determine plasma sVCAM-1 levels after MICR in colorectal cancer (CRC) patients. Methods Blood samples from 90 patients (26% rectal, 74% colon) were obtained preoperatively, on postoperative days (POD) 1 and 3, and at other points during the next 2 months. The late samples were bundled into 7-day time blocks. sVCAM-1 levels were determined in duplicate via ELISA and reported as ng/ml. Student’s t test was used for data analysis (significance, P  
doi_str_mv 10.1007/s00464-011-2112-4
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M. C. ; Tohme, Samer T. ; Herath, Sonali A. C. ; Yan, Xiaohong ; Senagore, Anthony J. ; Nasar, Abu ; Kalady, Matthew F. ; Baxter, Raymond ; Whelan, Richard L.</creator><creatorcontrib>Shantha Kumara, H. M. C. ; Tohme, Samer T. ; Herath, Sonali A. C. ; Yan, Xiaohong ; Senagore, Anthony J. ; Nasar, Abu ; Kalady, Matthew F. ; Baxter, Raymond ; Whelan, Richard L.</creatorcontrib><description>Introduction Plasma from the second and third weeks after minimally invasive colorectal resection (MICR) has high levels of the proangiogenic proteins VEGF and angiopoietin 2 and also stimulates, in vitro, endothelial cell (EC) proliferation and migration, which are critical to wound and tumor angiogenesis. Soluble vascular cell adhesion molecule-1 (sVCAM-1) stimulates EC chemotaxis and angiogenesis. The impact of MICR on blood levels of sVCAM-1 is unknown. This study’s purpose was to determine plasma sVCAM-1 levels after MICR in colorectal cancer (CRC) patients. Methods Blood samples from 90 patients (26% rectal, 74% colon) were obtained preoperatively, on postoperative days (POD) 1 and 3, and at other points during the next 2 months. The late samples were bundled into 7-day time blocks. sVCAM-1 levels were determined in duplicate via ELISA and reported as ng/ml. Student’s t test was used for data analysis (significance, P  &lt; 0.008 after Bonferroni correction). Results The mean incision length was 7.3 ± 3.1 cm, and the conversion rate was 3%. Compared with preoperative (PreOp) levels (811.3 ± 233.2), the mean plasma sVCAM-1 level was significantly higher on POD 1 (905.7 ± 292.4, P  &lt; 0.001) and POD 3 (977.7 ± 271.8, P  &lt; 0.001). Levels remained significantly elevated for the POD 7–13, POD 14–20, POD 21–27, and POD 28–67 time blocks. Conclusions MICR for CRC is associated with a persistent increase in plasma sVCAM-1 levels during the first month. This sustained increase may promote angiogenesis and stimulate the growth of residual tumor cells early after surgery.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-011-2112-4</identifier><identifier>PMID: 22219007</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adenocarcinoma - blood ; Adenocarcinoma - surgery ; Aged ; Angiogenesis ; Antigens ; Cell adhesion &amp; migration ; Colonic Neoplasms - blood ; Colonic Neoplasms - surgery ; Colorectal cancer ; Enzyme-Linked Immunosorbent Assay ; Female ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Laparoscopy - methods ; Length of Stay ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm, Residual - blood ; Plasma ; Postoperative Period ; Proctology ; Proteins ; Surgery ; Vascular Cell Adhesion Molecule-1 - metabolism</subject><ispartof>Surgical endoscopy, 2012-06, Vol.26 (6), p.1759-1764</ispartof><rights>Springer Science+Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p212t-9006bba09c02800faf4f41c95ac0576b82228d2deeb6318d4952da25aacba34c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-011-2112-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-011-2112-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22219007$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shantha Kumara, H. M. C.</creatorcontrib><creatorcontrib>Tohme, Samer T.</creatorcontrib><creatorcontrib>Herath, Sonali A. C.</creatorcontrib><creatorcontrib>Yan, Xiaohong</creatorcontrib><creatorcontrib>Senagore, Anthony J.</creatorcontrib><creatorcontrib>Nasar, Abu</creatorcontrib><creatorcontrib>Kalady, Matthew F.</creatorcontrib><creatorcontrib>Baxter, Raymond</creatorcontrib><creatorcontrib>Whelan, Richard L.</creatorcontrib><title>Plasma soluble vascular adhesion molecule-1 levels are persistently elevated during the first month after colorectal cancer resection</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Introduction Plasma from the second and third weeks after minimally invasive colorectal resection (MICR) has high levels of the proangiogenic proteins VEGF and angiopoietin 2 and also stimulates, in vitro, endothelial cell (EC) proliferation and migration, which are critical to wound and tumor angiogenesis. Soluble vascular cell adhesion molecule-1 (sVCAM-1) stimulates EC chemotaxis and angiogenesis. The impact of MICR on blood levels of sVCAM-1 is unknown. This study’s purpose was to determine plasma sVCAM-1 levels after MICR in colorectal cancer (CRC) patients. Methods Blood samples from 90 patients (26% rectal, 74% colon) were obtained preoperatively, on postoperative days (POD) 1 and 3, and at other points during the next 2 months. The late samples were bundled into 7-day time blocks. sVCAM-1 levels were determined in duplicate via ELISA and reported as ng/ml. Student’s t test was used for data analysis (significance, P  &lt; 0.008 after Bonferroni correction). Results The mean incision length was 7.3 ± 3.1 cm, and the conversion rate was 3%. Compared with preoperative (PreOp) levels (811.3 ± 233.2), the mean plasma sVCAM-1 level was significantly higher on POD 1 (905.7 ± 292.4, P  &lt; 0.001) and POD 3 (977.7 ± 271.8, P  &lt; 0.001). Levels remained significantly elevated for the POD 7–13, POD 14–20, POD 21–27, and POD 28–67 time blocks. Conclusions MICR for CRC is associated with a persistent increase in plasma sVCAM-1 levels during the first month. 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C.</creator><creator>Yan, Xiaohong</creator><creator>Senagore, Anthony J.</creator><creator>Nasar, Abu</creator><creator>Kalady, Matthew F.</creator><creator>Baxter, Raymond</creator><creator>Whelan, Richard L.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Plasma soluble vascular adhesion molecule-1 levels are persistently elevated during the first month after colorectal cancer resection</title><author>Shantha Kumara, H. 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M. C.</creatorcontrib><creatorcontrib>Tohme, Samer T.</creatorcontrib><creatorcontrib>Herath, Sonali A. 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M. C.</au><au>Tohme, Samer T.</au><au>Herath, Sonali A. C.</au><au>Yan, Xiaohong</au><au>Senagore, Anthony J.</au><au>Nasar, Abu</au><au>Kalady, Matthew F.</au><au>Baxter, Raymond</au><au>Whelan, Richard L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma soluble vascular adhesion molecule-1 levels are persistently elevated during the first month after colorectal cancer resection</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>26</volume><issue>6</issue><spage>1759</spage><epage>1764</epage><pages>1759-1764</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Introduction Plasma from the second and third weeks after minimally invasive colorectal resection (MICR) has high levels of the proangiogenic proteins VEGF and angiopoietin 2 and also stimulates, in vitro, endothelial cell (EC) proliferation and migration, which are critical to wound and tumor angiogenesis. Soluble vascular cell adhesion molecule-1 (sVCAM-1) stimulates EC chemotaxis and angiogenesis. The impact of MICR on blood levels of sVCAM-1 is unknown. This study’s purpose was to determine plasma sVCAM-1 levels after MICR in colorectal cancer (CRC) patients. Methods Blood samples from 90 patients (26% rectal, 74% colon) were obtained preoperatively, on postoperative days (POD) 1 and 3, and at other points during the next 2 months. The late samples were bundled into 7-day time blocks. sVCAM-1 levels were determined in duplicate via ELISA and reported as ng/ml. Student’s t test was used for data analysis (significance, P  &lt; 0.008 after Bonferroni correction). Results The mean incision length was 7.3 ± 3.1 cm, and the conversion rate was 3%. Compared with preoperative (PreOp) levels (811.3 ± 233.2), the mean plasma sVCAM-1 level was significantly higher on POD 1 (905.7 ± 292.4, P  &lt; 0.001) and POD 3 (977.7 ± 271.8, P  &lt; 0.001). Levels remained significantly elevated for the POD 7–13, POD 14–20, POD 21–27, and POD 28–67 time blocks. Conclusions MICR for CRC is associated with a persistent increase in plasma sVCAM-1 levels during the first month. This sustained increase may promote angiogenesis and stimulate the growth of residual tumor cells early after surgery.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22219007</pmid><doi>10.1007/s00464-011-2112-4</doi><tpages>6</tpages></addata></record>
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subjects Abdominal Surgery
Adenocarcinoma - blood
Adenocarcinoma - surgery
Aged
Angiogenesis
Antigens
Cell adhesion & migration
Colonic Neoplasms - blood
Colonic Neoplasms - surgery
Colorectal cancer
Enzyme-Linked Immunosorbent Assay
Female
Gastroenterology
Gynecology
Hepatology
Humans
Laparoscopy - methods
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm, Residual - blood
Plasma
Postoperative Period
Proctology
Proteins
Surgery
Vascular Cell Adhesion Molecule-1 - metabolism
title Plasma soluble vascular adhesion molecule-1 levels are persistently elevated during the first month after colorectal cancer resection
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