Monitoring of chemotherapy successfulness of platina/taxol chemotherapy protocol by using determination of serum urokinase plasminogen activator (uPA) and soluble urokinase plasminogen activator receptor (suPAR) in patients with ovarian carcinoma FIGO II and III stage

In about 70% of cases, ovarian carcinoma has been diagnosed at an advanced stage. Invasion and metastasis of solid tumors request protease activity resulting in basal membrane destruction and surrounding matrix. In that process, urokinase plasminogen activator (uPA) and its receptor, urokinase plasm...

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Veröffentlicht in:Bosnian journal of basic medical sciences 2007-05, Vol.7 (2), p.111-116
Hauptverfasser: Ljuca, Dzenita, Fatusić, Zlatan, Iljazović, Ermina, Ahmetović, Begzudin
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Fatusić, Zlatan
Iljazović, Ermina
Ahmetović, Begzudin
description In about 70% of cases, ovarian carcinoma has been diagnosed at an advanced stage. Invasion and metastasis of solid tumors request protease activity resulting in basal membrane destruction and surrounding matrix. In that process, urokinase plasminogen activator (uPA) and its receptor, urokinase plasminogen activator receptor (suPAR) play a key role, that via plasmin activation lead to basal membrane and matrix degradation in surrounding of the tumor, enable to its invasion and metastasis. Determination of serum concentration of those tumor markers can be useful in preoperative as well as in postoperative period. Their serum concentrations in ovarian cancer patients may help in good monitoring of remission or progression during chemotherapy treatment. In late 1950s and ear1y 1960s, when it was found out that malignant ovarian tumors were chemosensitive, their chemotherapy treatment has begun. In the beginning it was used only mono-therapy, and by discovering new cytostatics it was replaced by poly-chemotherapy. Now days, in the therapy of advanced stages of ovarian carcinoma combination of cisplatine or carboplatine with paclitaxel is considering as standard treatment. Aim of this study was to determine serum uPA, suPAR and CEA in FIGO II and III patients with different histological type (serous, mucinous, clear cell tumor) before and after PT chemotherapy protocol during following three cycles. In this prospective study we have analyzed 17 patients with ovarian carcinoma, those have been after surgery treated by chemotherapy. Serum levels of uPA and suPAR have been determined by ELISA-test (Imubind uPA, Imubind uPAR, American Diagnostica), and CEA by OPUS Imunoassay method. Results of this study have shown that uPA, suPAR and CEA met criteria for prognostic markers for monitoring of successfulness of platina/taxol chemotherapy protocol for serous, mucinous and clear cell tumor FIGO II and III stage of ovarian carcinoma. In case of PT chemotherapy protocol suPAR was better prognostic marker for monitoring of chemotherapy successfulness (Pearson coefficient 0,9 do 1,0; p
doi_str_mv 10.17305/bjbms.2007.3063
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dosage</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Receptors, Cell Surface - blood</topic><topic>Receptors, Urokinase Plasminogen Activator</topic><topic>Treatment Outcome</topic><topic>Urokinase-Type Plasminogen Activator - blood</topic><toplevel>online_resources</toplevel><creatorcontrib>Ljuca, Dzenita</creatorcontrib><creatorcontrib>Fatusić, Zlatan</creatorcontrib><creatorcontrib>Iljazović, Ermina</creatorcontrib><creatorcontrib>Ahmetović, Begzudin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Bosnian journal of basic medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ljuca, Dzenita</au><au>Fatusić, Zlatan</au><au>Iljazović, Ermina</au><au>Ahmetović, Begzudin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monitoring of chemotherapy successfulness of platina/taxol chemotherapy protocol by using determination of serum urokinase plasminogen activator (uPA) and soluble urokinase plasminogen activator receptor (suPAR) in patients with ovarian carcinoma FIGO II and III stage</atitle><jtitle>Bosnian journal of basic medical sciences</jtitle><addtitle>Bosn J Basic Med Sci</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>7</volume><issue>2</issue><spage>111</spage><epage>116</epage><pages>111-116</pages><issn>1512-8601</issn><abstract>In about 70% of cases, ovarian carcinoma has been diagnosed at an advanced stage. Invasion and metastasis of solid tumors request protease activity resulting in basal membrane destruction and surrounding matrix. In that process, urokinase plasminogen activator (uPA) and its receptor, urokinase plasminogen activator receptor (suPAR) play a key role, that via plasmin activation lead to basal membrane and matrix degradation in surrounding of the tumor, enable to its invasion and metastasis. Determination of serum concentration of those tumor markers can be useful in preoperative as well as in postoperative period. Their serum concentrations in ovarian cancer patients may help in good monitoring of remission or progression during chemotherapy treatment. In late 1950s and ear1y 1960s, when it was found out that malignant ovarian tumors were chemosensitive, their chemotherapy treatment has begun. In the beginning it was used only mono-therapy, and by discovering new cytostatics it was replaced by poly-chemotherapy. Now days, in the therapy of advanced stages of ovarian carcinoma combination of cisplatine or carboplatine with paclitaxel is considering as standard treatment. Aim of this study was to determine serum uPA, suPAR and CEA in FIGO II and III patients with different histological type (serous, mucinous, clear cell tumor) before and after PT chemotherapy protocol during following three cycles. In this prospective study we have analyzed 17 patients with ovarian carcinoma, those have been after surgery treated by chemotherapy. Serum levels of uPA and suPAR have been determined by ELISA-test (Imubind uPA, Imubind uPAR, American Diagnostica), and CEA by OPUS Imunoassay method. Results of this study have shown that uPA, suPAR and CEA met criteria for prognostic markers for monitoring of successfulness of platina/taxol chemotherapy protocol for serous, mucinous and clear cell tumor FIGO II and III stage of ovarian carcinoma. In case of PT chemotherapy protocol suPAR was better prognostic marker for monitoring of chemotherapy successfulness (Pearson coefficient 0,9 do 1,0; p&lt;0,00l) than uPA (Pearson coefficient between 0,86 and 0,92; p&lt;0,02) and CEA (Pearson coefficient 0,5 do 0,89; p&lt;0,04).</abstract><cop>Bosnia and Herzegovina</cop><pmid>17489744</pmid><doi>10.17305/bjbms.2007.3063</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1512-8601
ispartof Bosnian journal of basic medical sciences, 2007-05, Vol.7 (2), p.111-116
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adenocarcinoma, Clear Cell - blood
Adenocarcinoma, Clear Cell - drug therapy
Adenocarcinoma, Clear Cell - pathology
Adenocarcinoma, Mucinous - blood
Adenocarcinoma, Mucinous - drug therapy
Adenocarcinoma, Mucinous - pathology
Adult
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carboplatin - administration & dosage
Cisplatin - administration & dosage
Dose-Response Relationship, Drug
Female
Humans
Middle Aged
Neoplasm Staging
Ovarian Neoplasms - blood
Ovarian Neoplasms - drug therapy
Ovarian Neoplasms - pathology
Paclitaxel - administration & dosage
Prognosis
Prospective Studies
Receptors, Cell Surface - blood
Receptors, Urokinase Plasminogen Activator
Treatment Outcome
Urokinase-Type Plasminogen Activator - blood
title Monitoring of chemotherapy successfulness of platina/taxol chemotherapy protocol by using determination of serum urokinase plasminogen activator (uPA) and soluble urokinase plasminogen activator receptor (suPAR) in patients with ovarian carcinoma FIGO II and III stage
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