High Concentrations of Activin A in the Peritoneal Fluid of Women With Epithelial Ovarian Cancer

Objective: The aim of the present study was to evaluate the conentrations of activin A in the peritoneal fluid of women with epithelial (serous) ovarian cancer. Methods: A group of 160 women was studied and divided in four subgroups as follows: 1) serous ovarian carcinoma (n = 32); 2) serous ovarian...

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Veröffentlicht in:Journal of the Society for Gynecologic Investigation 2004-05, Vol.11 (4), p.203-206
Hauptverfasser: Cobellis, Luigi, Reis, Fernando M., Luisi, Stefano, Danero, Secondo, Pirtoli, Luigi, Scambia, Giovanni, Petraglia, Felice
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container_end_page 206
container_issue 4
container_start_page 203
container_title Journal of the Society for Gynecologic Investigation
container_volume 11
creator Cobellis, Luigi
Reis, Fernando M.
Luisi, Stefano
Danero, Secondo
Pirtoli, Luigi
Scambia, Giovanni
Petraglia, Felice
description Objective: The aim of the present study was to evaluate the conentrations of activin A in the peritoneal fluid of women with epithelial (serous) ovarian cancer. Methods: A group of 160 women was studied and divided in four subgroups as follows: 1) serous ovarian carcinoma (n = 32); 2) serous ovarian cystadenoma (n = 20); 3) endometriosis (n = 53); and 4) healthy controls (n = 55), including both fertile (n = 32) and postmenopausal women (n = 23). Specimens of peritoneal fluid were collected during surgical interventions, and active A was quantified using a specific two-site enzyme immunoassay. Results: Peritoneal fluid activin A concentrations in women with ovarian carcinoma were about five-fold higher than those found in the control group (median [interquartile range] = 7.60 [2.85-10.15] and 1.50 [1.00-2.50] ng/mL, respectively, P < .001). In contrast, the women with benign serous cystadenoma had peritoneal fluid activin A concentrations (1.50 [1.0-2.70] ng/mL) similar to those of the control group. High peritoneal fluid activin A levels (> 2 multiples of the mean) distinguished carcinoma from cystadenoma with a sensitivity of 72% and a specificity of 80%. The follow-up of nine patients with stage IIIc ovarian cancer showed no apparent relationship between the peritoneal fluid activin A levels and overall survival. No significant difference in peritoneal fluid activin A concentrations between patients with endometriosis and control women was observed. Conclusion: Most women with serous ovarian carcinoma had high concentrations of activin A in the peritoneal fluid, supporting a possible role of this growth factor in ovarian cancer.
doi_str_mv 10.1016/j.jsgi.2003.10.008
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Methods: A group of 160 women was studied and divided in four subgroups as follows: 1) serous ovarian carcinoma (n = 32); 2) serous ovarian cystadenoma (n = 20); 3) endometriosis (n = 53); and 4) healthy controls (n = 55), including both fertile (n = 32) and postmenopausal women (n = 23). Specimens of peritoneal fluid were collected during surgical interventions, and active A was quantified using a specific two-site enzyme immunoassay. Results: Peritoneal fluid activin A concentrations in women with ovarian carcinoma were about five-fold higher than those found in the control group (median [interquartile range] = 7.60 [2.85-10.15] and 1.50 [1.00-2.50] ng/mL, respectively, P &lt; .001). In contrast, the women with benign serous cystadenoma had peritoneal fluid activin A concentrations (1.50 [1.0-2.70] ng/mL) similar to those of the control group. High peritoneal fluid activin A levels (&gt; 2 multiples of the mean) distinguished carcinoma from cystadenoma with a sensitivity of 72% and a specificity of 80%. The follow-up of nine patients with stage IIIc ovarian cancer showed no apparent relationship between the peritoneal fluid activin A levels and overall survival. No significant difference in peritoneal fluid activin A concentrations between patients with endometriosis and control women was observed. 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Methods: A group of 160 women was studied and divided in four subgroups as follows: 1) serous ovarian carcinoma (n = 32); 2) serous ovarian cystadenoma (n = 20); 3) endometriosis (n = 53); and 4) healthy controls (n = 55), including both fertile (n = 32) and postmenopausal women (n = 23). Specimens of peritoneal fluid were collected during surgical interventions, and active A was quantified using a specific two-site enzyme immunoassay. Results: Peritoneal fluid activin A concentrations in women with ovarian carcinoma were about five-fold higher than those found in the control group (median [interquartile range] = 7.60 [2.85-10.15] and 1.50 [1.00-2.50] ng/mL, respectively, P &lt; .001). In contrast, the women with benign serous cystadenoma had peritoneal fluid activin A concentrations (1.50 [1.0-2.70] ng/mL) similar to those of the control group. High peritoneal fluid activin A levels (&gt; 2 multiples of the mean) distinguished carcinoma from cystadenoma with a sensitivity of 72% and a specificity of 80%. The follow-up of nine patients with stage IIIc ovarian cancer showed no apparent relationship between the peritoneal fluid activin A levels and overall survival. No significant difference in peritoneal fluid activin A concentrations between patients with endometriosis and control women was observed. 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subjects Activins - analysis
Adult
Aged
Aged, 80 and over
Ascitic Fluid - chemistry
Cystadenocarcinoma - metabolism
Cystadenoma, Serous - metabolism
Endometriosis - metabolism
Female
Humans
Inhibin-beta Subunits - analysis
Middle Aged
Ovarian Neoplasms - metabolism
Ovarian Neoplasms - mortality
Survival Rate
title High Concentrations of Activin A in the Peritoneal Fluid of Women With Epithelial Ovarian Cancer
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