Elevation of cytokine levels in cachectic patients with prostate carcinoma

BACKGROUND Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. The pathophysiology of cachexia is multifactorial, and several cytokines, such as tumor necrosis factor α (TNFα)...

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Veröffentlicht in:Cancer 2003-03, Vol.97 (5), p.1211-1216
Hauptverfasser: Pfitzenmaier, Jesco, Vessella, Robert, Higano, Celestia S., Noteboom, Jennifer L., Wallace, David, Corey, Eva
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container_end_page 1216
container_issue 5
container_start_page 1211
container_title Cancer
container_volume 97
creator Pfitzenmaier, Jesco
Vessella, Robert
Higano, Celestia S.
Noteboom, Jennifer L.
Wallace, David
Corey, Eva
description BACKGROUND Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. The pathophysiology of cachexia is multifactorial, and several cytokines, such as tumor necrosis factor α (TNFα) and interleukin 1 (IL‐1), IL‐6, and IL‐8, may be involved. The objective of the current study was to determine whether cachexia associated with advanced CaP is accompanied by increased serum levels of TNFα, IL‐1β, IL‐6, and IL‐8. METHODS The levels of TNFα, IL‐1β, IL‐6, IL‐8, and prostate specific antigen (PSA) were examined in serum samples from normal donors (n = 10 donors), from patients with organ‐confined CaP (n = 19 patients), from patients with advanced CaP without cachexia (n = 17 patients), and from patients with cachectic CaP (n = 26 patients). DPC Immulite and Abbott IMx Total‐PSA assays were used to determine cytokine and PSA levels, respectively. RESULTS Levels of TNFα, IL‐6, and IL‐8 were elevated significantly in the group of patients with advanced, cachectic CaP compared with patients who were without cachexia. In the cachectic patients, levels of TNFα were correlated positively with IL‐8, and there was no correlation between PSA levels and any of the cytokine levels. IL‐1β levels were below the limit of detection in all samples. CONCLUSIONS The current results show that levels of TNFα, IL‐6, and IL‐8 were increased in CaP patients with cachexia. Increased levels of these cytokines were not correlated with PSA levels, suggesting that they are regulated by a mechanism that is independent of PSA synthesis. Additional fundamental research is needed to determine the mechanisms involved and to identify potential therapeutic targets in patients with cachexia. Cancer 2003;97:1211–6. © 2003 American Cancer Society. DOI 10.1002/cncr.11178 Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. It has been proposed that several cytokines are involved in the development of cachexia. The authors found that levels of tumor necrosis factor α, interleukin 6, and interleukin 8 are increased in patients with advanced cachectic CaP compared with patients with advanced noncachectic CaP and that these cytokines play a role in CaP cachexia.
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The pathophysiology of cachexia is multifactorial, and several cytokines, such as tumor necrosis factor α (TNFα) and interleukin 1 (IL‐1), IL‐6, and IL‐8, may be involved. The objective of the current study was to determine whether cachexia associated with advanced CaP is accompanied by increased serum levels of TNFα, IL‐1β, IL‐6, and IL‐8. METHODS The levels of TNFα, IL‐1β, IL‐6, IL‐8, and prostate specific antigen (PSA) were examined in serum samples from normal donors (n = 10 donors), from patients with organ‐confined CaP (n = 19 patients), from patients with advanced CaP without cachexia (n = 17 patients), and from patients with cachectic CaP (n = 26 patients). DPC Immulite and Abbott IMx Total‐PSA assays were used to determine cytokine and PSA levels, respectively. RESULTS Levels of TNFα, IL‐6, and IL‐8 were elevated significantly in the group of patients with advanced, cachectic CaP compared with patients who were without cachexia. In the cachectic patients, levels of TNFα were correlated positively with IL‐8, and there was no correlation between PSA levels and any of the cytokine levels. IL‐1β levels were below the limit of detection in all samples. CONCLUSIONS The current results show that levels of TNFα, IL‐6, and IL‐8 were increased in CaP patients with cachexia. Increased levels of these cytokines were not correlated with PSA levels, suggesting that they are regulated by a mechanism that is independent of PSA synthesis. Additional fundamental research is needed to determine the mechanisms involved and to identify potential therapeutic targets in patients with cachexia. Cancer 2003;97:1211–6. © 2003 American Cancer Society. DOI 10.1002/cncr.11178 Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. It has been proposed that several cytokines are involved in the development of cachexia. The authors found that levels of tumor necrosis factor α, interleukin 6, and interleukin 8 are increased in patients with advanced cachectic CaP compared with patients with advanced noncachectic CaP and that these cytokines play a role in CaP cachexia.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.11178</identifier><identifier>PMID: 12599227</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Biological and medical sciences ; cachexia ; Cachexia - blood ; Cachexia - etiology ; cytokines ; Cytokines - blood ; Humans ; Interleukin-1 - blood ; Interleukin-6 - blood ; Interleukin-8 - blood ; interleukins ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; prostate specific antigen (PSA) ; Prostate-Specific Antigen - blood ; prostatic neoplasm ; Prostatic Neoplasms - blood ; Prostatic Neoplasms - complications ; Prostatic Neoplasms - radiotherapy ; Tumor Necrosis Factor-alpha - metabolism ; Tumors of the urinary system ; Urinary tract. 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The pathophysiology of cachexia is multifactorial, and several cytokines, such as tumor necrosis factor α (TNFα) and interleukin 1 (IL‐1), IL‐6, and IL‐8, may be involved. The objective of the current study was to determine whether cachexia associated with advanced CaP is accompanied by increased serum levels of TNFα, IL‐1β, IL‐6, and IL‐8. METHODS The levels of TNFα, IL‐1β, IL‐6, IL‐8, and prostate specific antigen (PSA) were examined in serum samples from normal donors (n = 10 donors), from patients with organ‐confined CaP (n = 19 patients), from patients with advanced CaP without cachexia (n = 17 patients), and from patients with cachectic CaP (n = 26 patients). DPC Immulite and Abbott IMx Total‐PSA assays were used to determine cytokine and PSA levels, respectively. RESULTS Levels of TNFα, IL‐6, and IL‐8 were elevated significantly in the group of patients with advanced, cachectic CaP compared with patients who were without cachexia. In the cachectic patients, levels of TNFα were correlated positively with IL‐8, and there was no correlation between PSA levels and any of the cytokine levels. IL‐1β levels were below the limit of detection in all samples. CONCLUSIONS The current results show that levels of TNFα, IL‐6, and IL‐8 were increased in CaP patients with cachexia. Increased levels of these cytokines were not correlated with PSA levels, suggesting that they are regulated by a mechanism that is independent of PSA synthesis. Additional fundamental research is needed to determine the mechanisms involved and to identify potential therapeutic targets in patients with cachexia. Cancer 2003;97:1211–6. © 2003 American Cancer Society. DOI 10.1002/cncr.11178 Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. It has been proposed that several cytokines are involved in the development of cachexia. The authors found that levels of tumor necrosis factor α, interleukin 6, and interleukin 8 are increased in patients with advanced cachectic CaP compared with patients with advanced noncachectic CaP and that these cytokines play a role in CaP cachexia.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>cachexia</subject><subject>Cachexia - blood</subject><subject>Cachexia - etiology</subject><subject>cytokines</subject><subject>Cytokines - blood</subject><subject>Humans</subject><subject>Interleukin-1 - blood</subject><subject>Interleukin-6 - blood</subject><subject>Interleukin-8 - blood</subject><subject>interleukins</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>prostate specific antigen (PSA)</subject><subject>Prostate-Specific Antigen - blood</subject><subject>prostatic neoplasm</subject><subject>Prostatic Neoplasms - blood</subject><subject>Prostatic Neoplasms - complications</subject><subject>Prostatic Neoplasms - radiotherapy</subject><subject>Tumor Necrosis Factor-alpha - metabolism</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtKw0AUBuBBFFurGx9AstGFkDqXTCZZSqg3ioIouAuTkxM6mkvNTC19e6c20J2rufBxzs9PyDmjU0Ypv4EW-iljTCUHZMxoqkLKIn5IxpTSJJSR-BiRE2s__VNxKY7JiHGZppyrMXma1fijnenaoKsC2Ljuy7QY-E-sbWDaADQsEJyBYOkZts4Ga-MWwbLvrNMOPejBtF2jT8lRpWuLZ8M5Ie93s7fsIZy_3D9mt_MQhJRJyLcpiiJVMYtSpCItZIyQFgKF5v4GNEJRFZUsE8E4TzTQpMQSpOZKU0HFhFzt5voI3yu0Lm-MBaxr3WK3srnyJlYy9fB6B8FntT1W-bI3je43OaP5trl821z-15zHF8PUVdFguadDVR5cDkBb0HXV6xaM3bsojhSVzDu2c2tT4-aflXn2nL3ulv8CIyGGGQ</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Pfitzenmaier, Jesco</creator><creator>Vessella, Robert</creator><creator>Higano, Celestia S.</creator><creator>Noteboom, Jennifer L.</creator><creator>Wallace, David</creator><creator>Corey, Eva</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Elevation of cytokine levels in cachectic patients with prostate carcinoma</title><author>Pfitzenmaier, Jesco ; Vessella, Robert ; Higano, Celestia S. ; Noteboom, Jennifer L. ; Wallace, David ; Corey, Eva</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3558-20072bb976149e039b56ec9b3e3a26ecc04e3fbf5d831228ac08dedc5a27a0303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>cachexia</topic><topic>Cachexia - blood</topic><topic>Cachexia - etiology</topic><topic>cytokines</topic><topic>Cytokines - blood</topic><topic>Humans</topic><topic>Interleukin-1 - blood</topic><topic>Interleukin-6 - blood</topic><topic>Interleukin-8 - blood</topic><topic>interleukins</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>prostate specific antigen (PSA)</topic><topic>Prostate-Specific Antigen - blood</topic><topic>prostatic neoplasm</topic><topic>Prostatic Neoplasms - blood</topic><topic>Prostatic Neoplasms - complications</topic><topic>Prostatic Neoplasms - radiotherapy</topic><topic>Tumor Necrosis Factor-alpha - metabolism</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pfitzenmaier, Jesco</creatorcontrib><creatorcontrib>Vessella, Robert</creatorcontrib><creatorcontrib>Higano, Celestia S.</creatorcontrib><creatorcontrib>Noteboom, Jennifer L.</creatorcontrib><creatorcontrib>Wallace, David</creatorcontrib><creatorcontrib>Corey, Eva</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pfitzenmaier, Jesco</au><au>Vessella, Robert</au><au>Higano, Celestia S.</au><au>Noteboom, Jennifer L.</au><au>Wallace, David</au><au>Corey, Eva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elevation of cytokine levels in cachectic patients with prostate carcinoma</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>97</volume><issue>5</issue><spage>1211</spage><epage>1216</epage><pages>1211-1216</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. The pathophysiology of cachexia is multifactorial, and several cytokines, such as tumor necrosis factor α (TNFα) and interleukin 1 (IL‐1), IL‐6, and IL‐8, may be involved. The objective of the current study was to determine whether cachexia associated with advanced CaP is accompanied by increased serum levels of TNFα, IL‐1β, IL‐6, and IL‐8. METHODS The levels of TNFα, IL‐1β, IL‐6, IL‐8, and prostate specific antigen (PSA) were examined in serum samples from normal donors (n = 10 donors), from patients with organ‐confined CaP (n = 19 patients), from patients with advanced CaP without cachexia (n = 17 patients), and from patients with cachectic CaP (n = 26 patients). DPC Immulite and Abbott IMx Total‐PSA assays were used to determine cytokine and PSA levels, respectively. RESULTS Levels of TNFα, IL‐6, and IL‐8 were elevated significantly in the group of patients with advanced, cachectic CaP compared with patients who were without cachexia. In the cachectic patients, levels of TNFα were correlated positively with IL‐8, and there was no correlation between PSA levels and any of the cytokine levels. IL‐1β levels were below the limit of detection in all samples. CONCLUSIONS The current results show that levels of TNFα, IL‐6, and IL‐8 were increased in CaP patients with cachexia. Increased levels of these cytokines were not correlated with PSA levels, suggesting that they are regulated by a mechanism that is independent of PSA synthesis. Additional fundamental research is needed to determine the mechanisms involved and to identify potential therapeutic targets in patients with cachexia. Cancer 2003;97:1211–6. © 2003 American Cancer Society. DOI 10.1002/cncr.11178 Approximately 60–70% of patients with advanced prostate carcinoma (CaP) suffer from cachexia, one of the most devastating conditions associated with advanced malignant disease. It has been proposed that several cytokines are involved in the development of cachexia. The authors found that levels of tumor necrosis factor α, interleukin 6, and interleukin 8 are increased in patients with advanced cachectic CaP compared with patients with advanced noncachectic CaP and that these cytokines play a role in CaP cachexia.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12599227</pmid><doi>10.1002/cncr.11178</doi><tpages>6</tpages></addata></record>
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subjects Aged
Biological and medical sciences
cachexia
Cachexia - blood
Cachexia - etiology
cytokines
Cytokines - blood
Humans
Interleukin-1 - blood
Interleukin-6 - blood
Interleukin-8 - blood
interleukins
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
prostate specific antigen (PSA)
Prostate-Specific Antigen - blood
prostatic neoplasm
Prostatic Neoplasms - blood
Prostatic Neoplasms - complications
Prostatic Neoplasms - radiotherapy
Tumor Necrosis Factor-alpha - metabolism
Tumors of the urinary system
Urinary tract. Prostate gland
title Elevation of cytokine levels in cachectic patients with prostate carcinoma
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