Abstract
The relationship between circulating C-reactive protein concentrations and potential cytokine and receptor mediators (interleukin-6, leukaemia inhibitory factor (LIF), ciliary neurotrophic factor (CNTF), soluble IL-6 receptor, soluble gp130, soluble TNF receptor, interleukin-1 receptor antagonist and interleukin-8 (IL-8)) of this acute phase protein were examined in healthy subjects (n=11) and patients with non-small-cell lung cancer (n=50). Leukaemia inhibitory factor and CNTF were below detection limits in all controls and patients. C-reactive protein, interleukin-6, soluble gp130, soluble TNF receptor, interleukin-1 receptor antagonist and IL-8 concentrations were significantly elevated in cancer patients (P< or =0.001). Cancer patients with elevated C-reactive protein concentrations had greater concentrations of interleukin-6 (P<0.01) and interleukin-1 receptor antagonist (P<0.05). On regression analysis only interleukin-6 was independently associated with C-reactive protein (r=0.616, P<0.001). Interleukin-6 is an important independent mediator of elevated C-reactive protein concentrations in patients with non-small-cell lung cancer.
MeSH Terms
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor/blood
C-Reactive Protein/analysis
Carcinoma, Non-Small-Cell Lung/blood
Cytokines/blood
Enzyme-Linked Immunosorbent Assay
Female
Humans
Lung Neoplasms/blood
Male
Middle Aged
Receptors, Cytokine/blood
Chemicals
Biomarkers, Tumor
Cytokines
Receptors, Cytokine
C-Reactive Protein
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
McKeown D J
University Department of Surgery, Royal Infirmary, Glasgow G31 2ER, UK.
Brown D J F
Kelly A
Wallace A M
McMillan D C
References (19)
19 references, click to expand
-
Weight loss and low body cell mass in males with lung cancer: relationship with systemic inflammation, acute-phase response, resting energy expenditure, and catabolic and anabolic hormones.
Clin Sci (Lond). 1999 Aug;97(2):215-23
PMID: 10409477
-
Interleukin-1 receptor antagonist in pleural effusion due to inflammatory and malignant lung disease.
Eur Respir J. 1996 Jun;9(6):1211-6
PMID: 8804940
-
A two-way interaction between hepatocyte growth factor and interleukin-6 in tissue invasion of lung cancer cell line.
Am J Respir Cell Mol Biol. 2002 Aug;27(2):220-6
PMID: 12151314
-
The systemic inflammatory response, weight loss, performance status and survival in patients with inoperable non-small cell lung cancer.
Br J Cancer. 2002 Jul 29;87(3):264-7
PMID: 12177792
-
The role of soluble receptors in cytokine biology: the agonistic properties of the sIL-6R/IL-6 complex.
Biochim Biophys Acta. 2002 Nov 11;1592(3):251-63
PMID: 12421670
-
Evaluation of cumulative prognostic scores based on the systemic inflammatory response in patients with inoperable non-small-cell lung cancer.
Br J Cancer. 2003 Sep 15;89(6):1028-30
PMID: 12966420
-
A pilot randomized trial of a human anti-interleukin-6 receptor monoclonal antibody in active Crohn's disease.
Gastroenterology. 2004 Apr;126(4):989-96; discussion 947
PMID: 15057738
-
Treatment of rheumatoid arthritis with humanized anti-interleukin-6 receptor antibody: a multicenter, double-blind, placebo-controlled trial.
Arthritis Rheum. 2004 Jun;50(6):1761-9
PMID: 15188351
-
Comparison of an inflammation-based prognostic score (GPS) with performance status (ECOG) in patients receiving platinum-based chemotherapy for inoperable non-small-cell lung cancer.
Br J Cancer. 2004 May 4;90(9):1704-6
PMID: 15150622
-
Cancer cachexia syndrome developed in nude mice bearing melanoma cells producing leukemia-inhibitory factor.
Cancer Res. 1991 Dec 15;51(24):6656-9
PMID: 1742740
-
The synovial expression and serum levels of interleukin-6, interleukin-11, leukemia inhibitory factor, and oncostatin M in rheumatoid arthritis.
Arthritis Rheum. 1997 Jun;40(6):1096-105
PMID: 9182920
-
Anorectic effects of the cytokine, ciliary neurotropic factor, are mediated by hypothalamic neuropeptide Y: comparison with leptin.
Endocrinology. 1998 Feb;139(2):466-73
PMID: 9449612
-
Interleukin-6-type cytokine signalling through the gp130/Jak/STAT pathway.
Biochem J. 1998 Sep 1;334 ( Pt 2):297-314
PMID: 9716487
-
A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss.
Br J Cancer. 1999 Feb;79(3-4):495-500
PMID: 10027319
-
Reconstitution of the response to leukemia inhibitory factor, oncostatin M, and ciliary neurotrophic factor in hepatoma cells.
J Biol Chem. 1993 Apr 25;268(12):8414-7
PMID: 7682551
-
Anti-inflammatory treatment may prolong survival in undernourished patients with metastatic solid tumors.
Cancer Res. 1994 Nov 1;54(21):5602-6
PMID: 7923204
-
Serum levels of interleukin 6 in patients with lung cancer.
Br J Cancer. 1995 May;71(5):1095-8
PMID: 7734307
-
The relationship between weight loss and interleukin 6 in non-small-cell lung cancer.
Br J Cancer. 1996 Jun;73(12):1560-2
PMID: 8664130
-
Evaluation of inflammatory cytokines in malignant and benign pleural effusions.
Oncol Rep. 2000 Nov-Dec;7(6):1327-32
PMID: 11032938