Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma

Abstract. The serum soluble CD163 (sCD163) is elevated in patients with inflammatory disease and several types of cancer. However, the prognostic value of serum sCD163 in pancreatic ductal adenocarcinoma (PDAC) has not yet been investigated. In this study, serum level of sCD163 was measured by using...

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Main Authors: Qinglin Fei, MD, Yu Pan, MD, PhD, Xingxing Yu, MD, Ronggui Lin, MD, PhD, Xianchao Lin, MD, PhD, Heguagn Huang, MD
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2020-09-01
Series:Journal of Pancreatology
Online Access:http://journals.lww.com/10.1097/JP9.0000000000000055
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author Qinglin Fei, MD
Yu Pan, MD, PhD
Xingxing Yu, MD
Ronggui Lin, MD, PhD
Xianchao Lin, MD, PhD
Heguagn Huang, MD
author_facet Qinglin Fei, MD
Yu Pan, MD, PhD
Xingxing Yu, MD
Ronggui Lin, MD, PhD
Xianchao Lin, MD, PhD
Heguagn Huang, MD
author_sort Qinglin Fei, MD
collection DOAJ
description Abstract. The serum soluble CD163 (sCD163) is elevated in patients with inflammatory disease and several types of cancer. However, the prognostic value of serum sCD163 in pancreatic ductal adenocarcinoma (PDAC) has not yet been investigated. In this study, serum level of sCD163 was measured by using the peripheral blood of 54 patients with PDAC, 20 patients with benign tumor of pancreas, and 30 healthy volunteers (healthy controls). The association between serum sCD163 level and overall survival was analyzed. Receiver operating characteristic (ROC) curves were generated, and areas under the curve (AUC) were compared to evaluate the diagnostic accuracy, including CA 19-9, CEA, CA 125, CA 153, and serum sCD163 level. Serum sCD163 level of patients with PDAC was significantly higher than patients with benign tumor (P = .002) and health controls (P < .001). Using ROC curves, we found that the AUC values of serum sCD163 were higher than those of CA 125 and CA 153, but lower than those of CA 19-9 and CEA. Serum sCD163 was negatively correlated with lymphocyte to monocyte ratio (LMR; r = −0.428, P = .001). In addition, the prognosis of PDAC patients with sCD163 ≥ median was worse than sCD163 < median by using univariate analysis (P = .027). Further, multivariate analysis showed that higher level of serum sCD163 was still associated with poorer overall survival (P = .020). In conclusion, the serum sCD163 has the potential as a new promising parameter to predict the prognosis in PDAC patients.
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spelling doaj.art-2ecbc558c0a541ee9bfffff77ba896b12022-12-21T18:59:10ZengWolters Kluwer Health/LWWJournal of Pancreatology2096-56642577-35772020-09-013314715310.1097/JP9.0000000000000055202009000-00005Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinomaQinglin Fei, MD0Yu Pan, MD, PhD1Xingxing Yu, MD2Ronggui Lin, MD, PhD3Xianchao Lin, MD, PhD4Heguagn Huang, MD5Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China.Abstract. The serum soluble CD163 (sCD163) is elevated in patients with inflammatory disease and several types of cancer. However, the prognostic value of serum sCD163 in pancreatic ductal adenocarcinoma (PDAC) has not yet been investigated. In this study, serum level of sCD163 was measured by using the peripheral blood of 54 patients with PDAC, 20 patients with benign tumor of pancreas, and 30 healthy volunteers (healthy controls). The association between serum sCD163 level and overall survival was analyzed. Receiver operating characteristic (ROC) curves were generated, and areas under the curve (AUC) were compared to evaluate the diagnostic accuracy, including CA 19-9, CEA, CA 125, CA 153, and serum sCD163 level. Serum sCD163 level of patients with PDAC was significantly higher than patients with benign tumor (P = .002) and health controls (P < .001). Using ROC curves, we found that the AUC values of serum sCD163 were higher than those of CA 125 and CA 153, but lower than those of CA 19-9 and CEA. Serum sCD163 was negatively correlated with lymphocyte to monocyte ratio (LMR; r = −0.428, P = .001). In addition, the prognosis of PDAC patients with sCD163 ≥ median was worse than sCD163 < median by using univariate analysis (P = .027). Further, multivariate analysis showed that higher level of serum sCD163 was still associated with poorer overall survival (P = .020). In conclusion, the serum sCD163 has the potential as a new promising parameter to predict the prognosis in PDAC patients.http://journals.lww.com/10.1097/JP9.0000000000000055
spellingShingle Qinglin Fei, MD
Yu Pan, MD, PhD
Xingxing Yu, MD
Ronggui Lin, MD, PhD
Xianchao Lin, MD, PhD
Heguagn Huang, MD
Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
Journal of Pancreatology
title Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
title_full Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
title_fullStr Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
title_full_unstemmed Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
title_short Serum biomarker CD163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
title_sort serum biomarker cd163 predicts overall survival in patients with pancreatic ductal adenocarcinoma
url http://journals.lww.com/10.1097/JP9.0000000000000055
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