Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer

Circulating cytokines could be optimal biomarkers for prognostication and management decisions in colorectal cancer (CRC). Chemorefractory CRC patients with available plasma samples were included in this study. In the discovery cohort (<i>n</i> = 85), 182 circulating cytokines were teste...

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Main Authors: Irene Assaf, Danai Fimereli, Geraldine Anthoine, Roberta Fazio, Valentina Daprà, Alessandro Audisio, Alina Bardiaux, Tugba Akin Telli, Michele Vanhooren, Rita Saude-Conde, Giacomo Bregni, Alain Hendlisz, Francesco Sclafani
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/15/24/5823
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author Irene Assaf
Danai Fimereli
Geraldine Anthoine
Roberta Fazio
Valentina Daprà
Alessandro Audisio
Alina Bardiaux
Tugba Akin Telli
Michele Vanhooren
Rita Saude-Conde
Giacomo Bregni
Alain Hendlisz
Francesco Sclafani
author_facet Irene Assaf
Danai Fimereli
Geraldine Anthoine
Roberta Fazio
Valentina Daprà
Alessandro Audisio
Alina Bardiaux
Tugba Akin Telli
Michele Vanhooren
Rita Saude-Conde
Giacomo Bregni
Alain Hendlisz
Francesco Sclafani
author_sort Irene Assaf
collection DOAJ
description Circulating cytokines could be optimal biomarkers for prognostication and management decisions in colorectal cancer (CRC). Chemorefractory CRC patients with available plasma samples were included in this study. In the discovery cohort (<i>n</i> = 85), 182 circulating cytokines were tested with a semi-quantitative multiplex assay, and prognostic cytokines were analyzed in the validation cohort (<i>n</i> = 111) by ELISA. Overall survival (OS) was the primary outcome measure, with the false discovery rate (FDR) method (significance level of <0.01) being used to correct for multiple comparisons. Four cytokines were associated with OS in the discovery cohort: insulin-like growth factor-binding protein 1 (IGFBP-1) (HR 2.1 [95%CI: 1.58–2.79], FDR < 0.001), insulin-like growth factor-binding protein 2 (IGFBP-2) (HR 1.65 [95%CI: 1.28–2.13], FDR = 0.006), serum amyloid A (SAA) (HR 1.84 [95%CI: 1.39–2.43], FDR < 0.001), and angiotensin II (HR 1.65 [95%CI: 1.29–2.1], FDR = 0.006). Of these, IGFBP-1 (HR 2.70 [95%CI: 1.56–4.76], FDR = 0.007) and IGFBP-2 (HR 3.33 [95%CI: 1.64–6.67], FDR = 0.008) were confirmed to be independently associated with OS in the validation cohort. Patients with high concentrations of IGFBP-1 and/or IGFBP-2 had a median OS of 3.0 months as compared with 6.9 months for those with low concentrations of both cytokines (HR 2.44 [95%CI: 1.52–4.0], FDR = 0.002) Validation of circulating IGFBP-1 and IGFBP-2 as independent prognostic biomarkers for chemorefractory CRC in larger, independent series is warranted.
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spelling doaj.art-3d12b604729443468cf5fd86b686d75c2023-12-22T13:58:59ZengMDPI AGCancers2072-66942023-12-011524582310.3390/cancers15245823Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal CancerIrene Assaf0Danai Fimereli1Geraldine Anthoine2Roberta Fazio3Valentina Daprà4Alessandro Audisio5Alina Bardiaux6Tugba Akin Telli7Michele Vanhooren8Rita Saude-Conde9Giacomo Bregni10Alain Hendlisz11Francesco Sclafani12Department of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumBreast Cancer Translational Laboratory, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumGI Cancer Laboratory, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumGI Cancer Laboratory, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumDepartment of Digestive Oncology, Institut Jules Bordet, The Brussels University Hospital, 1070 Brussels, BelgiumCirculating cytokines could be optimal biomarkers for prognostication and management decisions in colorectal cancer (CRC). Chemorefractory CRC patients with available plasma samples were included in this study. In the discovery cohort (<i>n</i> = 85), 182 circulating cytokines were tested with a semi-quantitative multiplex assay, and prognostic cytokines were analyzed in the validation cohort (<i>n</i> = 111) by ELISA. Overall survival (OS) was the primary outcome measure, with the false discovery rate (FDR) method (significance level of <0.01) being used to correct for multiple comparisons. Four cytokines were associated with OS in the discovery cohort: insulin-like growth factor-binding protein 1 (IGFBP-1) (HR 2.1 [95%CI: 1.58–2.79], FDR < 0.001), insulin-like growth factor-binding protein 2 (IGFBP-2) (HR 1.65 [95%CI: 1.28–2.13], FDR = 0.006), serum amyloid A (SAA) (HR 1.84 [95%CI: 1.39–2.43], FDR < 0.001), and angiotensin II (HR 1.65 [95%CI: 1.29–2.1], FDR = 0.006). Of these, IGFBP-1 (HR 2.70 [95%CI: 1.56–4.76], FDR = 0.007) and IGFBP-2 (HR 3.33 [95%CI: 1.64–6.67], FDR = 0.008) were confirmed to be independently associated with OS in the validation cohort. Patients with high concentrations of IGFBP-1 and/or IGFBP-2 had a median OS of 3.0 months as compared with 6.9 months for those with low concentrations of both cytokines (HR 2.44 [95%CI: 1.52–4.0], FDR = 0.002) Validation of circulating IGFBP-1 and IGFBP-2 as independent prognostic biomarkers for chemorefractory CRC in larger, independent series is warranted.https://www.mdpi.com/2072-6694/15/24/5823cytokinesIGFBP-1IGFBP-2colorectal cancer
spellingShingle Irene Assaf
Danai Fimereli
Geraldine Anthoine
Roberta Fazio
Valentina Daprà
Alessandro Audisio
Alina Bardiaux
Tugba Akin Telli
Michele Vanhooren
Rita Saude-Conde
Giacomo Bregni
Alain Hendlisz
Francesco Sclafani
Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
Cancers
cytokines
IGFBP-1
IGFBP-2
colorectal cancer
title Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
title_full Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
title_fullStr Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
title_full_unstemmed Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
title_short Prognostic Value of Circulating Cytokines in Chemorefractory Colorectal Cancer
title_sort prognostic value of circulating cytokines in chemorefractory colorectal cancer
topic cytokines
IGFBP-1
IGFBP-2
colorectal cancer
url https://www.mdpi.com/2072-6694/15/24/5823
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