Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients

We aim to describe the characteristics of hepcidin, IL-6, and TNF-α levels in anaemia of lung cancer patients with operative tumour as well as to investigate the potential diagnostic capabilities of hepcidin in combination with IL-6, TNF-α, and acute phase proteins. We present a retrospective study...

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Main Authors: Katarzyna Wadowska, Piotr Błasiak, Adam Rzechonek, Iwona Bil-Lula, Mariola Śliwińska-Mossoń
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/1/224
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author Katarzyna Wadowska
Piotr Błasiak
Adam Rzechonek
Iwona Bil-Lula
Mariola Śliwińska-Mossoń
author_facet Katarzyna Wadowska
Piotr Błasiak
Adam Rzechonek
Iwona Bil-Lula
Mariola Śliwińska-Mossoń
author_sort Katarzyna Wadowska
collection DOAJ
description We aim to describe the characteristics of hepcidin, IL-6, and TNF-α levels in anaemia of lung cancer patients with operative tumour as well as to investigate the potential diagnostic capabilities of hepcidin in combination with IL-6, TNF-α, and acute phase proteins. We present a retrospective study of 112 lung cancer patients (41 women and 71 men) who were surgically treated at the Lower Silesian Centre for Lung Diseases in Wroclaw, Poland. Serum blood samples were collected from all these patients prior to any surgical treatment and used to determine hepcidin, IL-6, TNF-α, SAA<sub>1</sub>, and CRP concentrations. Patients were also examined with a complete blood count several times during their hospitalization. The female and male groups were divided based on the occurrence of anaemia during their hospitalization. Patients who developed anaemia post-operatively had significantly lower hepcidin concentrations than non-anaemic patients (<i>p</i> = 0.000694 in females with ≥3 complete blood count examinations and <i>p</i> = 0.007905 in males with 2 complete blood count examinations), whereas patients with anaemia since hospital admission had higher hepcidin concentrations. We observed two hepcidin roles related to two cancer anaemia pathogeneses: (1) higher hepcidin concentrations in patients with anaemia since hospital admission (anaemia of inflammation) and (2) lower hepcidin concentrations in patients who developed anaemia after surgery (anaemia of iron deficiency). Our data support the role of hepcidin, IL-6, and TNF-α in cancer-related anaemia and provide diagnostic values for predicting post-operative anaemia in lung cancer patients.
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spelling doaj.art-7db6c14682734a81ac987130c7e1f2302023-11-16T15:03:19ZengMDPI AGCancers2072-66942022-12-0115122410.3390/cancers15010224Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer PatientsKatarzyna Wadowska0Piotr Błasiak1Adam Rzechonek2Iwona Bil-Lula3Mariola Śliwińska-Mossoń4Department of Medical Laboratory Diagnostics, Division of Clinical Chemistry and Laboratory Haematology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211A, 50-556 Wroclaw, PolandDepartment and Clinic of Thoracic Surgery, Faculty of Medicine, Wroclaw Medical University, Grabiszyńska 105, 53-439 Wroclaw, PolandDepartment and Clinic of Thoracic Surgery, Faculty of Medicine, Wroclaw Medical University, Grabiszyńska 105, 53-439 Wroclaw, PolandDepartment of Medical Laboratory Diagnostics, Division of Clinical Chemistry and Laboratory Haematology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211A, 50-556 Wroclaw, PolandDepartment of Medical Laboratory Diagnostics, Division of Clinical Chemistry and Laboratory Haematology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211A, 50-556 Wroclaw, PolandWe aim to describe the characteristics of hepcidin, IL-6, and TNF-α levels in anaemia of lung cancer patients with operative tumour as well as to investigate the potential diagnostic capabilities of hepcidin in combination with IL-6, TNF-α, and acute phase proteins. We present a retrospective study of 112 lung cancer patients (41 women and 71 men) who were surgically treated at the Lower Silesian Centre for Lung Diseases in Wroclaw, Poland. Serum blood samples were collected from all these patients prior to any surgical treatment and used to determine hepcidin, IL-6, TNF-α, SAA<sub>1</sub>, and CRP concentrations. Patients were also examined with a complete blood count several times during their hospitalization. The female and male groups were divided based on the occurrence of anaemia during their hospitalization. Patients who developed anaemia post-operatively had significantly lower hepcidin concentrations than non-anaemic patients (<i>p</i> = 0.000694 in females with ≥3 complete blood count examinations and <i>p</i> = 0.007905 in males with 2 complete blood count examinations), whereas patients with anaemia since hospital admission had higher hepcidin concentrations. We observed two hepcidin roles related to two cancer anaemia pathogeneses: (1) higher hepcidin concentrations in patients with anaemia since hospital admission (anaemia of inflammation) and (2) lower hepcidin concentrations in patients who developed anaemia after surgery (anaemia of iron deficiency). Our data support the role of hepcidin, IL-6, and TNF-α in cancer-related anaemia and provide diagnostic values for predicting post-operative anaemia in lung cancer patients.https://www.mdpi.com/2072-6694/15/1/224lung cancernon-small cell lung carcinomaanaemia of chronic diseaseanaemia of inflammationiron deficiency anaemiabiomarkers
spellingShingle Katarzyna Wadowska
Piotr Błasiak
Adam Rzechonek
Iwona Bil-Lula
Mariola Śliwińska-Mossoń
Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
Cancers
lung cancer
non-small cell lung carcinoma
anaemia of chronic disease
anaemia of inflammation
iron deficiency anaemia
biomarkers
title Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
title_full Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
title_fullStr Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
title_full_unstemmed Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
title_short Hepcidin as a Diagnostic Biomarker in Anaemic Lung Cancer Patients
title_sort hepcidin as a diagnostic biomarker in anaemic lung cancer patients
topic lung cancer
non-small cell lung carcinoma
anaemia of chronic disease
anaemia of inflammation
iron deficiency anaemia
biomarkers
url https://www.mdpi.com/2072-6694/15/1/224
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AT iwonabillula hepcidinasadiagnosticbiomarkerinanaemiclungcancerpatients
AT mariolasliwinskamosson hepcidinasadiagnosticbiomarkerinanaemiclungcancerpatients