Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients

Objective Natural killer (NK) cells play an essential role in the immune response against cancer. However, immune escape mechanisms may cause inferior NK cell activity (NKA) in patients with cancer. This prospective study examined the relationship between NKA and lung cancer in a high-risk cohort. M...

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Main Authors: Morten Borg, Sara Witting Christensen Wen, Torben Frøstrup Hansen, Anders Jakobsen, Rikke Fredslund Andersen, Ole Hilberg, Ulla Møller Weinreich, Line Nederby
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221108924
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author Morten Borg
Sara Witting Christensen Wen
Torben Frøstrup Hansen
Anders Jakobsen
Rikke Fredslund Andersen
Ole Hilberg
Ulla Møller Weinreich
Line Nederby
author_facet Morten Borg
Sara Witting Christensen Wen
Torben Frøstrup Hansen
Anders Jakobsen
Rikke Fredslund Andersen
Ole Hilberg
Ulla Møller Weinreich
Line Nederby
author_sort Morten Borg
collection DOAJ
description Objective Natural killer (NK) cells play an essential role in the immune response against cancer. However, immune escape mechanisms may cause inferior NK cell activity (NKA) in patients with cancer. This prospective study examined the relationship between NKA and lung cancer in a high-risk cohort. Methods In a cohort study, 250 participants referred by their general practitioner for suspicion of lung cancer were included. Before clinical investigation, blood was collected into NK Vue tubes, and the level of interferon gamma after 24 hours served as a surrogate marker for NKA. Results Among 250 patients, 79 were diagnosed with lung cancer. No difference in NKA was found between patients with lung cancer and control participants in which lung cancer was ruled out (median 226 pg/mL vs. 450 pg/mL). However, there was a significant difference in NKA between patients with late-stage lung cancer and controls (median 161 pg/mL vs. 450 pg/mL). A linear regression model showed that NKA was not influenced by age, sex or smoking status. Conclusions The significantly lower NKA in patients with late-stage lung cancer warrants further investigation combining NKA with other biomarkers and examining the potential role of NKA as a marker of disseminated disease.
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spelling doaj.art-98d79f5b73f64adfaed8e24a84beff982022-12-22T03:32:20ZengSAGE PublishingJournal of International Medical Research1473-23002022-06-015010.1177/03000605221108924Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patientsMorten BorgSara Witting Christensen WenTorben Frøstrup HansenAnders JakobsenRikke Fredslund AndersenOle HilbergUlla Møller WeinreichLine NederbyObjective Natural killer (NK) cells play an essential role in the immune response against cancer. However, immune escape mechanisms may cause inferior NK cell activity (NKA) in patients with cancer. This prospective study examined the relationship between NKA and lung cancer in a high-risk cohort. Methods In a cohort study, 250 participants referred by their general practitioner for suspicion of lung cancer were included. Before clinical investigation, blood was collected into NK Vue tubes, and the level of interferon gamma after 24 hours served as a surrogate marker for NKA. Results Among 250 patients, 79 were diagnosed with lung cancer. No difference in NKA was found between patients with lung cancer and control participants in which lung cancer was ruled out (median 226 pg/mL vs. 450 pg/mL). However, there was a significant difference in NKA between patients with late-stage lung cancer and controls (median 161 pg/mL vs. 450 pg/mL). A linear regression model showed that NKA was not influenced by age, sex or smoking status. Conclusions The significantly lower NKA in patients with late-stage lung cancer warrants further investigation combining NKA with other biomarkers and examining the potential role of NKA as a marker of disseminated disease.https://doi.org/10.1177/03000605221108924
spellingShingle Morten Borg
Sara Witting Christensen Wen
Torben Frøstrup Hansen
Anders Jakobsen
Rikke Fredslund Andersen
Ole Hilberg
Ulla Møller Weinreich
Line Nederby
Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
Journal of International Medical Research
title Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
title_full Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
title_fullStr Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
title_full_unstemmed Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
title_short Natural killer cell activity as a biomarker for the diagnosis of lung cancer in high-risk patients
title_sort natural killer cell activity as a biomarker for the diagnosis of lung cancer in high risk patients
url https://doi.org/10.1177/03000605221108924
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