The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients

Endometrial cancer is one of the most common cancers of the reproductive organ in women. The incidence of it increases from year to year. In our study we assessed role of FGF21 and FGF23 in the diagnostics of patients with endometrial cancer. The study involved 182 patients, who were undergoing abra...

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Main Authors: Aneta Cymbaluk-Płoska, Paula Gargulińska, Anita Chudecka-Głaz, Sebastian Kwiatkowski, Ewa Pius-Sadowska, Bogusław Machaliński
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/6/414
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author Aneta Cymbaluk-Płoska
Paula Gargulińska
Anita Chudecka-Głaz
Sebastian Kwiatkowski
Ewa Pius-Sadowska
Bogusław Machaliński
author_facet Aneta Cymbaluk-Płoska
Paula Gargulińska
Anita Chudecka-Głaz
Sebastian Kwiatkowski
Ewa Pius-Sadowska
Bogusław Machaliński
author_sort Aneta Cymbaluk-Płoska
collection DOAJ
description Endometrial cancer is one of the most common cancers of the reproductive organ in women. The incidence of it increases from year to year. In our study we assessed role of FGF21 and FGF23 in the diagnostics of patients with endometrial cancer. The study involved 182 patients, who were undergoing abrasion due to perimenopausal bleeding. FGF21, FGF23, and leptin concentration were quantified in serum by multiplex fluorescent bead-based immunoassays (Luminex Corporation). The median of FGF21 protein (181.8 pg/mL) as well as leptin (16.9 ng/mL) in patients with endometrial cancer was statistically significant higher compared to median of those proteins among patients from control group (152.1 pg/mL and 14.1 ng/mL, respectively). However, no significant differences were found in these groups at median FGF23 concentrations. For FGF21 and leptin, the AUC values were 0.81/0.79, while FGF23, the AUC values was 0.66 for all study patients. Leptin and FGF21 concentrations were statistically significantly higher in patients with poorly differentiated G3 tumors compared to patients with moderately differentiated G2 tumors and with moderately differentiated G2 with highly differentiated G1 respectively: <i>p</i> = 0.02/<i>p</i> = 0.03 and <i>p</i> = 0.02/<i>p</i> = 0.005. FGF21 appears to be useful as a diagnostic as well as prognostic factor in patients with endometrioid endometrial carcinoma.
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spelling doaj.art-a93974fe78ae4afbb762c5076173bc322023-11-20T04:11:44ZengMDPI AGDiagnostics2075-44182020-06-0110641410.3390/diagnostics10060414The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer PatientsAneta Cymbaluk-Płoska0Paula Gargulińska1Anita Chudecka-Głaz2Sebastian Kwiatkowski3Ewa Pius-Sadowska4Bogusław Machaliński5Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Obstetrics and Gynecology, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandGeneral Pathology Department, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandGeneral Pathology Department, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandEndometrial cancer is one of the most common cancers of the reproductive organ in women. The incidence of it increases from year to year. In our study we assessed role of FGF21 and FGF23 in the diagnostics of patients with endometrial cancer. The study involved 182 patients, who were undergoing abrasion due to perimenopausal bleeding. FGF21, FGF23, and leptin concentration were quantified in serum by multiplex fluorescent bead-based immunoassays (Luminex Corporation). The median of FGF21 protein (181.8 pg/mL) as well as leptin (16.9 ng/mL) in patients with endometrial cancer was statistically significant higher compared to median of those proteins among patients from control group (152.1 pg/mL and 14.1 ng/mL, respectively). However, no significant differences were found in these groups at median FGF23 concentrations. For FGF21 and leptin, the AUC values were 0.81/0.79, while FGF23, the AUC values was 0.66 for all study patients. Leptin and FGF21 concentrations were statistically significantly higher in patients with poorly differentiated G3 tumors compared to patients with moderately differentiated G2 tumors and with moderately differentiated G2 with highly differentiated G1 respectively: <i>p</i> = 0.02/<i>p</i> = 0.03 and <i>p</i> = 0.02/<i>p</i> = 0.005. FGF21 appears to be useful as a diagnostic as well as prognostic factor in patients with endometrioid endometrial carcinoma.https://www.mdpi.com/2075-4418/10/6/414FGF21FGF23leptinendometrial cancerobesity
spellingShingle Aneta Cymbaluk-Płoska
Paula Gargulińska
Anita Chudecka-Głaz
Sebastian Kwiatkowski
Ewa Pius-Sadowska
Bogusław Machaliński
The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
Diagnostics
FGF21
FGF23
leptin
endometrial cancer
obesity
title The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
title_full The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
title_fullStr The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
title_full_unstemmed The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
title_short The Suitability of FGF21 and FGF23 as New Biomarkers in Endometrial Cancer Patients
title_sort suitability of fgf21 and fgf23 as new biomarkers in endometrial cancer patients
topic FGF21
FGF23
leptin
endometrial cancer
obesity
url https://www.mdpi.com/2075-4418/10/6/414
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