The pattern of pro- and anti-inflammatory cytokine secretion in patients with secondary edematous breast cancer

Authors

DOI:

https://doi.org/10.14739/2310-1210.2021.4.214070

Keywords:

breast cancer, disease progression, cytokines

Abstract

Secondary edematous breast cancer (SEBC), T4b, has a poor prognosis.

The aim of this study is to examine the balance in serum levels of pro-inflammatory (TNFά, IL-8) and anti-inflammatory (IL-4) cytokines in patients with SEBC before special treatment.

Materials and methods. A total of 87 patients with breast cancer (BC) were examined before treatment: 42 patients with SEBC in T4bN0-3M0 stage and 45 BC patients in T3-4N1-3M0 stage without edema. The control group consisted of 15 patients with fibroadenomas. The serum levels of cytokines (IL-4, IL-8, TNFά) in the patients was determined using the enzyme-linked immunosorbent assay.

Results. In the SEBC patients as compared to the patients without cancer, the serum pro-inflammatory cytokine (IL-8, TNFά) levels were significantly increased and the anti-inflammatory cytokine (IL-4) level was slightly increased in 22 %. In BC without edema, an imbalance was noted in favor of pro-inflammatory cytokines, but in SEBC it was more pronounced (31.6 versus 12.4 and 5.6 versus 3.2, respectively).

Conclusions. In the majority of SEBC patients, there is an imbalance in the cytokine profile in favor of the pro-inflammatory cytokines (IL-8, TNFά). SEBC patients with elevated levels of both pro- and anti-inflammatory cytokines before treatment are the highest risk group of tumor progression and metastasis. Inhibition of the IL-8 effects or related CXC chemokines, TNFά, and others may have important consequences for the systemic treatment of SEBC.

Author Biographies

O. M. Bilyi, V. N. Karazin Kharkiv National University, Ukraine

MD, PhD, Senior Researcher of the Department of Surgical Oncology, State Institution “Institute of Medical Radiology and Oncology named after S. P. Grigoriev of the National Academy of Medical Sciences of Ukraine”; Associate Professor of the Department of Oncology, Radiology and Radiation Medicine

N. A. Mitriaieva, State Institution “Institute of Medical Radiology and Oncology named after S.P. Grigoriev of the National Academy of Medical Sciences of Ukraine”, Kharkiv

PhD, DSc, Senior Researcher, Head of the Laboratory of Radiation Oncology

M. V. Krasnoselskyi, V. N. Karazin Kharkiv National University, Ukraine

MD, PhD, DSc, Professor, Director of the State Institution “Institute of Medical Radiology and Oncology named after S. P. Grigoriev of the National Academy of Medical Sciences of Ukraine”; Head of the Department of Oncology, Radiology and Radiation Medicine

L. V. Hrebinyk, State Institution “Institute of Medical Radiology and Oncology named after S. P. Grigoriev of the National Academy of Medical Sciences of Ukraine”, Kharkiv

Researcher, Laboratory of Radiation Oncology

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Published

2021-07-01

How to Cite

1.
Bilyi OM, Mitriaieva NA, Krasnoselskyi MV, Hrebinyk LV. The pattern of pro- and anti-inflammatory cytokine secretion in patients with secondary edematous breast cancer. Zaporozhye Medical Journal [Internet]. 2021Jul.1 [cited 2024Nov.30];23(4):536-40. Available from: http://zmj.zsmu.edu.ua/article/view/214070

Issue

Vol. 23 No. 4 (2021)

Section

Original research

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