4.6 Article

Emerging markers of cachexia predict survival in cancer patients

期刊

BMC CANCER
卷 14, 期 -, 页码 -

出版社

BMC
DOI: 10.1186/1471-2407-14-828

关键词

Ghrelin; Leptin; Obestatin; Cancer cachexia; Survival; Biomarkers

类别

向作者/读者索取更多资源

Background: Cachexia may occur in 40% of cancer patients, representing the major cause of death in more than 20% of them. The aim of this study was to investigate the role of leptin, ghrelin and obestatin as diagnostic and predictive markers of cachexia in oncologic patients. Their impact on patient survival was also evaluated. Methods: 140 adults with different cancer diagnoses were recruited. Thirty healthy volunteers served as control. Serum ghrelin, obestatin and leptin were tested at baseline and after a follow-up period of 18 months. Results: Ghrelin levels were significantly higher in cancer patients than in healthy subjects (573.31 +/- 130 vs 320.20 +/- 66.48 ng/ml, p < 0.0001), while obestatin (17.42 +/- 7.12 vs 24.89 +/- 5.54 ng/ml, p < 0.0001) and leptin (38.4 +/- 21.2 vs 76.28 +/- 17.48 ng/ml, p < 0.0001) values were lower. At ROC analyses the diagnostic profile of ghrelin (AUC 0.962; sensitivity 83%; specificity 98%), obestatin (AUC 0.798; sensitivity 74.5%; specificity 81.5%) and leptin (AUC 0.828; sensitivity 79%; specificity 73%) was superior to that of albumin (AUC 0.547; sensitivity 63%, specificity 69.4%) for detecting cachexia among cancer patients. On Cox multivariate analyses ghrelin (HR 1.02; 95% CI 1.01 - 1.03; p < 0.0001) and leptin (HR 0.94; 95% CI 0.92 - 0.96; p < 0.0001) were significant predictors of death even after correction for other known risk factors such as presence of metastasis and chronic kidney disease. Conclusion: Ghrelin and leptin are promising biomarkers to diagnose cachexia and to predict survival in cancer patients.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Spectroscopy

MS-based glycomics and glycoproteomics methods enabling isomeric characterization

Wenjing Peng, Cristian D. Gutierrez Reyes, Sakshi Gautam, Aiying Yu, Byeong Gwan Cho, Mona Goli, Kaitlyn Donohoo, Stefania Mondello, Firas Kobeissy, Yehia Mechref

Summary: Glycosylation is a significant posttranslational modification in mammalian cells, involved in various biofunctions and diseases. Mass spectrometry is a powerful tool for glycan and glycopeptide isomeric analysis, but its comprehensive characterization remains a challenge. Separation methods and bioinformatic tools are applied to address this challenge.

MASS SPECTROMETRY REVIEWS (2023)

Article Oncology

Molecular Clusters and Tumor-Immune Drivers of IgM Monoclonal Gammopathies

Patrizia Mondello, Jonas Paludo, Joseph P. Novak, Kerstin Wenzl, Zhi-Zhang Yang, Shahrzad Jalali, Jordan E. Krull, Esteban Braggio, Surendra Dasari, Michelle K. Manske, Jithma A. Abeykoon, Vivekananda Sarangi, Prashant Kapoor, Aneel Paulus, Craig B. Reeder, Sikander Ailawadhi, Asher A. Chanan-Khan, Robert A. Kyle, Morie A. Gertz, Anne J. Novak, Stephen M. Ansell

Summary: This study identified three distinct molecular clusters in IgM monoclonal gammopathy of undetermined significance (MGUS) and Waldenstro euro m macroglobulinemia (WM), which corresponded to different pathological features and clinical presentations. This finding may contribute to a biological classification of these diseases, thus providing more precise treatment options.

CLINICAL CANCER RESEARCH (2023)

Review Public, Environmental & Occupational Health

Burden of infectious disease studies in Europe and the United Kingdom: a review of methodological design choices

Periklis Charalampous, Juanita A. Haagsma, Lea S. Jakobsen, Vanessa Gorasso, Isabel Noguer, Alicia Padron-Monedero, Rodrigo Sarmiento, Joao Vasco Santos, Scott A. McDonald, Dietrich Plass, Grant M. A. Wyper, Ricardo Assuncao, Elena von der Lippe, Balazs Adam, Ala'a AlKerwi, Jalal Arabloo, Ana Lucia Baltazar, Boris Bikbov, Maria Borrell-Pages, Iris Brus, Genc Burazeri, Serafeim C. Chaintoutis, Jose Chen-Xu, Nino Chkhaberidze, Seila Cilovic-Lagarija, Barbara Corso, Sarah Cuschieri, Carlotta Di Bari, Keren Dopelt, Mary Economou, Theophilus Emeto, Peter Fantke, Florian Fischer, Alberto Freitas, Juan Manuel Garcia-Gonzalez, Federica Gazzelloni, Mika Gissler, Artemis Gkitakou, Hakan Gulmez, Sezgin Gunes, Sebastian Haller, Romana Haneef, Cesar A. Hincapie, Paul Hynds, Jane Idavain, Milena Ilic, Irena Ilic, Gaetano Isola, Zubair Kabir, Maria Kamusheva, Pavel Kolkhir, Naime Meric Konar, Polychronis Kostoulas, Mukhtar Kulimbet, Carlo La Vecchia, Paolo Lauriola, Miriam Levi, Marjeta Majer, Enkeleint A. Mechili, Lorenzo Monasta, Stefania Mondello, Javier Munoz Laguna, Evangelia Nena, Edmond S. W. Ng, Paul Nguewa, Vikram Niranjan, Iskra Alexandra Nola, Ronan O'Caoimh, Marija Obradovic, Elena Pallari, Mariana Peyroteo, Vera Pinheiro, Nurka Pranjic, Miguel Reina Ortiz, Silvia Riva, Cornelia Melinda Adi Santoso, Milena Santric Milicevic, Tugce Schmitt, Niko Speybroeck, Maximilian Sprugel, Paschalis Steiropoulos, Aleksandar Stevanovic, Lau Caspar Thygesen, Fimka Tozija, Brigid Unim, Hilal Bektas Uysal, Orsolya Varga, Milena Vasic, Rafael Jose Vieira, Vahit Yigit, Brecht Devleesschauwer, Sara M. Pires

Summary: This systematic literature review provides an overview of studies applying the disability-adjusted life years (DALY) concept for infectious diseases in European countries. Among the 105 included studies, food- and water-borne diseases were the most frequently studied. The number of burden of infectious disease studies has increased over time, but there is less consensus in methodological approaches.

EPIDEMIOLOGY AND INFECTION (2023)

Editorial Material Clinical Neurology

Editorial: Body fluid biomarkers in neurodegenerative studies: Novel insights into pathophysiology to support clinical practice and drug development

Anastasia Bougea, Per Svenningsson, Ioanna Markaki, Abdul Hye, Stefania Mondello

FRONTIERS IN NEUROLOGY (2023)

Article Pediatrics

Febrile Urinary Tract Infections in Children: The Role of High Mobility Group Box-1

Roberto Chimenz, Valeria Chirico, Caterina Cuppari, Alessia Sallemi, Davide Cardile, Sergio Baldari, Giorgio Ascenti, Paolo Monardo, Antonio Lacquaniti

Summary: This study found that high mobility group box-1 (HMGB1) could serve as a useful biomarker in differentiating between febrile lower urinary tract infection (LUTI) and acute pyelonephritis (APN). Serum HMGB1 levels were higher in APN patients compared to LUTI patients, while urine HMGB1 values showed no differences. Serum HMGB1 correlated with C-reactive protein levels, and its area under the curve was different from CRP and white blood cells in detecting APN. Serum HMGB1 and vesicoureteral reflux were independently associated with the risk of renal scarring development.

CHILDREN-BASEL (2023)

Review Biochemistry & Molecular Biology

miRNAs in Uremic Cardiomyopathy: A Comprehensive Review

Mario D'Agostino, Davide Mauro, Mariateresa Zicarelli, Nazareno Carullo, Marta Greco, Michele Andreucci, Giuseppe Coppolino, Davide Bolignano

Summary: Uremic Cardiomyopathy (UCM) is a prevalent cardiovascular complication in chronic kidney disease (CKD) patients, particularly those undergoing chronic dialysis. This paper reviews the significance of micro-RNAs (miRNAs) in UCM, highlighting their role in cardiac remodeling and fibrosis. Experimental evidence suggests that specific miRNAs are closely involved in key pathways related to ventricular hypertrophy and fibrosis. Furthermore, preliminary clinical evidence indicates the potential use of circulating miRNAs as diagnostic or prognostic biomarkers for risk stratification in UCM.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Article Medicine, General & Internal

Marinobufagenin, Left Ventricular Hypertrophy and Residual Renal Function in Kidney Transplant Recipients

Davide Bolignano, Marta Greco, Pierangela Presta, Alfredo Caglioti, Nazareno Carullo, Mariateresa Zicarelli, Daniela Patrizia Foti, Francesco Dragone, Michele Andreucci, Giuseppe Coppolino

Summary: MBG levels in chronic kidney transplant recipients are influenced by sodium balance, renal impairment, and the severity of left ventricular hypertrophy (LVH). Therefore, MBG may represent an important missing link between reduced graft function and pathological cardiac remodeling, and hold important prognostic value for improving cardio-renal risk assessment.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Biochemistry & Molecular Biology

LC-MS/MS-Based Proteomics Approach for the Identification of Candidate Serum Biomarkers in Patients with Narcolepsy Type 1

Akeem Sanni, Mona Goli, Jingfu Zhao, Junyao Wang, Chloe Barsa, Samer El Hayek, Farid Talih, Bartolo Lanuzza, Firas Kobeissy, Giuseppe Plazzi, Monica Moresco, Stefania Mondello, Raffaele Ferri, Yehia Mechref

Summary: This study aimed to identify potential serum biomarkers for narcolepsy type 1 (NT1), a life-threatening disorder characterized by a sleep-wake cycle disorder. A proteomics analysis was conducted, which revealed 36 differentially expressed proteins associated with NT1. These findings provide insights into the pathophysiological effects and important biochemical pathways involved in NT1.

BIOMOLECULES (2023)

Review Biochemistry & Molecular Biology

New Insights on the Role of Marinobufagenin from Bench to Bedside in Cardiovascular and Kidney Diseases

Nazareno Carullo, Giuseppe Fabiano, Mario D'Agostino, Maria Teresa Zicarelli, Michela Musolino, Pierangela Presta, Ashour Michael, Michele Andreucci, Davide Bolignano, Giuseppe Coppolino

Summary: This paper summarizes the biological characteristics, functions, and implications of marinobufagenin (MBG), a natural cardiac glycoside found in various animal species including humans. The review focuses on MBG's involvement in chronic kidney disease, cardiovascular diseases, sex and gender medicine, and its effects on the nervous and immune systems. The role of MBG in pathogenesis and the development of various pathological conditions suggests its potential as a diagnostic biomarker and therapeutic target, opening important avenues for scientific research.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Article Transplantation

Chronic kidney disease: the missing concept in the 2019 EULAR/ERA-EDTA recommendations for lupus nephritis

Jorge E. Rojas-Rivera, Sevcan A. Bakkaloglu, Davide Bolignano, Ionut Nistor, Pantelis A. Sarafidis, Sokratis Stoumpos, Mario Gennaro Cozzolino, Alberto Ortiz, ERA ERBP

Summary: Chronic kidney disease (CKD) is diagnosed based on glomerular filtration rate (GFR) and urinary albumin:creatinine ratio (UACR). High cardiovascular risk is associated with moderate or severe CKD. The management recommendations for lupus nephritis (LN) and cardiovascular risk in rheumatic and musculoskeletal diseases do not consider albuminuria or CKD. The authors propose a change in the conceptual framework to treat LN as a cause of CKD and apply evidence from large CKD trials.

NEPHROLOGY DIALYSIS TRANSPLANTATION (2023)

Editorial Material Clinical Neurology

Editorial: Biomarkers in neurology, volume II

Wael M. Y. Mohamed, Firas Kobeissy, Stefania Mondello

FRONTIERS IN NEUROLOGY (2023)

Article Medicine, General & Internal

The Switch from Ferric Gluconate to Ferric Carboxymaltose in Hemodialysis Patients Acts on Iron Metabolism, Erythropoietin, and Costs: A Retrospective Analysis

Antonio Lacquaniti, Romana Gargano, Susanna Campo, Teresa Casuscelli di Tocco, Silvia Schifilliti, Paolo Monardo

Summary: This study analyzed the effects of switching from ferric gluconate (FG) to ferric carboxymaltose (FCM) therapy on iron metabolism, anemia, and economic implications in chronic hemodialysis patients. The results showed that FCM treatment reduced ESA dose requirements, improved iron status, and was more cost-effective compared to FG treatment.

MEDICINA-LITHUANIA (2023)

Article Public, Environmental & Occupational Health

Time-Trends in Air Pollution Impact on Health in Italy, 1990-2019: An Analysis From the Global Burden of Disease Study 2019

Sara Conti, Carla Fornari, Pietro Ferrara, Ippazio C. Antonazzo, Fabiana Madotto, Eugenio Traini, Miriam Levi, Achille Cernigliaro, Benedetta Armocida, Nicola L. Bragazzi, Ennio Cadum, Michele Carugno, Giacomo Crotti, Silvia Deandrea, Paolo A. Cortesi, Davide Guido, Ivo Iavicoli, Sergio Iavicoli, Carlo La Vecchia, Paolo Lauriola, Paola Michelozzi, Salvatore Scondotto, Massimo Stafoggia, Francesco S. Violante, Cristiana Abbafati, Luciana Albano, Francesco Barone-Adesi, Antonio Biondi, Cristina Bosetti, Danilo Buonsenso, Giulia Carreras, Giulio Castelpietra, Alberico Catapano, Maria S. Cattaruzza, Barbara Corso, Giovanni Damiani, Francesco Esposito, Silvano Gallus, Davide Golinelli, Simon I. Hay, Gaetano Isola, Caterina Ledda, Stefania Mondello, Paolo Pedersini, Umberto Pensato, Norberto Perico, Giuseppe Remuzzi, Francesco Sanmarchi, Rocco Santoro, Biagio Simonetti, Brigid Unim, Marco Vacante, Massimiliano Veroux, Jorge H. Villafane, Lorenzo Monasta, Lorenzo G. Mantovani

Summary: We investigated the temporal variations in disease burden of PM2.5 and ozone in Italy using data from the Global Burden of Disease Study 2019. The study found that while the burden of PM2.5 significantly decreased in Italy, the burden of ozone increased, even in the context of population aging.

INTERNATIONAL JOURNAL OF PUBLIC HEALTH (2023)

Article Medicine, General & Internal

Self-Reported Physical Inactivity and Mood Disturbances in End-Stage Kidney Disease (ESKD) Patients on Chronic Dialysis Treatment

Michela Musolino, Pierangela Presta, Paola Cianfrone, Maria Antonietta Errante, Michele Andreucci, Giuseppe Coppolino, Davide Bolignano

Summary: This study explored the relationship between the level of physical activity and severity of mood disturbances in patients with end-stage kidney disease. The results showed that physical inactivity and mood disturbances were significantly inter-connected in these patients and could impact their quality of life, autonomic dysfunction, and long-term outcomes.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Urology & Nephrology

Sleep apnoea syndrome prevalence in chronic kidney disease and end-stage kidney disease patients: a systematic review and meta-analysis

Anna Pisano, Carmine Zoccali, Davide Bolignano, Graziella D'Arrigo, Francesca Mallamaci

Summary: The study aimed to define the clinical penetrance of sleep apnoea in patients with chronic kidney disease and end-stage kidney disease, revealing a high prevalence of sleep apnoea in both non-dialysis CKD and ESKD patients. This highlights the importance of using objective diagnostic tools to identify sleep apnoea in kidney disease patients.

CLINICAL KIDNEY JOURNAL (2023)

暂无数据