Decreased Serum Tryptophan in Patients with Cancer Cachexia Correlates with Increased Serum Neopterin

Autor: Noriaki Tanaka, Akio Hizuta, Hiromi Iwagaki, K. Orita
Rok vydání: 1995
Předmět:
Zdroj: Immunological Investigations. 24:467-478
ISSN: 1532-4311
0882-0139
DOI: 10.3109/08820139509066843
Popis: We investigated serum tryptophan (Trp), neopterin (NPT) and immunosuppressive acidic protein (IAP), one of tumor-associated tumor marker, concentrations in 28 patients with gastrointestinal tumors representing cancer cachexia and 10 healthy controls. NPT comes from activated macrophages presumably activated by tumor-sensitized T cells via gamma-interferon (IFN-gamma) excitation of the macrophages. We found that the NPT level was significantly higher than the control value. The negative correlation of NPT and Trp concentrations indicates activity of indoleamine 2,3-dioxygenase (IDO), a Trp degradating enzyme, in cancer-burden patients. The activity of IDO can be induced by cytokines such as IFN-gamma, and therefore low Trp levels may result from endogenous IFN-gamma production due to immune activation against tumors. We also found a positive correlation between NPT and IAP levels, suggesting that host immune activation against tumors played a role in the immunosuppression of cancer-burden states, followed by cancer-cachexia.
Databáze: OpenAIRE