Metabolic syndrome biomarkers and early breast cancer in Saudi women: evidence for the presence of a systemic stress response and/or a pre-existing metabolic syndrome-related neoplasia risk?

Autor: Hossam M. Draz, Nasser M. Al-Daghri, Sobhy M. Yakout, George P. Chrousos, Amal Abdullah Abdulkareem, Abdullah M Alnaami, Amal Alenad, Majed S. Alokail, Shaun Sabico
Jazyk: angličtina
Předmět:
Leptin
Cancer Research
Blood Pressure
Gastroenterology
Breast cancer
Risk Factors
Odds Ratio
Insulin
Early Detection of Cancer
Metabolic Syndrome
biology
Angiotensin II
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Arabs
C-Reactive Protein
Oncology
Saudi women
Female
Adiponectin
Research Article
Adult
medicine.medical_specialty
HDL
Saudi Arabia
Adipokine
Breast Neoplasms
Enzyme-Linked Immunosorbent Assay
Risk Assessment
lcsh:RC254-282
Adipokines
Predictive Value of Tests
Stress
Physiological
Internal medicine
Plasminogen Activator Inhibitor 1
Biomarkers
Tumor
medicine
Genetics
Humans
Obesity
Triglycerides
Tumor Necrosis Factor-alpha
business.industry
Cholesterol
HDL
C-reactive protein
Cancer
medicine.disease
Cross-Sectional Studies
Logistic Models
Endocrinology
Case-Control Studies
Multivariate Analysis
biology.protein
Resistin
Metabolic syndrome
business
Zdroj: BMC Cancer, Vol 13, Iss 1, p 54 (2013)
BMC Cancer
ISSN: 1471-2407
DOI: 10.1186/1471-2407-13-54
Popis: Background Obesity has been linked to many adverse health consequences, including breast cancer. This study aims to determine adipocytokine and other biological changes in recently diagnosed breast cancer patients before therapy is started. Methods A total of 109 female Saudi subjects [56 newly diagnosed, treatment-naïve, histologically-confirmed breast cancer cases and 53 age- and BMI-matched controls] were enrolled in this study. Anthropometric data were collected. Serum insulin, adipocytokines and plasminogen activator inhibitor-1 (PAI-1) concentrations were measured using a customized multiplex Luminex assay. Hypersensitive C-Reactive Protein (CRP), tumor necrosis factor-alpha (TNF-α), and angiotensin II (ANG II) were measured using ELISA. Results A few days in the diagnosis, breast cancer subjects had significantly higher systolic blood pressure (p = 0.03), glucose (p = 0.01), triglycerides (p = 0.001), leptin (p = 0.044), resistin (p = 0.04), ANG II (p = 0.02), TNF-α (p = 0.045), and CRP (p = 0.04) than the controls. On the other hand, HDL (p = 0.01) and adiponectin (p = 0.02) were significantly lower in cancer subjects than controls. A significant association was found between elevated triglycerides (TG) and breast cancer [OR (95% CI), 6.1(1.8, 15.6), p = 0.004], as well as elevated ANG II [OR (95% CI), 5.2(1.2, 14.3), p = 0.03]. On the other hand, aPAI and HDL correlated negatively with breast cancer [OR (95% CI), 0.076(0.01, 0.34), p = 0.001; 0.30(0.09, 0.95), p 0.04, respectively]. Conclusion Circulating ANGII and triglycerides were positively associated with early breast cancer. In contrast, HDL-cholesterol correlated negatively with ANG II and aPAI in these patients. This suggests that patients with recently diagnosed breast cancer have biochemical changes consistent with an activated stress response and/or that patients with metabolic syndrome manifestations have a higher risk of developing this disease.
Databáze: OpenAIRE
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