Journal
BRITISH JOURNAL OF CANCER
Volume 108, Issue 10, Pages 2063-2069Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/bjc.2013.174
Keywords
pancreatic cancer; gemcitabine; interleukin-1 beta; interleukin-6; chemotherapy
Categories
Funding
- Ministry of Health, Labour and Welfare of Japan
- JSPS KAKENHI [22790624]
- National Cancer Center Research and Development Fund [23-A-2b]
- Chugai Pharmacology Co. Ltd.
- Grants-in-Aid for Scientific Research [22790624] Funding Source: KAKEN
Ask authors/readers for more resources
Background: With this study, we sought to characterise the impact of pro-inflammatory cytokines on the outcomes of gemcitabine monotherapy (GEM) in patients with pancreatic cancer (PC). Methods: Treatment-naive patients with advanced PC and no obvious infections were eligible for enrolment. All of the patients were scheduled to undergo systemic chemotherapy. Serum pro-inflammatory cytokines were measured using an electro-chemiluminescence assay method before chemotherapy. High cytokine levels were defined as values greater than the median. Clinical data were collected prospectively. Results: Sixty patients who received GEM were included in the analysis. High IL-6 and IL-1 beta levels were poor prognostic factors for overall survival in a multivariate analysis (P = 0.011 and P = 0.048, respectively). Patients with both a high IL-6 level and a high IL-1 beta level exhibited shortened overall and progression-free survival, a reduction in the tumour control rate, and a high dose intensity of GEM compared with patients with low levels of both IL-6 and IL-1 beta. Conclusion: The serum levels of IL-6 and IL-1 beta predict the efficacy of GEM in patients with advanced PC.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available