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. 2017 May 25;12(5):e0177620.
doi: 10.1371/journal.pone.0177620. eCollection 2017.

VSports - The relationship between pro-inflammatory cytokines and pain, appetite and fatigue in patients with advanced cancer

Ørnulf Paulsen  1   2 , Barry Laird  1   3 , Nina Aass  4   5 , Tor Lea  6 , Peter Fayers  1   7 , Stein Kaasa  1   4   5 , Pål Klepstad  1   8   9
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The relationship between pro-inflammatory cytokines and pain, appetite and fatigue in patients with advanced cancer

Ørnulf Paulsen et al. PLoS One. .

Abstract (V体育官网)

Background: Systemic inflammation is associated with reduced quality of life and increased symptoms in patients with advanced cancer. The aims of this study were to examine the relationships between inflammatory biomarkers and the Patient Reported Outcome Measures (PROMs) of pain, appetite and fatigue; and to explore whether levels of baseline biomarkers were associated with changes in these PROMs following treatment with corticosteroids VSports手机版. .

Material and methods: An exploratory analysis was done on a trial examining the analgesic properties of corticosteroids in patients with advanced cancer. Inclusion criteria were: >18 years, taking opioids for moderate or severe cancer pain; pain ≥4 (numerical rating scale 0-10). Serum was extracted and levels of inflammatory biomarkers were assessed. PROMs of pain, appetite and fatigue were assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30) V体育安卓版. The relationships between PROMs and inflammatory biomarkers were examined using Spearman Rho-Rank and multiple regression analysis. .

Results: Data were available on 49 patients. Levels of sTNF-r1, IL-6, IL-18, MIF, MCP-1, TGF-β1, IL-1ra, and C-reactive protein (CRP) and Erythrocyte sedimentation rate (ESR) were elevated; IL-1β, IL-2, IL-4, IL-8, IL-10, IL-12(p70), interferon-γ, MIP-1α, and TNF-α were below the level of detection. The following correlations were observed: appetite and IL-6 and CRP; fatigue and IL-1ra (rs: 0. 38-0. 41, p< V体育ios版. 01). There was no association between pretreatment biomarkers and effect from corticosteroid treatment. .

Conclusion: In patients with advanced cancer and pain, some pro-inflammatory cytokines were related to appetite and fatigue. Inflammatory biomarkers were not associated with pain or with the efficacy of corticosteroid therapy. Further research examining the attenuation of the systemic inflammatory response and possible effects on symptoms would be of interest VSports最新版本. .

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Conflict of interest statement

Competing Interests: Stein Kaasa has served as a consultant on an Advisory board for, and his institution has received unrestricted grants from, Helsinn. Barry Laird has served as a consultant on advisory boards for Chugai and Pfizer. The other authors have no potential conflicts of interest to disclose V体育平台登录. This does not alter our adherence to PLOS ONE policies on sharing data and materials.

References

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