Clinical Implication and Prognostic Value of Serum Dickkopf-1 Concentrations in Patients with Lung Cancer [Cancer Diagnostics] <<>>

Written by Sheng, S. L., Huang, G., Yu, B., Qin, W. X. on August 29, 2009 – 12:00 am -

Background: Dickkopf-1 (DKK1), a secreted protein, is noted as a gainsaying regulator of the Wnt signaling pathway, which has been implicated in the maturity of not too types of cancers. Clinical content of serum DKK1 in lung cancer remains to be ascertained.

Methods: A novelette time-resolved immunofluorometric assay was developed. By use of this method, we investigated the serum concentrations of DKK1 in 592 patients with malignancies, 72 patients with gentle lung disease, and 120 nourishing controls. Serum cytokeratin 19 shatter and neuron-specific enolase values were obtained.

Results: Serum DKK1 concentrations were significantly higher in patients with lung cancer than in patients with other vicious tumors or warm-hearted lung diseases and sturdy controls. Serum concentrations of DKK1 were decreased significantly in groups of patients with gastric cancer, colorectal cancer, ovarian cancer, and cervical adenocarcinoma compared with trim controls. Request of both DKK1 and cytokeratin 19 part increased sensitivity, correctly identifying 89.6% of the non–small stall lung cancer patients as arrogant. The use of both DKK1 and neuron-specific enolase increased sensitiveness to perceive everyday room lung cancer to 86.2%. DKK1 concentrations increased with stage, tumor class, and spirit of lymph node and far-off metastases, regardless of histology and philosophical age and sex. Patients with a DKK1 concentration of 22.6 µg/L or higher had a statistically significantly diminished survival compared with patients whose DKK1 values were drop.

Conclusions: DKK1 was preferentially expressed in lung cancer. Increasing concentrations of DKK1were significantly associated with tumor making and decreased survival in patients with lung cancer..

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