CAJ | 학술논문

目的：探讨肥胖结肠癌患者血清脂肪因子与细胞因子水平相关性分析。方法选择2011年1至2013年6月收治的肥胖结肠癌患者53例为观察组，同时选择非肥胖的结肠癌患者51例为对照组，采用 Duke 分期标准对患者进行分期。对两组患者的 TNF-α、IGF-1、VEGF 及脂肪因子水平进行测定。结果观察组 A～B 期及 C～D 期与对照组同期相比，IGF-1较对照组同期均出现显著性升高（P ＜0．05）。观察组内 C～D 期较 A～B 期 TNF-α、IGF-1、VEGF 显著升高（P ＜0．05），对照组 C～D 期较A～B 期 TNF-α、VEGF 显著升高（P ＜0．05）。观察组 A～B 期与对照组同期相比，内脂素、瘦素较对照组同期均出现显著性升高（P ＜0．05），C～D 期与对照组同期相比，内脂素、抵抗素、瘦素较对照组同期均出现显著性升高（P ＜0．05）。内脂素与 IGF-1、VEGF 呈显著正相关（P ＜0．05），抵抗素与 IGF-1呈显著正相关（P ＜0．05），瘦素与 TNF-α、IGF-1、VEGF 呈显著正相关（P ＜0．05）。结论肥胖结肠癌存在明显的脂代谢及细胞因子紊乱，其水平紊乱可能促进结肠癌进展。
목적：탐토비반결장암환자혈청지방인자여세포인자수평상관성분석。방법선택2011년1지2013년6월수치적비반결장암환자53례위관찰조，동시선택비비반적결장암환자51례위대조조，채용 Duke 분기표준대환자진행분기。대량조환자적 TNF-α、IGF-1、VEGF 급지방인자수평진행측정。결과관찰조 A～B 기급 C～D 기여대조조동기상비，IGF-1교대조조동기균출현현저성승고（P ＜0．05）。관찰조내 C～D 기교 A～B 기 TNF-α、IGF-1、VEGF 현저승고（P ＜0．05），대조조 C～D 기교A～B 기 TNF-α、VEGF 현저승고（P ＜0．05）。관찰조 A～B 기여대조조동기상비，내지소、수소교대조조동기균출현현저성승고（P ＜0．05），C～D 기여대조조동기상비，내지소、저항소、수소교대조조동기균출현현저성승고（P ＜0．05）。내지소여 IGF-1、VEGF 정현저정상관（P ＜0．05），저항소여 IGF-1정현저정상관（P ＜0．05），수소여 TNF-α、IGF-1、VEGF 정현저정상관（P ＜0．05）。결론비반결장암존재명현적지대사급세포인자문란，기수평문란가능촉진결장암진전。
Objective To explore the correlation between serum adipokines and cytokines levels in obese patients with colon cancer.Methods 53 patients with obese colon cancer treated in our hospital from January 2011 to June 2013 were selected as the observation group and at the same time 51 cases of non-obese colon cancer were selected as the control group.TNF-α,IGF-1,VEGF and adipokines levels were measured in the two groups.Results The IGF-1 level in the stage A-B and the stage C-D of the ob-servation group was significantly increased compared with the same stages of the control group (P <0.05).The TNF-α,IGF-1 and VEGF levels in the stage C-D of the observation group were significantly higher than those in the stage A-B (P <0.05 ),the TNF-αand VEGF levels in the stage C-D of the control group were significantly increased compared with the stage A-B (P <0.05).The visfatin and leptin levels in the stage A-B of the observation group were significantly increased compared with the same stages of the control group (P <0.05),the visfatin,resistin and leptin levels in the stage stage C-D of the observation group were significantly increased compared with the same stages of the control group (P <0.05).Visfatin was positively correlated with IGF-1 and VEGF (P <0.05),resistin was positively correlated with IGF-1 (P <0.05 ),leptin was positively correlated with TNF-α, IGF-1 and VEGF (P <0.05).Conclusion Obvious lipid metabolism and cellular cytokines disorders exist in obese colon cancer, their disorder level could promote the progression of colon cancer.