Serum IGFBP2 Level Is a New Candidate Biomarker of Severe Malnutrition in Advanced Lung Cancer

Objectives: This study aimed to analyze and evaluate serum insulin-like growth factor-binding protein 2 (IGFBP2) levels as a new biomarker of severe malnutrition in patients with advanced lung cancer.Design and methods: This prospective study involved 59 patients with advanced lung cancer. We detected serum IGFBP2 level by using enzyme-linked immunosorbent assay and analyzed its relationship to clinical characteristics, nutritional status, Glasgow prognostic score (GPS), and survival. Serum albumin and C-reactive protein (CRP) levels were measured, and nutritional status was assessed using Patient-Generated Subjective Global Assessment (PG-SGA). The best cutoff point value for serum IGFBP2 level was established using receiver operating characteristic analysis. Kaplan-Meier method was utilized to analyze the survival curves.Results: Serum IGFBP2 levels were elevated in patients with advanced lung cancer and severe malnutrition. The best cutoff value for serum IGFBP2 level was determined at 363 ng/ml, which could diagnose severe malnutrition with 73.3% sensitivity and 70.5% specificity and was found to be related to albumin, CRP, and GPS. Patients whose serum IGFBP2 levels were higher than 363 ng/ml had poor survival outcome.Conclusion: This study demonstrates the remarkably association between higher serum level of IGFBP2 and severe malnutrition, albumin, CRP, GPS, and survival. Hence, serum IGFBP2 level can be used as a potential biomarker for diagnosis of severe malnutrition in patients with advanced lung cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Nutrition and cancer - 72(2020), 5 vom: 09., Seite 858-863

Sprache:

Englisch

Beteiligte Personen:

Dong, Jie [VerfasserIn]
Zeng, Yaqi [VerfasserIn]
Zhang, Ping [VerfasserIn]
Li, Chunlei [VerfasserIn]
Chen, Yajun [VerfasserIn]
Li, Yueying [VerfasserIn]
Wang, Kun [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
IGFBP2 protein, human
Insulin-Like Growth Factor Binding Protein 2
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.04.2021

Date Revised 14.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/01635581.2019.1656755

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM308710932