Evaluation of serum procalcitonin and interleukin-6 levels as markers of liver metastasis

Clin Biochem. 2007 Mar;40(5-6):336-42. doi: 10.1016/j.clinbiochem.2006.10.027. Epub 2007 Jan 10.

Abstract

Objectives: Procalcitonin (PCT) and interleukin-6 (IL-6) are established markers of tissue inflammation and injury. The aim of the present study was to investigate the possible correlation of PCT and IL-6 with liver metastasis.

Design and methods: The study consisted of fifteen healthy controls (group A), twenty-one patients with solid tumors without metastases (group B), eleven patients with liver metastasis only (group C) and eleven patients with generalized metastatic disease (group D).

Results: Serum PCT levels were significantly increased in group D compared to groups A (p<0.001) and B (p=0.004), but no difference was observed in PCT levels between groups C and B or C and D. IL-6 serum levels were markedly elevated in group C compared to group A (p<0.001) or to groups B (p<0.001) and D (p=0.02). A positive correlation was observed between PCT and IL-6 serum levels (r=0.357, p=0.019).

Conclusions: PCT levels are related to disease stage in cancer patients, whereas IL-6 concentration seems to be a more specific marker of liver metastasis.

MeSH terms

  • Aged
  • Analysis of Variance
  • Biomarkers, Tumor / blood*
  • Calcitonin / blood*
  • Calcitonin Gene-Related Peptide
  • Female
  • Humans
  • Interleukin-6 / blood*
  • Liver Neoplasms / blood
  • Liver Neoplasms / secondary*
  • Male
  • Middle Aged
  • Protein Precursors / blood*

Substances

  • Biomarkers, Tumor
  • CALCA protein, human
  • Interleukin-6
  • Protein Precursors
  • Calcitonin
  • Calcitonin Gene-Related Peptide