Prognostic Significance of Serum Retinol, Serum Alpha-Tocopherol, and Urinary Neopterin in Patients with Head and Neck Carcinoma Treated with External Beam Radiation

被引：9

作者：

Holeckova, Petra ^{[2
,3
]}

Krcmova, Lenka ^{[4
,6
]}

Kalabova, Hana ^{[5
]}

Kasparova, Marketa ^{[4
,6
]}

Plisek, Jiri ^{[4
,6
]}

Pala, Miloslav ^{[2
,3
]}

Vitek, Pavel ^{[2
,3
]}

Solichova, Dagmar ^{[4
]}

Zezulova, Michaela ^{[1
]}

Studentova, Hana ^{[1
]}

Melichar, Bohuslav ^{[1
,6
]}

机构：

[1] Palacky Univ, Sch Med, Dept Oncol, Teaching Hosp, CZ-77520 Olomouc, Czech Republic

[2] Charles Univ Prague, Sch Med 1, Inst Radiat Oncol, Prague, Czech Republic

[3] Charles Univ Prague, Teaching Hosp, Prague, Czech Republic

[4] Charles Univ Prague, Sch Med, Teaching Hosp, Dept Gerontol & Metab Care, Hradec Kralove, Czech Republic

[5] Charles Univ Prague, Sch Med, Teaching Hosp, Dept Radiotherapy & Oncol, Hradec Kralove, Czech Republic

[6] Charles Univ Prague, Sch Pharm, Dept Analyt Chem, Hradec Kralove, Czech Republic

来源：

INTERNATIONAL JOURNAL FOR VITAMIN AND NUTRITION RESEARCH | 2012年 / 82卷 / 02期

关键词：

alpha-tocopherol; head and neck carcinoma; neopterin; retinol; SYSTEMIC INFLAMMATORY RESPONSE; RANDOMIZED-TRIAL; VITAMIN-A; ANTIOXIDANT VITAMINS; CANCER PATIENTS; MICRONUTRIENT CONCENTRATIONS; COLORECTAL-CARCINOMA; IMMUNE ACTIVATION; MALIGNANT-DISEASE; CHEMOTHERAPY;

D O I：

10.1024/0300-9831/a000096

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 [营养与食品卫生学];

摘要：

High serum or urinary neopterin concentrations are associated with poor prognosis in patients with tumors of different primary locations, but reports on neopterin in patients with head and neck carcinoma are relatively less numerous. It has been established that decreased circulating concentrations of retinol and alpha-tocopherol are common in this population. We have evaluated the prognostic significance of urinary neopterin, serum retinol, and alpha-tocopherol in 44 patients with head and neck carcinoma. Urinary neopterin, serum retinol, and alpha-tocopherol were determined with high-performance liquid chromatography. High urinary neopterin and low serum retinol were predictive of poor prognosis, while the prognostic significance of low alpha-tocopherol was of borderline significance. Serum retinol significantly decreased during external beam radiation, but a less marked decrease of alpha-tocopherol during therapy did not reach statistical significance. An increase of urinary neopterin was evident late during the course of treatment. In conclusion, high urinary neopterin and low serum retinol are predictive of poor prognosis in patients with head and neck carcinoma.

引用

页码：77 / 84

页数：8

共 32 条

[1]

Randomized trial of antioxidant vitamins to prevent acute adverse effects of radiation therapy in head and neck cancer patients [J].