DAI Xiao-fang,WU Gang,LIU Li,YU Jie,DING Qian,KE Yang.Research on forecasting values of the plasma levels for TGF-β, TNF-α and IL-10 in radiation pneumonitis[J].Chinese Journal of Radiological Medicine and Protection,2009,29(1):77-79
Research on forecasting values of the plasma levels for TGF-β, TNF-α and IL-10 in radiation pneumonitis
Received:August 29, 2008  
DOI:10.3760/cma.j.issn.0254-5098.2009.01.024
KeyWords:Radiation pneumonitis  Cytokines  Forecasting value
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Author NameAffiliationE-mail
DAI Xiao-fang Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
WU Gang Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
LIU Li Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China liulixiehe2004@163.com 
YU Jie Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
DING Qian Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
KE Yang Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
柯杨 Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430023, China  
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Abstract::
      Objective To study the relationship between plasma TGF-β, TNF-α, IL-10 levels and radiation pneumonitis (RP) in patients received thoracic irradiation with 3DCRT. Methods Sixty-nine patients of lung cancer stage Ⅲ or esophageal carcinoma were evaluated prospectively by ElISA for plasma TNF-α, TGF-β, IL-10 levels and IL-10/TNF-αbefore 3DCRT, after 40-50 Gy and after 3DCRT.Results Twenty-eight patients had RP. In RP patients, the plasma TGF-β, TNF-α, IL-10 levels and IL-10/TNF-αwas (15.2±13.4)μg/L,(28.4±13.4),(24.1±17.1) ng/L and 1.01±0.86 before 3DCRT, respectively; TNF-αincreased to (36.1±15.5) ng/L(t=2.01,P=0.040), IL-10 and IL-10/TNF-αdecreased to (18.8±10.8) ng/L (t=1.40,P=0.166)and 0.62±0.55 (t=1.90,P=0.063)after 40-50 Gy. After 3DCRT TNF-α was higher (36.9±15.5) ng/L than that before 3DCRT(t=-2.20,P=0.032),but IL-10 and IL-10/TNF-α were lower than that before 3DCRT [(13.7±6.2) ng/L, t=3.03, P=0.005;0.41±0.21,t=3.60,P=0.001]. TGF-β was not change in three times(P>0.05).In non-RP patients, TGF-β,TNF-α, IL-10 and IL-10/TNF-αwas not yet change in three times(P>0.05) respectively. TGF-β was not yet change between RP and non-RP patients before 3DCRT(t=0.54,P=0.594), and TNF-αwas higher in RP group than that in non_RP group after 40-50 Gy(t=2.02,P=0.048),but IL-10 and IL-10/TNF-α was less in RP group than that in non_RP group after 3DCRT(t=2.50,P=0.015;t=4.63,P=0.000). Conclusion The levels of TNF-α and IL-10 are closely related to the occurrence of RP. Monitoring the changes in dynamic state could predict the generation of RP, which could be employed as a sensitive index for indicating risks for acute RP.
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