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10.2147/OTT.S123726

http://scihub22266oqcxt.onion/10.2147/OTT.S123726
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suck abstract from ncbi


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pmid28652778      Onco+Targets+Ther 2017 ; 10 (ä): 2963-70
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  • Serum levels of IGF-1 and IGF-BP3 are associated with event-free survival in adult Ewing sarcoma patients treated with chemotherapy #MMPMID28652778
  • de Groot S; Gelderblom H; Fiocco M; Bovée JV; van der Hoeven JJ; Pijl H; Kroep JR
  • Onco Targets Ther 2017[]; 10 (ä): 2963-70 PMID28652778show ga
  • Background: Activation of the insulin-like growth factor 1 (IGF-1) pathway is involved in cell growth and proliferation and is associated with tumorigenesis, tumor progression, and therapy resistance in solid tumors. We examined whether variability in serum levels of IGF-1, IGF-2, and IGF-binding protein 3 (IGF-BP3) can predict event-free survival (EFS) and overall survival (OS) in Ewing sarcoma patients treated with chemotherapy. Patients and methods: Serum levels of IGF-1, IGF-2, and IGF-BP3 of 22 patients with localized or metastasized Ewing sarcoma treated with six cycles of vincristine/ifosfamide/doxorubicin/etoposide (VIDE) chemotherapy were recorded. Baseline levels were compared with presixth cycle levels using paired t-tests and were tested for associations with EFS and OS. Continuous variables were dichotomized according to the Contal and O?Quigley procedure. Survival analyses were performed using Cox regression analysis. Results: High baseline IGF-1 and IGF-BP3 serum levels were associated with EFS (hazard ratio [HR] 0.075, 95% confidence interval [CI] 0.009?0.602 and HR 0.090, 95% CI 0.011?0.712, respectively) in univariate and multivariate analyses (HR 0.063, 95% CI 0.007?0.590 and HR 0.057, 95% CI 0.005?0.585, respectively). OS was improved, but this was not statistically significant. IGF-BP3 and IGF-2 serum levels increased during treatment with VIDE chemotherapy (P=0.055 and P=0.023, respectively). Conclusion: High circulating serum levels of IGF-1 and IGF-BP3 and the molar ratio of IGF-1:IGF-BP3 serum levels were associated with improved EFS and a trend for improved OS in Ewing sarcoma patients treated with VIDE chemotherapy. These findings suggest the need for further investigation of the IGF-1 pathway as a biomarker of disease progression in patients with Ewing sarcoma.
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