論文

査読有り 国際誌
2018年7月

Granulocyte-colony-stimulating factor-producing metaplastic carcinoma of the breast with significant elevation of serum interleukin-17 and vascular endothelial growth factor levels.

International cancer conference journal
  • Yukiko Fukui
  • Masahiro Kawashima
  • Kosuke Kawaguchi
  • Megumi Takeuchi
  • Masahiro Hirata
  • Tatsuki R Kataoka
  • Takaki Sakurai
  • Masako Kataoka
  • Shotaro Kanao
  • Yuji Nakamoto
  • Kimiko Hirata
  • Michio Yoshimura
  • Katsuhiro Yoshikawa
  • Hiroshi Ishiguro
  • Masakazu Toi
  • 全て表示

7
3
開始ページ
107
終了ページ
113
記述言語
英語
掲載種別
DOI
10.1007/s13691-018-0330-5

Granulocyte-colony-stimulating factor (G-CSF) production in carcinomas is associated with a very aggressive phenotype. Interleukin (IL)-17 secreted from tumor-infiltrating lymphocytes induces the production of G-CSF and vascular endothelial growth factor (VEGF) in cancer tissue. We present a case of a G-CSF-producing metaplastic breast carcinoma (MpBC) accompanied by systemic elevation of IL-17 and VEGF levels. A 56-year-old woman presented with a rapidly growing tumor measuring > 10 cm in her left breast. Core needle biopsy confirmed the diagnosis as MpBC with triple-negative features. Diffuse fluorodeoxyglucose uptake in the long bones and marked leukocytosis suggested that the G-CSF was produced by the primary tumor, which showed upregulated G-CSF mRNA and protein levels. Multiplex cytokine assessment identified increased serum IL-17, VEGF, and G-CSF levels. After radical mastectomy and skin grafting, the leukocyte count and serum G-CSF, IL-17, and VEGF levels were normalized. She underwent postmastectomy radiotherapy (50 Gy/25 Fr) and adjuvant chemotherapy (90 mg/m2 of epirubicin and 600 mg/m2 of cyclophosphamide followed by 80 mg/m2 of paclitaxel) and is alive without recurrence. This is the first in vivo observation that describes the systemic elevation of IL-17 and VEGF levels with concomitant G-CSF production. Further research is warranted to study the IL-17/G-CSF/VEGF axis as a potential therapeutic target for this aggressive type of breast cancer.

リンク情報
DOI
https://doi.org/10.1007/s13691-018-0330-5
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31149526
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498343
ID情報
  • DOI : 10.1007/s13691-018-0330-5
  • PubMed ID : 31149526
  • PubMed Central 記事ID : PMC6498343

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