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Prognostic Significance of Osteoprotegerin and Osteopontin in Malignant Melanoma


Authors: I. Třešková 1;  O. Topolčan 2;  J. Vrzalová 2;  K. Pizinger 3
Authors‘ workplace: Oddělení plastické chirurgie, FN Plzeň primář MUDr. Vlastimil Bursa 1;  Imunoanalytická laboratoř, FN Plzeň vedoucí prof. MUDr. Ondřej Topolčan, CSc. 2;  Dermatovenerologická klinika, FN Plzeň přednosta prof. MUDr. Karel Pizinger, CSc. 3
Published in: Čes-slov Derm, 88, 2013, No. 6, p. 280-284
Category: Clinical and laboratory Research

Overview

Aim:
The aim of our study was to evaluate the dynamics of biomarkers osteoprotegerin and osteopontin and their relationship to prognosis of patients with malignant melanoma during the period from 2009 to 2012.

Method:
We evaluated a group of patients with malignant melanoma (n = 77) and control group without cancer (n = 34). In these groups we evaluated the serum levels of osteoprotegerin and osteopontin using xMAP technology.

Results:
There was a statistically significant correlation between serum osteopontin and lymph node involvement (p < 0.01) and the positivity/negativity of the sentinel lymph nodes (p < 0.03). Elevated serum levels of osteopontin has been found in patients with advanced disease in comparison to patients with primary melanoma (p < 0.02). We found elevated serum levels of osteoprotegerin in the group of patients with disease progression compared to the group in remission (p < 0.01). In the group of patients with malignant melanoma we found higher serum levels of osteoprotegerin (p < 0.001) and osteopontin (p < 0.0008) in comparison with the control group. Sensitivity of osteoprotegerin was 39.21% at 93% specificity and ostepontin 9.8% at 93% specificity.

Conclusion:
This study shows osteopontin and osteoprotegerin to be useful biomarkers in evaluating biological activity of malignant melanoma. Validation of our current results in a larger group of patients is needed.

Key words:
malignant melanoma – biomarkers – osteoprotegerin – osteopontin – multiplex analysis


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Dermatology & STDs Paediatric dermatology & STDs
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