The usefulness of biomarkers in diagnosis of asbestos-induced malignant pleural mesothelioma

Hum Exp Toxicol. 2021 Nov;40(11):1817-1824. doi: 10.1177/09603271211017324. Epub 2021 May 17.

Abstract

Introduction: Malignant pleural mesothelioma (MPM) is a malignant tumor that is associated mostly with asbestos exposure. The present study was to evaluates the diagnostic value of neopterin, periostin, YKL-40, Tenascin-C (TNC), and Indolamine 2,3-dioxygenase (IDO) as noninvasive markers of malign pleural mesothelioma.

Methods: Included in the study were 30 patients diagnosed with malign pleural mesothelioma, and 25 people as a control group. Biomarker levels were determined using an enzyme immunoassay . A Mann-Whitney U test and Spearman correlation methods were used for the statistical analysis.

Results: All evaluated biomarkers were found to be significantly higher in the MPM group than in the control group (p < 0.05). There was no effect of such variables as gender, age or MPMsubtype on the parameters (p > 0.05) in the patient group. All biomarkers were positively correlated with each other (p < 0.001).

Conclusions: The current non-invasive biomarkers that can be used in the diagnosis of MPM yielded significant results and can make important contributions to the early diagnosis of MPM.

Keywords: Asbestos; IDO; YKL-40; malign pleural mesothelioma; neopterin; periostin; tenascin-C.

MeSH terms

  • Adult
  • Asbestos / toxicity*
  • Biomarkers, Tumor / blood
  • Cell Adhesion Molecules / blood*
  • Chitinase-3-Like Protein 1 / blood*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Indoleamine-Pyrrole 2,3,-Dioxygenase / blood*
  • Male
  • Mesothelioma, Malignant / blood
  • Mesothelioma, Malignant / chemically induced*
  • Mesothelioma, Malignant / diagnosis*
  • Mesothelioma, Malignant / physiopathology
  • Middle Aged
  • Neopterin / blood*
  • Pleural Neoplasms / chemically induced
  • Pleural Neoplasms / diagnosis
  • Pleural Neoplasms / physiopathology
  • Prospective Studies
  • Tenascin / blood*

Substances

  • Biomarkers, Tumor
  • Cell Adhesion Molecules
  • Chitinase-3-Like Protein 1
  • Indoleamine-Pyrrole 2,3,-Dioxygenase
  • Tenascin
  • Asbestos
  • Neopterin