title: The assessment of serum concentration of adiponectin, leptin and serum carbohydrate antigen-19.9 in patients with pancreatic cancer and chronic pancreatitis.
abstract: Pancreatic cancer and chronic pancreatitis are still significant diagnostic and clinical problems. The clinical impact of preoperative serum carbohydrate antygen 19-9 (CA 19-9) levels have been disscussed. The aim of this study was a comparative analysis of the concentrations in serum of adipocytokines: adiponectin and leptin and CA 19-9 in patients with pancreatic cancer (PC), chronic pancreatitis (CP) and control group (CG). The study was performed in a group of 90 patients. Group 1 consisted of 30 patients with PC, group 2 consisted of 30 patients with CP. There was no coincidence of pancreatic cancer in CP group. Group 3 (CG) consisted of 30 persons and were recruited among patients operated for cholelithiasis. The serum samples were taken from patients and the concentration of adiponectin, leptin, CA 19-9 and CEA were evaluated. The revealed concentrations levels of the adiponectin were significantly higher in the PC serum samples compared to the CP and CG. There was no significant correlation between increased adiponectin concentration and body fat mass in the PC group. The concentration of leptin was significantly lower in CP serum samples compared to PC and CG. The concentration of leptin was similar in the PC and CG. The concentration of leptin was mainly dependent on body fat mass and fat distribution. Additionally, measurement of waist circumference and body composition was recorded using bioelectrical impedance analysis.
  
  
  CONCLUSIONS
  significantly higher concentration levels of adiponectin in the PC group, independent of body fat mass, may play a potential role as a new tumor marker in PC and might be useful in the differential diagnosis between PC and CP, but this statement needs further investigation. To our knowledge, this was the first study evaluating not only body mass index but also the content and distribution of body fat in patients with PC and CP.
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland. ddranka@poczta.onet.pl.
authors.forename: D
authors.initials: D
authors.lastname: Dranka-Bojarowska
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Lekstan
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: M
authors.initials: M
authors.lastname: Olakowski
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: B
authors.initials: B
authors.lastname: Jablonska
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Lewinski
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: P
authors.initials: P
authors.lastname: Musialski
authors.affiliation: Department of Pharmacology, Medical University of Silesia, Katowice, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Sobczyk
authors.affiliation: Department of Pharmacology, Medical University of Silesia, Katowice, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Kapalka
authors.affiliation: Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: P
authors.initials: P
authors.lastname: Lampe
mesh_terms: D052242:Adiponectin / Q000097:blood*; D000273:Adipose Tissue / Q000502:physiology; D000328:Adult; D000368:Aged; D001823:Body Composition / Q000502:physiology; D015992:Body Mass Index; D018395:CA-19-9 Antigen / Q000097:blood*; D016022:Case-Control Studies; D003937:Diagnosis, Differential; D017097:Electric Impedance; D005260:Female; D006801:Humans; D020738:Leptin / Q000097:blood*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000097:blood* / Q000175:diagnosis; D050500:Pancreatitis, Chronic / Q000097:blood* / Q000175:diagnosis; D055105:Waist Circumference / Q000502:physiology
chemical_list: D052242:Adiponectin; D018395:CA-19-9 Antigen; D020738:Leptin