PREDICTIVE POWER OF OXIDATIVE STRESS BIOMARKERS IN RECURRENCE AND SURVIVAL IN ADVANCED CERVICAL CANCER

Authors

  • Marija Jelic University of Novi Sad, Faculty of Medicine, Department of Pharmacy, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
  • Aljosa Mandic Oncology Institute of Vojvodina, Sremska Kamenica, Serbia
  • Slobodan Maricic University of Novi Sad, Faculty of Medicine, Department of Gynecology and Obstetrics, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
  • Biljana Bozin University of Novi Sad, Faculty of Medicine, Department of Pharmacy, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
  • Nebojsa Kladar University of Novi Sad, Faculty of Medicine, Department of Pharmacy, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
  • Jan Sudji University of Novi Sad, Faculty of Medicine, Department of Pharmacy, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
  • Branislava Srdjenovic Conic University of Novi Sad, Faculty of Medicine, Department of Pharmacy, Hajduk Veljkova 3, 21000 Novi Sad, Serbia

DOI:

https://doi.org/10.15407/exp-oncology.2023.02.231

Keywords:

biomarkers, cervical cancer, cancer recurrence, oxidative stress, antioxidative enzymes, 8-hydroxy-2-deoxyguanosine

Abstract

The aim of our study was to measure the levels of 8-hydroxy-2-deoxyguanosine, malondialdehyde, and antioxidant enzymes in patients with locally advanced cervical cancer prior to treatment to determine how these evaluated biomarkers are associated with cervical cancer recurrence and to estimate their potential in further research and clinical use. Materials and Methods. The study included 45 female patients with newly diagnosed advanced cervical cancer who underwent concomitant chemoradiotherapy. The blood and urine samples were collected prior to treatment, between December 2013 and April 2016, and subsequent laboratory analysis was performed. After the medium follow-up of 29 months, the patients were divided into 3 groups according to the time of disease recurrence. A statistical analysis was performed in order to evaluate the relationship between the previously measured biomarkers and recurrence. Results. Taken individually, the parameters of oxidative stress did not reveal significant differences between the three groups in our study. Nevertheless, the catalase and glutathione S-transferase activities were the best predictors of the recurrence. Based on the activities of these two oxidative enzymes, it was possible to separate the group of patients without recurrence after follow-up from the other two groups of patients with recurrent disease. Conclusions. The parameters of oxidative stress have a certain predictive value on the outcome of patients with advanced cervical cancer after concomitant chemo-radiotherapy.

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Submitted: February 13, 2022.

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Published

11.10.2023

How to Cite

Jelic, M., Mandic, A., Maricic, S., Bozin, B., Kladar, N., Sudji, J., & Conic, B. S. (2023). PREDICTIVE POWER OF OXIDATIVE STRESS BIOMARKERS IN RECURRENCE AND SURVIVAL IN ADVANCED CERVICAL CANCER. Experimental Oncology, 45(2), 231–241. https://doi.org/10.15407/exp-oncology.2023.02.231

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