IMR Press / EJGO / Volume 25 / Issue 4 / pii/2004210

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

The effect of recombinant GM-CSF on IL-6 and TNF-a levels in epithelial ovarian cancer patients who received paclitaxel and cisplatinum: preliminary results

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1 Department of Obstetrics and Gynecology, Baskent University School of Medicine, Ankara (Turkey)
2 Department of Obstetrics and Gynecology, Mersin University School of Medicine, Mersin (Turkey)
3 Department of Obstetrics and Gynecology, Gazi University School of Medicine, Ankara (Turkey)
Eur. J. Gynaecol. Oncol. 2004, 25(4), 478–480;
Published: 10 August 2004

Objective: We investigated the effects of GM-CSF factor on IL-6 and TNF-a levels prior to paclitaxel-cisplatinum combination chemotherapy for advanced epithelial ovarian cancer. Materials and Methods: Twenty-three consecutive patients with FIGO (International Federation of Gynecology and Obstetrics) Stage III-IV epithelial ovarian cancer were enrolled in the study. Following cytoreductive surgery patients received 175 mg/m2 pacli­taxel and 75 mg/m2 cisplatinum on the same day. These 23 patients also received RhuGM-CSF five days before at a dose of 5 µg/kg/day by subcutaneous injection for three days. IL-6 and TNF-a levels were measured before and 24 hours later following the last dose of RhuGM-CSF. Results: White blood cell counts on the 10th day of the cycle were lower than preGM-CSF white blood cell counts and the dif­ference was statistically significant (p = 0.003). Platelet levels on the 10th day of the chemotherapy cycle were lower than pre GM­CSF levels, however were not statistically significant (p = 0.097). Post GM-CSF TNF-α and IL-6 levels were higher than pre GM­CSF levels. This difference was statistically significant for TNF-α (p = 0.002) however for IL-6 a statistically significant difference was not detected (p = 0.55). GM-CSF does not significantly effect IL-6 levels in contrast to TNF-a. Conclusion: Clinical implications of increased levels of TNF-a are unclear and for a precise determination further studies are needed.

Recombinant GM-CSF
Epithelial ovarian cancer
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