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Frontiers in Medical Science Research, 2023, 5(11); doi: 10.25236/FMSR.2023.051102.

Serum Interleukin-6 Levels Correlate with the Efficacy of Antiangiogenic Therapy in Metastatic Colorectal Cancer

Author(s)

Yu Chen1, Hao Cai1, Yang Liu1, Qiao Zhang1, Houjun Jia2

Corresponding Author:
Houjun Jia
Affiliation(s)

1Chongqing Medical University, Chongqing, 400016, China

2Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

Abstract

This study aims to assess the correlation between IL-6 concentration in the blood and the efficacy of antiangiogenic therapy for liver metastases from colorectal cancer. In this retrospective study, we examined 53 patients with CRLM who received non-surgical treatment from June 2017 to June 2023. We collected serum IL-6 levels before starting treatment and evaluated their impact based on consensus guidelines. The ROC curve was used to determine the best cut-off point for IL-6. We compared treatment response rates using chi-square tests and estimated overall survival (OS) and progression-free survival (PFS) using Kaplan-Meier and multivariate Cox proportional hazard regression analyses. It was observed that patients who were treated with bevacizumab had a longer progression-free survival (PFS) compared to those who did not receive it (P=0.04). Out of the 24 patients who received chemotherapy alone, 12 had a shorter PFS compared to the remaining 12 who had lower IL-6 levels (P=0.03). Among the 29 patients who were treated with the bevacizumab combination therapy, no significant difference was observed in PFS between the 19 patients who had higher IL-6 levels and the other 10 patients who had lower IL-6 levels (P=0.76). We have concluded that patients with higher levels of IL-6 benefited from antiangiogenic therapy, whereas those with lower levels did not receive the same benefits from bevacizumab.

Keywords

colorectal cancer, bevacizumab, inflammation, interleukin-6 (IL-6)

Cite This Paper

Yu Chen, Hao Cai, Yang Liu, Qiao Zhang, Houjun Jia. Serum Interleukin-6 Levels Correlate with the Efficacy of Antiangiogenic Therapy in Metastatic Colorectal Cancer. Frontiers in Medical Science Research (2023) Vol. 5, Issue 11: 10-18. https://doi.org/10.25236/FMSR.2023.051102.

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