Could Nucleolin and Nucleophosmin Levels Be
Prognostic Indicators in
Non-Small Cell Lung Cancer?
Gül Akın1,
Onur Esbah2, Recep Eröz3
1Duzce University Medical Faculty, Department of
Internal Medicine, Duzce, Turkey
2Duzce University Medical Faculty,
Department of Oncology, Duzce, Turkey
3Aksaray University Medical Faculty,
Department of Medical Genetics, Aksaray, Turkey
SUMMARY
Aim: Lung cancer is the leading cause of mortality from cancer across
the world. In this study, the use of serum nucleolin (NCL) and
nucleophosmin (NPM1) levels as a marker in the diagnosis, prognosis and
treatment response evaluation in lung cancer was investigated.
Materials and Method: NCL and NPM1 levels of serum samples taken before
chemotherapy and after 3-4 courses of chemotherapy from the control
group and the patients diagnosed with lung cancer were studied using
ELISA method.
Results: Serum NCL and NPM1 levels of the patients were higher than of
the controls (p = 0.085 for NCL, p = 0.000 for NPM1). NCL and NPM1
levels by histopathologic type were significantly higher in
adenocarcinoma than in squamous cell carcinoma (p < 0.05 for each). In
view of the treatment responses to chemotherapeutic agents, there was a
statistically insignificant difference between the values before and
after chemotherapy (p > 0.05 for each).
Conclusion: High serum NCL and NPM1 levels were found to correlate with
poor prognosis, poor treatment response and low survival rate. It can be
concluded that serum NCL and NPM1 levels in lung cancer can be used as
diagnostic and prognostic markers for the disease.
Keywords: cancer, nucleolin,
nucleophosmin
Corresponding author:
Gül Akın
e-mail: gulakindr@gmail.com