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Global Translational Medicine





                                        ORIGINAL RESEARCH ARTICLE
                                        Prognostic evaluation of relapse based on

                                        squamous cell carcinoma antigen, CXCR2, and
                                        CD44V6 blood levels in patients with Stage I–II

                                        squamous cell lung cancer



                                                                                                      1
                                                           1
                                                                                1
                                        Anatoli D. Tahanovich *, Mikalai M. Kauhanka , Zhanna A. Rutkovskaya ,
                                                         1
                                        Ekaterina A. Khotko , Oxana V. Gotko , and Violetta I. Prokhorova 2
                                                                        2
                                        1 Department of Biological Chemistry, Medical Faculty of International Students, Belarusian State
                                        Medical University, Minsk, Belarus
                                        2 Department of Laboratory Diagnostics, N.N. Alexandrov National Cancer Center of Belarus, a/g
                                        Lesnoy, Minsk, Belarus

                                        Abstract

                                        Lung cancer, the leading cause of cancer-related mortality, predominantly exists as
                                        non-small cell lung cancer, accounting for approximately 85% of cases and comprising
                                        adenocarcinoma, squamous cell carcinoma (SCC), and large cell carcinoma as the
                                        three most prevalent histological subtypes.  This study focused on investigating
                                        pre- and post-operative concentrations of SCC antigen in blood serum, as well as the
                                        percentage of CXCR2-containing lymphocytes and CD44v6-containing monocytes
                                        in blood cell populations among patients with Stages I–II squamous cell lung cancer
            *Corresponding author:
            Anatoli D. Tahanovich       (SCLC) within 1 year after tumor resection. The primary objective was to assess their
            (ataganovich@gmail.com)     potential for  predicting relapse. The study cohort  comprised 57  patients (32 men
            Citation: Tahanovich, AD,   and 25 women) with newly diagnosed squamous cell lung cancer (21 at stage I
            Kauhanka MM, Rutkovskaya ZA,   and 36 at stage II). Following tumor resection, categorized as R0 in terms of surgical
            et al., 2023, Prognostic evaluation   intervention, all parameters were examined before surgery and at 3 weeks, 3 months,
            of relapse based on squamous cell
            carcinoma antigen, CXCR2, and   and 6 months postoperatively. Analysis revealed that the probability of relapse could
            CD44V6 blood levels in patients   be accurately predicted, ranging from 68.4% to 89.5%, based on differences in SCC
            with Stage I–II squamous cell lung   antigen concentration, the percentage of lymphocytes with CXCR2, and monocytes
            cancer. Global Transl Med, 2(4):
            2209.                       with the CD44v6 receptor during various post-operative intervals. Subsequent
            https://doi.org/10.36922/gtm.2209  regression analysis and the formulation of a combined model incorporating the above-
                                        mentioned parameters led to an enhanced predictive value for tumor recurrence,
            Received: November 8, 2023
            Accepted: December 18, 2023   reaching 96.5% accuracy (with specificity at 95.6% and sensitivity at 100%). These
            Published Online: December 28, 2023  results indicate the potential utility of the combined model as an additional marker
            Copyright: © 2023 Author(s).   for predicting postoperative relapse in patients with Stage I–II SCLC.
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Squamous cell lung cancer; Squamous cell carcinoma; CXCR2; CD44v6; Post-
            License, permitting distribution,   operative relapse; Prognosis
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   Lung cancer stands as the primary contributor to cancer-related mortality in men, with
                                                                             [1]
            affiliations.               women ranking it as the second leading cause . Non-small cell lung cancer (NSCLC)

            Volume 2 Issue 4 (2023)                         1                        https://doi.org/10.36922/gtm.2209
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