start-ver=1.4 cd-journal=joma no-vol=60 cd-vols= no-issue=6 article-no= start-page=325 end-page=330 dt-received= dt-revised= dt-accepted= dt-pub-year=2006 dt-pub=200612 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Study of interleukin-6 in the spread of colorectal cancer: the diagnostic significance of IL-6. en-subtitle= kn-subtitle= en-abstract= kn-abstract=We investigated the diagnostic significance of IL-6 for lymph node metastasis and/or hepatic metastasis from colorectal cancer in 65 patients and evaluated the contributions of 8 factors (IL-6, HGF, IL-1beta, TNF-alpha, TGF-beta1, ELAM-1, ICAM-1, VCAM-1) toward Dukes.s classification of 53 patients. We also examined IL-6 expression in tumor tissue. From the receiver operating characteristic (ROC) curve analysis, an optimal cutoff value of 5.8 pg/ml was determined to classify lymph node and/or hepatic metastasis, and that of 6.3 pg/ml was determined to classify hepatic metastasis. These values indicated sensitivities of 55.0% and 71.4%, and specifi cities of 100% and 88.6%, respectively. IL-6, HGF, and ELAM-1 were very useful for distinguishing among Dukes.s A/B group, C group, and D group. In all cases with high IL-6 values (more than 25.0 pg/ml), immunohistochemical staining was positive for IL-6 in the cytoplasm of cancer cells. IL-6 is strongly suspected to be involved in lymph node and/or hepatic metastasis by promoting it through HGF, and serum IL-6 value (pg/ml) would be useful diagnostically to estimate whether or not there is a high risk of lymph node and/or hepatic metastasis. en-copyright= kn-copyright= en-aut-name=AshizawaTatsuto en-aut-sei=Ashizawa en-aut-mei=Tatsuto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OkadaRyosuke en-aut-sei=Okada en-aut-mei=Ryosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SuzukiYoshiaki en-aut-sei=Suzuki en-aut-mei=Yoshiaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TakagiMakoto en-aut-sei=Takagi en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YamazakiTatsuyuki en-aut-sei=Yamazaki en-aut-mei=Tatsuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SumiTetsuo en-aut-sei=Sumi en-aut-mei=Tetsuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=AokiToshiaki en-aut-sei=Aoki en-aut-mei=Toshiaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=AokiTatsuya en-aut-sei=Aoki en-aut-mei=Tatsuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=2 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=3 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=4 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=5 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=6 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=7 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo affil-num=8 en-affil= kn-affil=Tokyo Medical University Hachioji Medical Center, Tokyo en-keyword=IL-6 kn-keyword=IL-6 en-keyword=colorectal cancer kn-keyword=colorectal cancer en-keyword=lymph node metastasis kn-keyword=lymph node metastasis en-keyword=hepatic metastasis kn-keyword=hepatic metastasis en-keyword=diagnostic signifi cance kn-keyword=diagnostic signifi cance END