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Impact of Radiotherapy on Oxidative Stress and Inflammatory Biomarkers in Brain Tumor Patients – preliminary studies
* 1 , 2, 3 , 4 , 1
1  Department of Medical Biology and Biochemistry, Faculty of Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 24 Karłowicza St, 85-092 Bydgoszcz, Poland
2  Department of Psychiatry, Faculty of Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 9 M. Curie Skłodowskiej St, 85-094 Bydgoszcz, Poland
3  Department of Nuclear Medicine, Oncology Centre prof. Franciszek Łukaszczyk Memorial Hospital, Bydgoszcz, 2 dr I. Romanowskiej St, 85-796 Bydgoszcz, Poland
4  Department of Toxicology and Bromatology, Faculty of Pharmacy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, A. Jurasza 2 St, 85-089 Bydgoszcz, Poland
Academic Editor: Alfredo Berzal-Herranz

Published: 01 November 2023 by MDPI in 9th International Electronic Conference on Medicinal Chemistry session General
https://doi.org/10.3390/ECMC2023-15646 (registering DOI)
Abstract:

Brain tumors (BTs) represent a varied group of intracranial neoplasms. Among the treatment methods, radiotherapy is common. However, both the tumor and radiotherapy may induce oxidative stress, potentially impacting tumor progression and eliciting inflammation. This preliminary study aimed to assess the levels of C-reactive protein (CRP), melatonin, malondialdehyde (MDA), and protein carbonyl groups (PCO) in BT patients, both immediately before radiotherapy and 6-8 months after treatment. The study encompassed 16 patients (9 males and 7 females; average age of 51.75 ± 3.07 years) diagnosed with primary BT. Blood samples were procured at two timepoints: initially during the radiotherapy planning phase and, subsequently, after an average of 219.11 ± 14.40 days from the first collection. Blood serum samples underwent biochemical testing. A p-value of less than 0.05 was considered statistically significant. Results, expressed as mean value ± standard error of the mean (SEM), demonstrated a decrease in CRP levels from 11.01 ± 1.02 mg/L to 5.40 ± 0.54 mg/L. Melatonin levels remained comparable at 38.81 ± 2.40 pg/mL and 40.31 ± 2.29 pg/mL, respectively. MDA concentrations reduced from 483.86 ± 8.61 ng/mL to 454.25 ± 9.42 ng/mL, and PCO levels decreased from 200.33 ± 22.76 U/mL to 145.75 ± 6.20 U/mL. Statistically significant variations were noted in the levels of CRP, MDA, and PCO pre- and post-radiotherapy. Among long-term effects of BTs radiotherapy, a decrease of oxidative stress and inflammatory markers could be noticed. Those changes might be important for the patient's health improvement.

Keywords: biomarkers; brain tumors; inflammation; oxidative stress; radiotherapy
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