Change in serum cardiac and inflammatory biomarkers level following chemotherapy treatment among female breast cancer patients attending at Tikur Anbessa Specialized Hospital
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Date
2019-08
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Addis Abeba University
Abstract
Chemotherapy is long been recognized that a well- established therapeutic approach for several
malignancies including breast cancer. But the clinical efficacy of this drug is often limited by its
related cardio toxicity. The assessment of multiple cardiac biomarkers can be used in identifying
patients at increased risk and adverse outcomes from chemotherapy. This approach has
significant importance to predict which patients will have adverse cardiac effects from
chemotherapy as well as treat damage at an earlier stage, preserve patient health, and improve
quality of life.
Objective: The aim of the present study was to evaluate changes in cardiac and inflammatory
biomarkers level following chemotherapy treatment among female breast cancer patients
attending at Tikur Anbessa specialized hospital .
Materials and methods: Hospital based retrospective study was conducted in 40 female breast
cancer patients at TASH. Elecsys 2010 Troponin-T immunoassay analyzer ( to measure serum
cTnT level ), Roch/hitachi cobas c 502 analyzer ( to measure serum CKMB and CRP levels)
and R and D systemic luminex performance assay( to measure serum IL-6 and TNF- )were
used in 40 paired breast cancer patient samples retrieved from a repository specimen of an
ongoing thematic research project. Data were analyzed using SPSS software version 23 package
and a p value < 0.05 was considered statistically significant.
Results: In the female breast cancer patients receiving chemotherapy treatment, the mean serum
cTnT, CKMB, CRP and TNF-levels were significantly increased than their respective baseline
values. No significance difference was found in the level of IL-6 between the base line and
during chemotherapy treatment. 20%, 15%, 14% of the breast cancer patients had elevated cTnT,
CK-MB and CRP levels after the three cycles of chemotherapy treatment respectively and 15%
of patients had a baseline elevated levels of CRP compared with their respective cutoff value.
Conclusion: Cardiac biomarkers are significantly increased up on chemotherapy treatment
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Keywords
Chemotherapy, cardio toxicity, cardiac biomarkers, inflammatory markers