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Volume 9, Issue 11 (Suppl) J Cancer Sci Ther
ISSN: 1948-5956 JCST, an open access journal Asia Pacific Oncologists 2017
November 20-22, 2017
November 20-22, 2017 Melbourne, Australia
14th Asia Pacific
Oncologists Annual Meeting
Rise of circulating thrombopoietin following surgery in gastrointestinal cancer patients: Correlation
with a preceding increase in levels of procalcitonin
Amar Ranjan
All India Institutes of Medical Sciences, India
Thrombopoietin (TPO) is a protein that is encoded by the TPO gene. It regulates the production of platelets. It is believed
that plasma level of TPO is regulated by its binding to platelets and megakaryocytes. A prospective study was conducted
comprising of 72 cases (32 female, 40 male) of gastrointestinal cancer, which were undergone surgery in the year 2016. It
included cancer of esophagus, stomach, colon and ano-rectum. Three serial whole blood samples were taken from single
patient, one preoperatively, 2nd and 3rd postoperatively on day 3 and day 5. Serum samples were stored at-80 °C. Samples were
tested for TPO and PCT by ELISA Technique. Statistical analysis was done. Day 3 after surgery, patients (n=72) showed a
significant thrombocytopenia followed by a reactive thrombocytosis on Day 5. Platelet recovery was preceded by a significant
rise in TPO (from 162.4±118.8 pg/ml at baseline to 355.3± 304.4 pg/ml at 72 hours, P<0.0001), which in turn was preceded by
a marked increase in PCT (from 141.7± 406.4 pg/ml at baseline to 659.6± 1087.0 pg/ml at 72 hours, P<0.0001). The rise of both
PCT and TPO was significantly higher in all patients at an interval of 3-4 days. No correlation was found between the post-
operative decrease in platelet mass and changes in either the TPO or PCT levels. Considering the change of parameters from
day 3 to 5, there was rise in platelets and decrease in TPO and PCT. These changes were not found statistically significant. But
statistically significant changes were noticed from day 1 to day 5 similar to day 1 to day 3. Findings suggest that circulating TPO
levels, besides being controlled by changes in platelet mass, are also influenced by certain cytokines involved in oncogenesis
and inflammatory process. Studies suggest that it is influenced by IL-6. It has shown activities like acute phase reactants e.g.,
C-reactive protein.
Biography
Amar Ranjan is an MD in Pathology, presently working as an Assistant Professor in Lab Oncology in the top most Cancer Institute of India. He has keen interest in
Hemato-oncology. He actively participates in oral and poster presentations at international and national levels. He has experience of working on dermatopathology,
post-mortem pathology and blood banking.
Amar Ranjan, J Cancer Sci Ther 2017, 9:11 (Suppl)
DOI: 10.4172/1948-5956-C1-117