Association of Vitamin D Deficiency and Inflammatory Cytokines with the Clinicopathological Features of Breast Cancer in Female Saudi Patients
Abstract Background: Breast cancer is considered to be the most common leading cause of cancer related death among women in Saudi Arabia. Many researches supposed a strong correlation between vitamin D and different types of cancer. Patients and methods: We aimed to study the implication of serum vitamin D, calcium, interleukin 6 (IL6), tumor necrosis factor alpha (TNF-α) and chemerin on progression of breast cancer. One hundred female Saudi patients were included in the current research and we assessed their serum levels of vitamin D, calcium, IL-6, TNF-α and chemerin. Results: vitamin D was significantly decreased in tumors with high grade (P < 0.0001), patients with obesity (P = 0.013), negative estrogen receptors (ER) (P < 0.0001), negative progesterone receptors (PR) (P < 0.0001) and positive HER2 receptors (P < 0.0001). It was also decreased in large tumors (P < 0.0001), patients with axillary lymph node involvement (P < 0.0001) and in the patients with advanced clinical stage (P < 0.0001). Moreover, higher levels of serum IL-6, TNF-α, chemerin were significantly related to breast cancer and its advanced stages. Conclusion: vitamin D deficiency and elevated inflammatory cytokines (IL6, TNF-α and chemerin) are associated with breast cancer progression in female Saudi patients.