Clinical and experimental studies provide evidence that the
plasminogen activation system plays a pivotal role in the pathogenesis of
tumor growth and metastatic spread. The aim of the present study was to evaluate
plasminogen activator inhibitor type I (PAI-1) in plasma and
tumor extracts in patients with
non-small cell lung cancer (NSCLC). The study group consisted of 146 patients (18 females, 128 males), aged 33-76 years with
squamous cell carcinoma (107),
adenocarcinoma (19), and mixed type of lung
carcinoma (20) in pTNM stage I (72), stage II (30) and stage III (44) and 50 healthy volunteers as a control group (15 females, 35 males) aged 25-69 years. Blood for analysis was collected in the morning, 1-2 days before operation.
Lung cancer and normal lung tissue specimens were obtained during surgery and homogenized in liquid
nitrogen. The
tissue extracts and plasma were assayed for concentration of
PAI-1 with ELISA method. Significantly higher plasma level of
PAI-1 was observed in patients with
lung cancer than in control group. Concentration of
PAI-1 in
tumor tissues was significantly higher compared to normal lung tissue and was irrelevant from plasma level. Positive correlation between
tumor level of
PAI-1 and stage of
lung cancer was noticed. Therefore it can be assumed that
PAI-1 has an influence on the
lung cancer progression.