RESEARCH PAPER
Cancer patients report a history of fewer fevers during infections than healthy controls
 
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1
Department of Immunology, Nicolaus Copernicus University, Toruń, Poland
 
2
Department of Urology, Municipal Hospital, Inowrocław, Poland
 
3
Department of Urology, Regional Oncology Centre, Bydgoszcz, Poland
 
 
Corresponding author
Wiesław Kozak   

Department of Immunology, Nicolaus Copernicus University, Gagarina 9, 87-100 Toruń, Poland.
 
 
J Pre Clin Clin Res. 2009;3(1):31-35
 
KEYWORDS
ABSTRACT
Fever is one of the pathophysiological symptoms accompanying the response of the host to infection and inflammation. Although the adaptive value of the fever response has been well documented in laboratory studies, its role in clinical medicine is still under debate. Two of the hypotheses studied state that endogenous mediators of fever may be involved in establishing the Th1 immunologic phenotype of the host and in improving general immunologic surveillance. It is known that these factors play a significant role in defence against tumour cells. Therefore, in the present study we tested the hypothesis that patients diagnosed with cancer reveal a history of fewer fevers during the disease than control, healthy volunteers. 18 questions were asked concerning the history of fever prior to diagnosis from 355 persons suffering from cancer, and 244 healthy controls, matched for age and living in Poland. Cancer patients reported a lower incidence of fever during illness than controls. The percentage of cancer patients and controls who reported no fever during infections was 83.10% and 56.97%, respectively. Similarly, 16.90% of cancer patients and 43.03% of controls reported always experiencing fever during infections. The results of our study support the hypothesis that during their lifetime cancer patients experience less fever during infection than healthy controls.
 
REFERENCES (47)
1.
Hart BL: Biological basis of sick animals. Neurosci Biobehav Rev 1988, 12, 123-137.
 
2.
Dinarello CA: Thermoregulation and the pathogenesis of fever. Infect Dis Clin North Am 1996, 10, 433-449.
 
3.
Mackowiak PA, Browne RH, Southern PM Jr, Smith JW: Polymicrobial sepsis: analysis of 184 cases using log linear models. Am J Med Sci 1980, 280, 73-80.
 
4.
Kluger MJ, Kozak W, Conn CA, Leon LR, Soszyński D: The adaptive value of fever. Infec Dis Clin North Am 1996, 10, 1-21.
 
5.
Hasday JD, Fairchild KD, Shanholtz C: The role of fever in the infected host. Microbs Infect 2000, 2, 1891-1904.
 
6.
Kozak W, Wrotek S, Walentynowicz K, Waszak P: Fever and symptoms of sickness are present in mice lacking functional B and T lymphocytes. Acta Biol Cracov 2006, 48, 9-20.
 
7.
Kozak W, Conn CA, Kluger MJ: Lipopolysaccharide induces fever and depresses locomotor activity in unrestrained mice. Am J Physiol Regul Integr Comp Physiol 1994, 266, 125-135.
 
8.
DalNagore AR, Sharma S: Exogenous pyrogens. In: Mackowiak PA (ed.), Fever: Mechanism and Basic Management. Raven-Lippincott, New York 1997.
 
9.
Galdiero F, Sommese L, Scarfogliero P, Galdiero M: Biological activities – lethality, Shwartzman reaction and pyrogenicity – of Salmonella typhimurium porins. Microb Pathog 1994, 16, 111-119.
 
10.
Moesby L, Hansen EW, Christensen JD, Tommerup L, Nielsen C: Endospores of B. subtilis are pyrogenic and activate Mono Mac 6 cells: importance of the CD14 receptor. Eur J Pharm Sci 2003, 19, 245-251.
 
11.
Proft T, Fraser JD: Bacterial superantigens. Clin Exp Immunol 2003, 133, 299-306.
 
12.
Kozak, W, Wrotek S, Kozak A: Pyrogenicity of CpG-DNA in mice: Role of interleukin-6, cyclooxygenases, and nuclear-factor-kappa-B. Am J Physiol Regul Integr Comp Physiol 2006, 290, 871-880.
 
13.
Hubschle T, Mutze J, Mulhardt, Korte S, Gersterberger R, Roth J: Pyrexia, anorexia, adipsia and depressed motor activity in rats during systemic infl ammation induced by the Toll-like receptor 2- and 6- agonists MALP-2 and FSL-1. Am J Physiol Regul Integr Comp Physiol 2006, 290, 180-187.
 
14.
Kluger MJ, Kozak W, Leon LR, Soszyński D, Conn CA: Cytokines and fever. Neuroimmunomodulation 1995, 2, 216-223.
 
15.
Roberts Jr NJ: Impact of temperature elevation of immunologic defense. Rev Infect Dis 1991, 13, 462-72.
 
16.
Roberts Jr NJ: The immunological consequences of fever. In: Mackowiak PA (ed.), Fever: Basic Mechanisms and Management. Raven Press, New York 1991, 125.
 
17.
Laurence JZ: The diagnosis of surgical bladder cancer. The Liston Prize Essay for 1854. Churchill, London 1855.
 
18.
Pearl R: Cancer and tuberculosis. Am J Hygiene 1929, 9, 97-159.
 
19.
Witzel L: Anamnese und Zweiterkrankungen bei Patienten mit bosartigen Neubildungen. Med Klin 1970, 65, 876-879.
 
20.
Newhouse ML, Pearson RM, Fullerton JM, Boesen EAM, Shannon HS: A case control study of carcinoma of the ovary. Br J Prev Soc Med 1977, 31, 148–153.
 
21.
Remy W, Hammerschmidt K, Zanker KS: Tumortrager haben selten Infekte in der Anamnese: Med Klin 1983, 78, 95-98.
 
22.
Gruff erman S, Wang HH, DeLong ER: Environmental factors in the etiology of rhabdomyosarcoma in childhood. J Natl Cancer Inst 1982, 68, 107-113.
 
23.
Ronne T: Measles virus infection without rash in children is related to disease in adult life. The Lancet 1985, 8419, 1-5.
 
24.
Van Steensel-Moll HA, Valkenburg HA, van Zanen GE: Childhood leukemia and infectious disease in the fi rst year of life: A register based case-control study. Am J Epidemiol 1986, 124, 590-594.
 
25.
Grossarth-Maticek R, Frentzel-Beyme R, Kanazir D, Jankovic M, Vetter H: Reported herpes-virus infection, fever and cancer incidence in a prospective study. J Chronic Dis 1987, 40, 967-976.
 
26.
Abel U: Incidence of infection and cancer risk: Dtsch Med Wschr 1986, 111, 1987-1991.
 
27.
Kolmel K, Gefeller O, Haverkamp B: Febrile infections and malignant melanoma: Results of a case-control study. Melanoma Res 1992, 2, 207-211.
 
28.
O’Regan B and Hirshberg C: Spontaneous Remission: An Annotated Bibliography. Institute of Noetic Sciences 1993.
 
29.
Maurer S, Koelmel K: Spontaneous regression of advanced malignant melanoma. Onkologie 1998, 21, 14-18.
 
30.
Stanford JL, Stanford Ca, Garange JM: Environmental echoes. Science Prog 2001, 84, 105-124.
 
31.
Baronzio Gian F, Hager Dieter E: Hyperthermia in Cancer Treatment: A Primer, Springer 2006.
 
32.
Engel P: Uber den Infections Index in der Krebskranken. Wien Klin Wochenstr 1934, 47, 1118-1119.
 
33.
Abel U, Becker N, Angerer N, Frentzel-Beyme R, Kaufmann M, Schlag P, Wysocki S, Wherdorf J, Schultz G: Common infections in the history of cancer patients and controls. J Cancer Res Clin Oncol 1991, 117, 339-344.
 
34.
Koelmel K, Pfahlberg A et al.: Infections and melanoma risk: results of a multicenter EORTC case study. Melanoma Res 1999, 9, 511-519.
 
35.
West RO: Epidemiologic study of malignancies of the ovaries. Cancer 1966, 19, 1001–1007.
 
36.
Albonico HU, Braker HU, Husler J: Febrile infectious childhood diseases in the history of cancer patients and matched controls. Med Hypoth 1998, 51, 315–320.
 
37.
Hoff man C, Rosenberger A, Troger W, Buhring M: Childhood diseases, infectious diseases, and fever as potential risk factors for cancer? Forsch Komplement Klass Naturheilkd 2002, 9, 324–330.
 
38.
Lienard D, Ewalenko P, Delmotte JJ, Renard N and Lejeune FJ: Highdose recombinant tumor necrosis factor alpha in combination with interferon gamma and melphalan in isolation perfusion of the limbs for melanoma and sarcoma. J Clin Oncol 1992, 10, 52-60.
 
39.
Yang JC, Topalian SL, Parkinson D, Schwartzentruber DJ, Weber JS, Ettinghausen SE, White DE, Steinberg SM, Cole DJ, Kim HI, et al.: Randomized comparison of high-dose and low-dose intravenous interleukin-2 for the therapy of metastatic renal cell carcinoma: an interim report. J Clin Oncol 1994, 12, 1572-1576.
 
40.
Maziak W: The asthma epidemic and our artifi cial habitats. BMC Pulmon Med 2005, 5, 5.
 
41.
Shapiro S: Allergy and cancer. Lancet 1973, 1, 1055.
 
42.
Bach JF: The eff ect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med 2002, 347, 911-920.
 
43.
Blatteis CM, Sehic E: Prostaglandin E2: A putative fever mediator. In: Mackowiak PA: Fever. Basic Mechanisms and Management 1997, 117-146.
 
44.
Challis GB, Stam HJ: The spontaneous regression of cancer. A review of cases from 1900 to 1987, Acta Oncol 1990, 29, 545-550.
 
45.
Mastrangelo G, Fadda E, Milan G: Cancer increased after a reduction of infections in the fi rst half of this century in Italy: etiologic and preventive implications, Eur J Epidemiol 1998, 14, 749–754.
 
46.
Mackersen A, Galanos C, Engelhardt T: Treatment of cancer patients with endotoxin induces release of endogenous cytokines. Pathobiology 1991, 59, 264-267.
 
47.
Goto S, Sakai S, Kera J, Suma Y, Soma GI, Takeuchi S: Intradermal administration of liposaccharyde in treatment of human cancer. Cancer Immunol Immunother 1996, 42, 255-261.
 
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