Edinburgh Napier University

  Despite progress in diagnosis and staging, pancreatic cancer still has a poor prognosis and it remains difficult to predict duration of survival in advanced pancreatic cancer. Nutritional decline, or cachexia, is a contributory factor to decreased survival in advanced pancreatic carcinoma, and it has been demonstrated that proinflammatory cytokines give rise to cachexia. Interferon (IFN)-γ is a proinflammatory cytokine whose administration increases survival outcomes in a variety of cancers. The human IFN-γ gene has a variable length CA-repeat sequence, the length that has been shown to influence IFN-γ production. The current study was performed to ascertain whether polymorphisms of the IFN-γ gene would influence survival of individuals with advanced pancreatic cancer. The study demonstrated that the presence of allele 2 (12 {CA} repeats) was consistently associated with increased duration of survival after confirmation of nonresectable pancreatic carcinoma. We therefore propose that the presence of allele 2 may be a useful marker for patient outcome.