Adjuvant Breast Cancer Treatments Induce Changes in Homoarginine Level - A Prospective Observational Study.

Abstract:

AIM:To identify patients with breast cancer at risk for cardiotoxicity, we evaluated homoarginine (HA) behavior during adjuvant treatment. PATIENTS AND METHODS:Eighty-one patients received radiotherapy (RT) with or without endocrine treatment, and 19 received chemotherapy, RT and endocrine therapy. Serum HA, asymmetric dimethylarginine (ADMA) and high-sensitivity cardiac troponin T (hscTnT) were measured and echocardiography was performed before chemotherapy, and before and after RT. RESULTS:In chemo-naïve tamoxifen users HA increased during RT from a median (IQR) of 2.47 (1.61-3.35) to 2.86 (1.93-4.23) μM (p=0.028) and remained stable in patients with aromatase inhibitor and in those without endocrine therapy. Tamoxifen users were mostly spared from echocardiographic changes. In chemotherapy-treated patients, HA decreased during chemotherapy (p=0.001) from 1.46 (1.01-2.18) to 0.91 (0.71-1.29) μM, and increased (p=0.004) to 1.19 (0.83-1.63) μM during RT, remaining lower than at baseline (p=0.014). Echocardiographic changes were observed during chemotherapy. CONCLUSION:HA decrease during chemotherapy could indicate an increased risk of cardiovascular morbidity. Additionally, HA increase in tamoxifen users may reflect a cardioprotective effect of tamoxifen.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Aula H,Skyttä T,Tuohinen S,Luukkaala T,Hämäläinen M,Virtanen V,Raatikainen P,Moilanen E,Kellokumpu-Lehtinen PL

doi

10.21873/anticanres.12142

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

6815-6824

issue

12

eissn

0250-7005

issn

1791-7530

pii

37/12/6815

journal_volume

37

pub_type

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