Effectiveness of Photodynamic Screening Using 5-Aminolevulinic Acid for the Diagnosis of Pancreatic Cancer.

Abstract:

BACKGROUND/AIM:We evaluated urinary levels of porphyrin metabolites, such as uroporphyrin (UP) and coproporphyrin (CP), after 5-Aminolevulinic acid (ALA) administration in patients with or without pancreatic cancer (PaC). PATIENTS AND METHODS:Sixty-seven subjects with PaC, 11 with pancreatitis, and 9 with normal pancreas (NP) were enrolled. Urine samples from all subjects were collected prior to ALA administration and at more than 4 hours after ALA administration. We measured the urinary levels of UP and CP by high-performance liquid chromatography analysis. RESULTS:The PaC group showed significantly higher UP levels compared to NP groups (104.9 nmol/g Cre vs. 53.4 nmol/g Cre, p=0.014). Moreover, PaC patients with long-term survival had significantly lower urinary levels of UP at diagnosis (98.8 nmol/gCre) than the short-term survival group (125.2 nmol/gCre) (p=0.042). CONCLUSION:The urinary levels of UP after ALA administration might serve as a promising biomarker for diagnosis and prognosis prediction of PaC.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ikeura T,Hori Y,Mitsuyama T,Miyoshi H,Shimatani M,Uchida K,Takaoka M,Ota U,Kamiya A,Takahashi K,Ishizuka M,Kaibori M,Okazaki K

doi

10.21873/anticanres.14347

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

3571-3577

issue

6

eissn

0250-7005

issn

1791-7530

pii

40/6/3571

journal_volume

40

pub_type

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