Clinical validation of urine 3-methoxytyramine as a biomarker of neuroblastoma and comparison with other catecholamine-related biomarkers

Background Urinary dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid are established tests for diagnosis and monitoring of neuroblastic disease. We compared the diagnostic performance of total urinary 3-methoxytyramine, the O-methylated product of dopamine, to these three established...

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Veröffentlicht in:Annals of clinical biochemistry 2017-03, Vol.54 (2), p.264-272
Hauptverfasser: Lam, Leo, Woollard, Gerald A, Teague, Lochie, Davidson, James S
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container_title Annals of clinical biochemistry
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creator Lam, Leo
Woollard, Gerald A
Teague, Lochie
Davidson, James S
description Background Urinary dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid are established tests for diagnosis and monitoring of neuroblastic disease. We compared the diagnostic performance of total urinary 3-methoxytyramine, the O-methylated product of dopamine, to these three established tumour markers. Methods Urinary 3-methoxytyramine, dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid were measured by high-performance liquid chromatography with electrochemical detection on consecutive urine samples from histologically proven neuroblastic patients and controls. Patients with neuroblastic disease were further classified as untreated, advancing, residual or absent disease based on clinical and radiological criteria. Receiver operating characteristic curve analysis was used to compare the diagnostic performance of the four tumour markers. Results Urinary 3-methoxytyramine was well correlated with established tumour markers and its concentration correlated with disease activity. It was the most commonly elevated tumour marker in neuroblastic disease and showed similar sensitivity to dopamine and homovanillic acid. The diagnostic utility of urinary 3-methoxytyramine as measured by area under the receiver operating characteristic curve was similar to dopamine and homovanillic acid. Conclusion Our results support the use of urinary 3-methoxytyramine as a tumour marker in the diagnosis and the monitoring of neuroblastoma disease.
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We compared the diagnostic performance of total urinary 3-methoxytyramine, the O-methylated product of dopamine, to these three established tumour markers. Methods Urinary 3-methoxytyramine, dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid were measured by high-performance liquid chromatography with electrochemical detection on consecutive urine samples from histologically proven neuroblastic patients and controls. Patients with neuroblastic disease were further classified as untreated, advancing, residual or absent disease based on clinical and radiological criteria. Receiver operating characteristic curve analysis was used to compare the diagnostic performance of the four tumour markers. Results Urinary 3-methoxytyramine was well correlated with established tumour markers and its concentration correlated with disease activity. It was the most commonly elevated tumour marker in neuroblastic disease and showed similar sensitivity to dopamine and homovanillic acid. The diagnostic utility of urinary 3-methoxytyramine as measured by area under the receiver operating characteristic curve was similar to dopamine and homovanillic acid. Conclusion Our results support the use of urinary 3-methoxytyramine as a tumour marker in the diagnosis and the monitoring of neuroblastoma disease.</description><identifier>ISSN: 0004-5632</identifier><identifier>EISSN: 1758-1001</identifier><identifier>DOI: 10.1177/0004563216654723</identifier><identifier>PMID: 27235704</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Biomarkers, Tumor - urine ; Case-Control Studies ; Child ; Child, Preschool ; Chromatography, High Pressure Liquid ; Dopamine - analogs &amp; derivatives ; Dopamine - urine ; Female ; Homovanillic Acid - urine ; Humans ; Infant ; Infant, Newborn ; Male ; Metanephrine - urine ; Neoplasm Staging ; Neoplasm, Residual ; Nervous System Neoplasms - diagnosis ; Nervous System Neoplasms - pathology ; Nervous System Neoplasms - urine ; Neuroblastoma - diagnosis ; Neuroblastoma - pathology ; Neuroblastoma - urine ; ROC Curve ; Sympathetic Nervous System - metabolism ; Sympathetic Nervous System - pathology ; Vanilmandelic Acid - urine</subject><ispartof>Annals of clinical biochemistry, 2017-03, Vol.54 (2), p.264-272</ispartof><rights>The Author(s) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-f556babf7ac183f21ab38974711f4848452082e031f723111e4cd4701e9d3333</citedby><cites>FETCH-LOGICAL-c379t-f556babf7ac183f21ab38974711f4848452082e031f723111e4cd4701e9d3333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0004563216654723$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0004563216654723$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27235704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lam, Leo</creatorcontrib><creatorcontrib>Woollard, Gerald A</creatorcontrib><creatorcontrib>Teague, Lochie</creatorcontrib><creatorcontrib>Davidson, James S</creatorcontrib><title>Clinical validation of urine 3-methoxytyramine as a biomarker of neuroblastoma and comparison with other catecholamine-related biomarkers</title><title>Annals of clinical biochemistry</title><addtitle>Ann Clin Biochem</addtitle><description>Background Urinary dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid are established tests for diagnosis and monitoring of neuroblastic disease. We compared the diagnostic performance of total urinary 3-methoxytyramine, the O-methylated product of dopamine, to these three established tumour markers. Methods Urinary 3-methoxytyramine, dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid were measured by high-performance liquid chromatography with electrochemical detection on consecutive urine samples from histologically proven neuroblastic patients and controls. Patients with neuroblastic disease were further classified as untreated, advancing, residual or absent disease based on clinical and radiological criteria. Receiver operating characteristic curve analysis was used to compare the diagnostic performance of the four tumour markers. Results Urinary 3-methoxytyramine was well correlated with established tumour markers and its concentration correlated with disease activity. It was the most commonly elevated tumour marker in neuroblastic disease and showed similar sensitivity to dopamine and homovanillic acid. The diagnostic utility of urinary 3-methoxytyramine as measured by area under the receiver operating characteristic curve was similar to dopamine and homovanillic acid. Conclusion Our results support the use of urinary 3-methoxytyramine as a tumour marker in the diagnosis and the monitoring of neuroblastoma disease.</description><subject>Biomarkers, Tumor - urine</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chromatography, High Pressure Liquid</subject><subject>Dopamine - analogs &amp; derivatives</subject><subject>Dopamine - urine</subject><subject>Female</subject><subject>Homovanillic Acid - urine</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Metanephrine - urine</subject><subject>Neoplasm Staging</subject><subject>Neoplasm, Residual</subject><subject>Nervous System Neoplasms - diagnosis</subject><subject>Nervous System Neoplasms - pathology</subject><subject>Nervous System Neoplasms - urine</subject><subject>Neuroblastoma - diagnosis</subject><subject>Neuroblastoma - pathology</subject><subject>Neuroblastoma - urine</subject><subject>ROC Curve</subject><subject>Sympathetic Nervous System - metabolism</subject><subject>Sympathetic Nervous System - pathology</subject><subject>Vanilmandelic Acid - urine</subject><issn>0004-5632</issn><issn>1758-1001</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDtPwzAQgC0EglLYmZBHloAvTuJ0RBUvCYmle3RxHOrixMV2gP4E_jUO5SEhYQ_W3X33yXeEnAA7BxDigjGW5QVPoSjyTKR8h0xA5GUCjMEumYzlZKwfkEPvVzFMBWP75CCNbC5YNiHvc6N7LdHQFzS6waBtT21LB6d7RXnSqbC0b5uwcdiNGfQUaa1th-5JuZHs1eBsbdCHmKTYN1Tabo1O-2h61WFJbVhGVGJQcmnNpydxysS4-VX5I7LXovHq-OudksX11WJ-m9w_3NzNL-8TycUsJG2eFzXWrUAJJW9TwJqXM5EJgDYr481TVqaKcWjjkACgMtlkgoGaNTyeKTnbatfOPg_Kh6rTXipjsFd28BWUaVHMeJHlEWVbVDrrvVNttXY6_nZTAavG_Vd_9x9bTr_sQ92p5qfhe-ERSLaAx0dVrezg-jjs_8IP4NCOtA</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Lam, Leo</creator><creator>Woollard, Gerald A</creator><creator>Teague, Lochie</creator><creator>Davidson, James S</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Clinical validation of urine 3-methoxytyramine as a biomarker of neuroblastoma and comparison with other catecholamine-related biomarkers</title><author>Lam, Leo ; Woollard, Gerald A ; Teague, Lochie ; Davidson, James S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-f556babf7ac183f21ab38974711f4848452082e031f723111e4cd4701e9d3333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Biomarkers, Tumor - urine</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chromatography, High Pressure Liquid</topic><topic>Dopamine - analogs &amp; derivatives</topic><topic>Dopamine - urine</topic><topic>Female</topic><topic>Homovanillic Acid - urine</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Metanephrine - urine</topic><topic>Neoplasm Staging</topic><topic>Neoplasm, Residual</topic><topic>Nervous System Neoplasms - diagnosis</topic><topic>Nervous System Neoplasms - pathology</topic><topic>Nervous System Neoplasms - urine</topic><topic>Neuroblastoma - diagnosis</topic><topic>Neuroblastoma - pathology</topic><topic>Neuroblastoma - urine</topic><topic>ROC Curve</topic><topic>Sympathetic Nervous System - metabolism</topic><topic>Sympathetic Nervous System - pathology</topic><topic>Vanilmandelic Acid - urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lam, Leo</creatorcontrib><creatorcontrib>Woollard, Gerald A</creatorcontrib><creatorcontrib>Teague, Lochie</creatorcontrib><creatorcontrib>Davidson, James S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of clinical biochemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lam, Leo</au><au>Woollard, Gerald A</au><au>Teague, Lochie</au><au>Davidson, James S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical validation of urine 3-methoxytyramine as a biomarker of neuroblastoma and comparison with other catecholamine-related biomarkers</atitle><jtitle>Annals of clinical biochemistry</jtitle><addtitle>Ann Clin Biochem</addtitle><date>2017-03</date><risdate>2017</risdate><volume>54</volume><issue>2</issue><spage>264</spage><epage>272</epage><pages>264-272</pages><issn>0004-5632</issn><eissn>1758-1001</eissn><abstract>Background Urinary dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid are established tests for diagnosis and monitoring of neuroblastic disease. We compared the diagnostic performance of total urinary 3-methoxytyramine, the O-methylated product of dopamine, to these three established tumour markers. Methods Urinary 3-methoxytyramine, dopamine, homovanillic acid and 4-hydroxy-3-methoxymandelic acid were measured by high-performance liquid chromatography with electrochemical detection on consecutive urine samples from histologically proven neuroblastic patients and controls. Patients with neuroblastic disease were further classified as untreated, advancing, residual or absent disease based on clinical and radiological criteria. Receiver operating characteristic curve analysis was used to compare the diagnostic performance of the four tumour markers. Results Urinary 3-methoxytyramine was well correlated with established tumour markers and its concentration correlated with disease activity. It was the most commonly elevated tumour marker in neuroblastic disease and showed similar sensitivity to dopamine and homovanillic acid. The diagnostic utility of urinary 3-methoxytyramine as measured by area under the receiver operating characteristic curve was similar to dopamine and homovanillic acid. Conclusion Our results support the use of urinary 3-methoxytyramine as a tumour marker in the diagnosis and the monitoring of neuroblastoma disease.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27235704</pmid><doi>10.1177/0004563216654723</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Biomarkers, Tumor - urine
Case-Control Studies
Child
Child, Preschool
Chromatography, High Pressure Liquid
Dopamine - analogs & derivatives
Dopamine - urine
Female
Homovanillic Acid - urine
Humans
Infant
Infant, Newborn
Male
Metanephrine - urine
Neoplasm Staging
Neoplasm, Residual
Nervous System Neoplasms - diagnosis
Nervous System Neoplasms - pathology
Nervous System Neoplasms - urine
Neuroblastoma - diagnosis
Neuroblastoma - pathology
Neuroblastoma - urine
ROC Curve
Sympathetic Nervous System - metabolism
Sympathetic Nervous System - pathology
Vanilmandelic Acid - urine
title Clinical validation of urine 3-methoxytyramine as a biomarker of neuroblastoma and comparison with other catecholamine-related biomarkers
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