Targeted metabolomics in colorectal cancer: a strategic approach using standardized laboratory tests of the blood and urine

Glycolytic markers have been detected in colorectal cancer (CRC) using advanced analytical methods. Using commercially available assays, by-products of anaerobic metabolism were prospectively measured in the blood and urine of 20 patients with metastatic colorectal cancer (mCRC) and 20 patients with...

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Veröffentlicht in:Hypoxia 2017-01, Vol.5, p.61-66
Hauptverfasser: Jerzak, Katarzyna J, Laureano, Marissa, Elsharawi, Radwa, Kavsak, Peter, Chan, Kelvin Kw, Dhesy-Thind, Sukhbinder K, Zbuk, Kevin
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container_issue
container_start_page 61
container_title Hypoxia
container_volume 5
creator Jerzak, Katarzyna J
Laureano, Marissa
Elsharawi, Radwa
Kavsak, Peter
Chan, Kelvin Kw
Dhesy-Thind, Sukhbinder K
Zbuk, Kevin
description Glycolytic markers have been detected in colorectal cancer (CRC) using advanced analytical methods. Using commercially available assays, by-products of anaerobic metabolism were prospectively measured in the blood and urine of 20 patients with metastatic colorectal cancer (mCRC) and 20 patients with local disease. Twenty-four-hour urine citrate, plasma lactate, ketones, venous blood gas, anion gap, and osmolar gap were investigated. Results of patients with metastatic and local CRC were compared using two-sample -tests or equivalent nonparametric tests. In addition, plasma total CO concentrations in our local hospital (5,931 inpatients and 1,783 outpatients) were compared retrospectively with those in our dedicated cancer center (1,825 outpatients) over 1 year. The average venous pCO was higher in patients with mCRC (50.2 mmHg; standard deviation [SD]=9.36) compared with those with local disease (42.8 mmHg; SD=8.98), =0.045. Calculated serum osmolarity was higher in mCRC and attributed to concomitant sodium and urea elevations. In our retrospective analysis, plasma total CO concentrations (median=27 mmol/L) were higher in cancer patients compared to both hospital inpatients (median=23 mmol/L) and outpatients (median=24 mmol/L),
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Using commercially available assays, by-products of anaerobic metabolism were prospectively measured in the blood and urine of 20 patients with metastatic colorectal cancer (mCRC) and 20 patients with local disease. Twenty-four-hour urine citrate, plasma lactate, ketones, venous blood gas, anion gap, and osmolar gap were investigated. Results of patients with metastatic and local CRC were compared using two-sample -tests or equivalent nonparametric tests. In addition, plasma total CO concentrations in our local hospital (5,931 inpatients and 1,783 outpatients) were compared retrospectively with those in our dedicated cancer center (1,825 outpatients) over 1 year. The average venous pCO was higher in patients with mCRC (50.2 mmHg; standard deviation [SD]=9.36) compared with those with local disease (42.8 mmHg; SD=8.98), =0.045. Calculated serum osmolarity was higher in mCRC and attributed to concomitant sodium and urea elevations. In our retrospective analysis, plasma total CO concentrations (median=27 mmol/L) were higher in cancer patients compared to both hospital inpatients (median=23 mmol/L) and outpatients (median=24 mmol/L), &lt;0.0001. Patients with mCRC had higher venous pCO levels than those with local disease. 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subjects Amino acids
Biomarkers
Blood tests
Cancer therapies
Chromatography
Clinical medicine
Colorectal cancer
Health care
Hypoxia
Laboratories
Mass spectrometry
Metabolism
Metabolites
Metastasis
Original Research
Scientific imaging
Studies
Systematic review
Urine
VOCs
Volatile organic compounds
title Targeted metabolomics in colorectal cancer: a strategic approach using standardized laboratory tests of the blood and urine
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