Diagnosis of bone metastasis in patients with lung cancer using urinary and serum collagen type I telopeptide (NTx).

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. e18044-e18044
Author(s):  
H. Okada ◽  
M. Tamiya ◽  
S. Tokunaga ◽  
H. Daga ◽  
K. Taira ◽  
...  
2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e18042-e18042
Author(s):  
Koji Takeda ◽  
Shinya Tokunaga ◽  
Haruko Daga ◽  
Hideaki Okada ◽  
Koichi Taira ◽  
...  

e18042 Background: The bone resorption biomarker sNTx has been previously shown to add value as an aid in the diagnosis of bone metastasis in patients with lung cancer. The objective of this prospective study was to determine if periodic sNTx measurements could lead to early diagnosis of bone metastasis in patients with lung cancer. Methods: Patients with newly diagnosed organ-confined lung cancer were enrolled. sNTx values were determined once each month using the OSTEOMARKTM serum NTx assay (Alere Medical). The presence or absence of bone metastasis was determined by monthly physical examination and by bone scintigraphy every 3 months for 12 months. All patients were required to provide written informed consent. Results: Forty patients were enrolled between June and December 2010. One patient withdrew early and was excluded from analysis. The mean +/- 1 SD baseline level of sNTx was 17.5 +/- 4.4 nM BCE/L. Five patients developed bone metastasis (as characterized by bone scintigraphy) during the study period. The level of sNTx in subjects with bone metastasis was slightly increased (21.6 +/- 3.2 nM BCE/L), however, in these patients, there was no statistically significant difference between sNTx values at baseline (18.2 +/- 4.2 nM BCE/L) and when metastasis was diagnosed. (p=0.176). When a cut-off value of sNTx was set to 22.0 nM BCE/L, the sensitivity and the specificity of detection of bone metastasis were 80.0% and 41.2%, respectively. Using this cut-off, the elevation of sNTx could predict bone metastasis at least one month before diagnosis by bone scintigraphy in all 5 patients, however, the specificity was relatively low for clinical implementation. Additionally, the sensitivity and the specificity of early detection of systematic spread of disease (including bone metastasis) were 70.6% and 45.5%, respectively. Conclusions: Periodic determination of sNTx in patients with organ confined lung cancer did not provide sufficient specificity for it to be used for the early diagnosis of bone metastasis or disease progression.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Xuan Wang ◽  
Xia Li ◽  
Li-na Wang ◽  
Jing-juan Pan ◽  
Xue Yang ◽  
...  

Little is known about the effects of Buyang Huanwu decoction on pulmonary fibrosis. Herein, 144 healthy SD rats were randomly divided into six groups: blank control group (B), model control group (M), positive medicine control group (Mp), and high-, moderate-, and low-dose Buyang Huanwu decoction groups (Hd, Md, and Ld). A pulmonary fibrosis model was established by endotracheal injection of bleomycin. On the second day of modeling, the corresponding saline, methylprednisolone suspension, and the three doses of Buyang Huanwu decoction were used to treat the 6 groups of rats by intragastric administration for 7, 14, and 28 consecutive days. After 7, 14, and 28 days of treatment, the mRNA expression of CTGF and AKT, the protein level of CTGF, p-AKT, and collagen types I and III were tested. Finally, we found that the serum collagen type I and III level in Hd, Md, and Ld rats on the 14th and 28th day and the collagen type I and III level in Hd rats on 7th day were significantly lower than in M rats (P<0.01). The protein level of p-AKT and CTGF in Hd and Md rats on the 7th and 14th days and the protein level of p-AKT in Hd rats on the 28th day were lower than in M rats (P<0.01, P<0.05). The level of CTGF mRNA in Hd, Md, and Ld rats and the level of AKT mRNA in Hd and Md rats on the 7th, 14th, and 28th days and the expression level of AKT mRNA in Ld rats on the 14th and 28th days were significantly lower than in M rats (P<0.01). The study suggests that Buyang Huanwu decoction alleviated pulmonary fibrosis of rats by improvement of lung tissue morphology, low level of serum collagen types I and III, and the reduced expression of CTGF and p-AKT protein, which might be a result of its downregulated expression of CTGF and AKT mRNA levels.


2013 ◽  
Vol 14 (4) ◽  
pp. 364-369 ◽  
Author(s):  
Motohiro Tamiya ◽  
Shinya Tokunaga ◽  
Hideaki Okada ◽  
Hidekazu Suzuki ◽  
Masashi Kobayashi ◽  
...  

Haigan ◽  
2000 ◽  
Vol 40 (3) ◽  
pp. 179-184
Author(s):  
Hiroyuki Nakamura ◽  
Toshio Hashimoto ◽  
Hisanaga Yagyu ◽  
Gen Sarashina ◽  
Fumihiro Tsuchida ◽  
...  

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