4.7 Article

Time-Course of Salivary Metabolomic Profiles during Radiation Therapy for Head and Neck Cancer

期刊

JOURNAL OF CLINICAL MEDICINE
卷 10, 期 12, 页码 -

出版社

MDPI
DOI: 10.3390/jcm10122631

关键词

metabolomic analysis; oral mucositis; radiation therapy; capillary electrophoresis-mass spectrometry; saliva

资金

  1. Yamagata Prefectural Government
  2. JSPS KAKENHI [JP17K11867, 20H05743]
  3. Grants-in-Aid for Scientific Research [20H05743] Funding Source: KAKEN

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This study analyzed the time-course of salivary metabolomic profiles in patients with head and neck cancer undergoing radiation therapy. Specific metabolites such as histidine and tyrosine were found to be associated with the severity of oral mucositis before the start of radiation therapy. Further research is needed to validate these findings.
Oral mucositis (OM) is one of the most frequently observed adverse oral events in radiation therapy for patients with head and neck cancer. Thus, objective evaluation of OM severity is needed for early and timely intervention. Here, we analyzed the time-course of salivary metabolomic profiles during the radiation therapy. The severity of OM (National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events v3.0) of nine patients with head and neck cancer was evaluated. Partial least squares regression-discriminant analysis, using samples collected before radiation therapy, showed that histidine and tyrosine highly discriminated high-grade OM from low-grade OM before the start of radiation therapy (significant difference, p = 0.048 for both metabolites). Further, the pretreatment concentrations of gamma-aminobutyric acid and 2-aminobutyric acids were higher in the high-grade OM group. Although further validations are still necessary, this study showed potentially associated metabolites with worse radiotherapy-related OM among patients with head and neck cancer.

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