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Volatile organic compounds (VOCs) for the non-invasive detection of pancreatic cancer from urine

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Daulton, Emma, Wicaksono, Alfian, Tiele, Akira, Kocher, Hemant M., Debernardi, Silvana, Crnogorac-Jurcevic, Tatjana and Covington, James A. (2021) Volatile organic compounds (VOCs) for the non-invasive detection of pancreatic cancer from urine. Talanta, 221 . 121604. doi:10.1016/j.talanta.2020.121604

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Official URL: http://dx.doi.org/10.1016/j.talanta.2020.121604

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Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a particularly challenging cancer, with very low 5-year survival rates. This low survival rate is linked to late stage diagnosis, associated with the lack of approved biomarkers. One approach that is receiving considerable attention is the use of volatile organic compounds (VOCs) that emanate from biological waste as biomarkers for disease. In this study, we used urine as our biological matrix and two VOC analysis platforms: gas chromatography – ion mobility spectrometry (GC-IMS) and GC time-of-flight mass spectrometry (GC-TOF-MS). We measured the urinary headspace of samples from patients with PDAC, chronic pancreatitis (CP) and healthy controls. In total, 123 samples were tested from these groups. Results indicate that both GC-IMS and GC-TOF-MS were able to discriminate PDAC from healthy controls with high confidence and an AUC (area under the curve) in excess of 0.85. However, both methods struggled to separate CP from PDAC, with the best result of AUC 0.58. This indicates that both conditions produce similar biomarkers in the urinary headspace. Chemical identification suggests that 2,6-dimethyl-octane, nonanal, 4-ethyl-1,2-dimethyl-benzene and 2-pentanone play an important role in separating these groups. Therefore, both techniques validate this approach in identifying subjects for further investigation in a clinical setting.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Divisions: Faculty of Science, Engineering and Medicine > Engineering > Engineering
Library of Congress Subject Headings (LCSH): Pancreas -- Cancer -- Diagnosis, Volatile organic compounds -- Health aspects, Pancreas -- Cancer -- Research -- Methodology, Pancreatitis, Diagnosis, Noninvasive, Urine -- Analysis
Journal or Publication Title: Talanta
Publisher: Elsevier
ISSN: 00399140
Official Date: 1 January 2021
Dates:
DateEvent
1 January 2021Published
2 September 2020Available
27 August 2020Accepted
Volume: 221
Article Number: 121604
DOI: 10.1016/j.talanta.2020.121604
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDCancer Research UKhttp://dx.doi.org/10.13039/501100000289
UNSPECIFIEDLembaga Pengelola Dana PendidikanUNSPECIFIED

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