A case of 5-fluorouracil toxicity

Dihydrouracil (UH2)/Uracil (U) ratio in plasma was determinated as a surrogate marker for dihydropyrimidine dehydrogenase (DPD) activity. The purpose of the study was to investigate the ralationship between the UH2/U plasma ratio and the variation of DPD gene (DPYD), associated with a deficiency of...

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Main Authors: C. Fucile, V. Marini, L. Robbiano, F. Mattioli, A. Martelli
Format: Article
Language:English
Published: PAGEPress Publications 2011-01-01
Series:Journal of Biological Research
Online Access:http://www.pagepressjournals.org/index.php/jbr/article/view/4648
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author C. Fucile
V. Marini
L. Robbiano
F. Mattioli
A. Martelli
author_facet C. Fucile
V. Marini
L. Robbiano
F. Mattioli
A. Martelli
author_sort C. Fucile
collection DOAJ
description Dihydrouracil (UH2)/Uracil (U) ratio in plasma was determinated as a surrogate marker for dihydropyrimidine dehydrogenase (DPD) activity. The purpose of the study was to investigate the ralationship between the UH2/U plasma ratio and the variation of DPD gene (DPYD), associated with a deficiency of DPD activity, in a patient who developed a severe adverse reaction to 5-fluorouracil. Patient's plasma smaple and those of 20 healthy volunteers, used as control, were analyzed. The plasma concentrations of UH2 and U were assayed by HPLC-UV. UH2/U plasma ratio of the patient was 4.31; the mean ± SD of UH2/U plasma ratios in controls was 5.26 ± 2.08. The UH2/U ratio of the patient was lower than the mean values recorded from a reference population suggesting a reduction of DPD activity according to haplotype of the patient, previously identified.
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spelling doaj.art-cd643acaf5694015a62c45e25cf00c222022-12-22T01:54:59ZengPAGEPress PublicationsJournal of Biological Research1826-88382284-02302011-01-0184110.4081/jbr.2011.46483798A case of 5-fluorouracil toxicityC. FucileV. MariniL. RobbianoF. MattioliA. MartelliDihydrouracil (UH2)/Uracil (U) ratio in plasma was determinated as a surrogate marker for dihydropyrimidine dehydrogenase (DPD) activity. The purpose of the study was to investigate the ralationship between the UH2/U plasma ratio and the variation of DPD gene (DPYD), associated with a deficiency of DPD activity, in a patient who developed a severe adverse reaction to 5-fluorouracil. Patient's plasma smaple and those of 20 healthy volunteers, used as control, were analyzed. The plasma concentrations of UH2 and U were assayed by HPLC-UV. UH2/U plasma ratio of the patient was 4.31; the mean ± SD of UH2/U plasma ratios in controls was 5.26 ± 2.08. The UH2/U ratio of the patient was lower than the mean values recorded from a reference population suggesting a reduction of DPD activity according to haplotype of the patient, previously identified.http://www.pagepressjournals.org/index.php/jbr/article/view/4648
spellingShingle C. Fucile
V. Marini
L. Robbiano
F. Mattioli
A. Martelli
A case of 5-fluorouracil toxicity
Journal of Biological Research
title A case of 5-fluorouracil toxicity
title_full A case of 5-fluorouracil toxicity
title_fullStr A case of 5-fluorouracil toxicity
title_full_unstemmed A case of 5-fluorouracil toxicity
title_short A case of 5-fluorouracil toxicity
title_sort case of 5 fluorouracil toxicity
url http://www.pagepressjournals.org/index.php/jbr/article/view/4648
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