Specific Urinary Metabolites in Malignant Melanoma

<i>Background and objectives:</i> Melanin, which has a confirmed role in melanoma cell behaviour, is formed in the process of melanogenesis and is synthesized from tryptophan, L-tyrosine and their metabolites. All these metabolites are easily detectable by chromatography in urine. <i&...

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Main Authors: Marcela Valko-Rokytovská, Beáta Hubková, Anna Birková, Jana Mašlanková, Marek Stupák, Marianna Zábavníková, Beáta Čižmárová, Mária Mareková
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/5/145
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author Marcela Valko-Rokytovská
Beáta Hubková
Anna Birková
Jana Mašlanková
Marek Stupák
Marianna Zábavníková
Beáta Čižmárová
Mária Mareková
author_facet Marcela Valko-Rokytovská
Beáta Hubková
Anna Birková
Jana Mašlanková
Marek Stupák
Marianna Zábavníková
Beáta Čižmárová
Mária Mareková
author_sort Marcela Valko-Rokytovská
collection DOAJ
description <i>Background and objectives:</i> Melanin, which has a confirmed role in melanoma cell behaviour, is formed in the process of melanogenesis and is synthesized from tryptophan, L-tyrosine and their metabolites. All these metabolites are easily detectable by chromatography in urine. <i>Materials and Methods:</i> Urine samples of 133 individuals (82 malignant melanoma patients and 51 healthy controls) were analysed by reversed-phase high-performance liquid chromatography (RP-HPLC). The diagnosis of malignant melanoma was confirmed histologically. <i>Results:</i> Chromatograms of melanoma patients showed increased levels of 5,6-dihydroxyindole-2-carboxylic acid, vanilmandelic acid, homovanilic acid, tryptophan, 5-hydroxyindole-3-acetic acid, and indoxyl sulphate compared to healthy controls. Concentration of indoxyl sulphate, homovanilic acid and tryptophan were significantly increased even in the low clinical stage 0 of the disease (indoxyl sulphate, homovanilic acid and tryptophan in patients with clinical stage 0 vs. controls expressed as medium/ interquartile range in &#181;mol/mmol creatinine: 28.37/15.30 vs. 5.00/6.91; 47.97/33.08 vs. 7.33/21.25; and 16.38/15.98 vs. 3.46/6.22, respectively). <i>Conclusions:</i> HPLC detection of metabolites of L-tyrosine and tryptophan in the urine of melanoma patients may play a significant role in diagnostics as well as a therapeutic strategy of melanoma cancer.
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spelling doaj.art-f597d6f7bc514deb846556bd611808212023-09-02T05:30:55ZengMDPI AGMedicina1010-660X2019-05-0155514510.3390/medicina55050145medicina55050145Specific Urinary Metabolites in Malignant MelanomaMarcela Valko-Rokytovská0Beáta Hubková1Anna Birková2Jana Mašlanková3Marek Stupák4Marianna Zábavníková5Beáta Čižmárová6Mária Mareková7Department of Chemistry, Biochemistry and Biophysics, University of Veterinary Medicine and Pharmacy in Košice, Komenského 73, 041 81 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, SlovakiaKOREKTCHIR s.r.o., Poliklinika Terasa, Toryská 1, 041 90 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, SlovakiaDepartment of Medical and Clinical Biochemistry, Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Tr. SNP 1, 040 11 Košice, Slovakia<i>Background and objectives:</i> Melanin, which has a confirmed role in melanoma cell behaviour, is formed in the process of melanogenesis and is synthesized from tryptophan, L-tyrosine and their metabolites. All these metabolites are easily detectable by chromatography in urine. <i>Materials and Methods:</i> Urine samples of 133 individuals (82 malignant melanoma patients and 51 healthy controls) were analysed by reversed-phase high-performance liquid chromatography (RP-HPLC). The diagnosis of malignant melanoma was confirmed histologically. <i>Results:</i> Chromatograms of melanoma patients showed increased levels of 5,6-dihydroxyindole-2-carboxylic acid, vanilmandelic acid, homovanilic acid, tryptophan, 5-hydroxyindole-3-acetic acid, and indoxyl sulphate compared to healthy controls. Concentration of indoxyl sulphate, homovanilic acid and tryptophan were significantly increased even in the low clinical stage 0 of the disease (indoxyl sulphate, homovanilic acid and tryptophan in patients with clinical stage 0 vs. controls expressed as medium/ interquartile range in &#181;mol/mmol creatinine: 28.37/15.30 vs. 5.00/6.91; 47.97/33.08 vs. 7.33/21.25; and 16.38/15.98 vs. 3.46/6.22, respectively). <i>Conclusions:</i> HPLC detection of metabolites of L-tyrosine and tryptophan in the urine of melanoma patients may play a significant role in diagnostics as well as a therapeutic strategy of melanoma cancer.https://www.mdpi.com/1010-660X/55/5/145HPLCurinemalignant melanomametabolite5,6-dihydroxyindole-2-carboxylic acidvanilmandelic acidhomovanilic acidtryptophan5-hydroxyindole-3-acetic acidindoxyl sulphate
spellingShingle Marcela Valko-Rokytovská
Beáta Hubková
Anna Birková
Jana Mašlanková
Marek Stupák
Marianna Zábavníková
Beáta Čižmárová
Mária Mareková
Specific Urinary Metabolites in Malignant Melanoma
Medicina
HPLC
urine
malignant melanoma
metabolite
5,6-dihydroxyindole-2-carboxylic acid
vanilmandelic acid
homovanilic acid
tryptophan
5-hydroxyindole-3-acetic acid
indoxyl sulphate
title Specific Urinary Metabolites in Malignant Melanoma
title_full Specific Urinary Metabolites in Malignant Melanoma
title_fullStr Specific Urinary Metabolites in Malignant Melanoma
title_full_unstemmed Specific Urinary Metabolites in Malignant Melanoma
title_short Specific Urinary Metabolites in Malignant Melanoma
title_sort specific urinary metabolites in malignant melanoma
topic HPLC
urine
malignant melanoma
metabolite
5,6-dihydroxyindole-2-carboxylic acid
vanilmandelic acid
homovanilic acid
tryptophan
5-hydroxyindole-3-acetic acid
indoxyl sulphate
url https://www.mdpi.com/1010-660X/55/5/145
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AT janamaslankova specificurinarymetabolitesinmalignantmelanoma
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