Measuring tools for gastrointestinal toxicity

Autor: Ross N. Butler
Přispěvatelé: Butler, Ross Norman
Rok vydání: 2008
Předmět:
Zdroj: Current Opinion in Supportive and Palliative Care. 2:35-39
ISSN: 1751-4258
DOI: 10.1097/spc.0b013e3282f41b71
Popis: Purpose of review: The present review is timely owing to the previous paucity of biomarkers, particularly functional noninvasive tests, to evaluate the extent and severity of gastrointestinal toxicity in both animal models of chemotherapy and in cancer patients undergoing chemotherapy. Recent findings: The most recent findings using noninvasive functional biomarkers now allow longitudinal monitoring of the time course of damage and repair that occurs in the gastrointestinal tract following radiotherapy and chemotherapy. This monitoring has in turn enabled collection of objective evidence for efficacy of new antimucositis agents using animal models and, more importantly, for use in future randomized, double-blind, placebocontrolled clinical trials. Summary: In the past 12 months the 13C sucrose breath test has been applied to a series of animal models of chemotherapeutic damage, showing rapid monitoring of the efficacy of particular bioactive molecules is now possible at different stages of the damage and repair cycle. This biomarker has also been applied to childhood cancer studies of mucositis and now needs to be used in adult cancers for eventual adoption in routine clinical management of mucositis. An exciting possibility would be extension of the biomarker use to predict damage in other regions of the gastrointestinal tract, including oral mucosa.
Databáze: OpenAIRE