Breath acetone-aspects of normal physiology related to age and gender as determined in a PTR-MS study.

The present study was performed to determine the variations of breath acetone concentrations with age, gender and body-mass index (BMI). Previous investigations were based on a relatively small cohort of subjects (see Turner et al 2006 Physiol. Meas. 27 321-37). Since exhaled breath analysis is affected by considerable variation, larger studies are needed to get reliable information about the correlation of concentrations of volatiles in breath when compared with age, gender and BMI. Mixed expiratory exhaled breath was sampled using Tedlar bags. The concentrations of a mass-to-charge ratio (m/z) of 59, attributed to acetone, were then determined using proton transfer reaction-mass spectrometry. Our cohort, consisting of 243 adult volunteers not suffering from diabetes, was divided into two groups: one that fasted overnight prior to sampling (215 volunteers) and the other without a dietary control (28 volunteers). In addition, we considered a group of 44 healthy children (5-11 years old).The fasted subjects' concentrations of acetone ranged from 177 ppb to 2441 ppb, with an overall geometric mean (GM) of 628 ppb; in the group without a dietary control, the subjects' concentrations ranged from 281 ppb to 1246 ppb with an overall GM of 544 ppb. We found no statistically significant shift between the distributions of acetone levels in the breath of males and females in the fasted group (the Wilcoxon-Mann-Whitney test yielded p = 0.0923, the medians being 652 ppb and 587 ppb). Similarly, there did not seem to be a difference between the acetone levels of males and females in the group without a dietary control. Aging was associated with a slight increase of acetone in the fasted females; in males the increase was not statistically significant. Compared with the adults (a merged group), our group of children (5-11 years old) showed lower concentrations of acetone (p < 0.001), with a median of 263 ppb. No correlation was found between the acetone levels and BMI in adults. Our results extend those of Turner et al's (2006 Physiol. Meas. 27 321-37), who analyzed the breath of 30 volunteers (without a dietary control) by selected ion flow tube-mass spectrometry. They reported a positive correlation with age (but without statistical significance in their cohort, with p = 0.82 for males and p = 0.45 for females), and, unlike us, arrived at a p-value of 0.02 for the separation of males and females with respect to acetone concentrations. Our median acetone concentration for children (5-11 years) coincides with the median acetone concentration of young adults (17-19 years) reported by Spanel et al (2007 J. Breath Res. 1 026001).

Significance of amino acid substitution variants of DNA repair genes in radiosusceptibility of cervical cancer patients; a pilot study.

The present pilot study was designed to elucidate the functional significance of amino acid substitution variants of DNA repair genes. Using the peripheral blood lymphocytes (PBLs) from healthy donors and cervical cancer patients, the contribution of four non-synonymous single nucleotide polymorphisms (SNPs) in three base excision repair genes (BER), XRCC1 (Arg194Trp and Arg399Gln), hOGG1 (Ser326Cys), and APE1 (Asp148Glu), to the susceptibility to ionizing radiation were evaluated. The level of initial, oxidative and residual DNA damage produced by 2 Gy was measured by the alkaline single cell gel electrophoresis (the comet assay), and the SNPs were determined by PCR-restriction fragment length polymorphism (RFLP) assay. No significant differences in the allele frequencies between cancer patients and controls for any of these four SNPs were detected. Although the initial DNA damage levels were approximately similar, significantly higher level of Fpg-sensitive sites were found in patients compared with controls (p<0.001) irrespective of genotype distribution. A trend towards increased values of EndoIII-sensitive sites was determined in PBLs from cancer patients compared with healthy women, mainly carriers of the XRCC1 and OGG1 variant alleles; however, the mean value of EndoIII-sensitive sites does not reach any significance. A substantial delay in DNA strand-break rejoining was ascertained in patients who carried APE1 Glu variant allele in comparison with healthy donors 15 and 60 minutes after irradiation (p< 0.05 and p< 0.01, respectively). In contrast, slightly higher but statistically significant level of residual DNA damage was estimated in controls (APE1Asp/Asp) compared with patients. An association between single nucleotide polymorphism (SNP) of two DNA repair genes functioning in the same biochemical pathway and susceptibility to radiation was found. In the combined genotype APE1/XRCC1 and APE1/hOGG1, a decreased level of residual DNA damage was detected in carriers of wild type APE1 genotype. In addition, a possible modulating effect of hOGG1 gene on the kinetics of strand-break rejoining was estimated. The lowest residual DNA damage level was determined in subjects with the combined APE1(Asp/Asp)/hOGG1(Ser/Cys+Cys/Cys) genotypes. Based on these preliminary data we suppose that a combination of several amino acid substitution variants of DNA repair genes involved in the same repair pathway rather than one low-penetrance SNP in a single gene may contribute to DNA repair outcomes. Larger study with more subjects is needed to verify these findings.

Radiosensitivity of peripheral blood lymphocytes from healthy donors and cervical cancer patients; the correspondence of in vitro data with the clinical outcome.

The reliability of a particular in vitro parameter as potential prognostic biomarker of individual radiosensitivity is still discussed. Therefore, several in vitro radiation-induced cellular endpoints including initial, oxidative and residual DNA damage and the rate of DNA repair were assessed in peripheral blood lymphocytes (PBL) from healthy donors and patients with carcinoma of the cervix using the alkaline single cell gel electrophoresis (the comet assay). PBL from cancer patients were analyzed three times during the course of therapy, prior, in the middle (25-27 Gy) and after the radiotherapy. Interindividual differences in radiation-induced DNA damage and in the kinetics of strand break rejoining were determined within both groups. Significantly higher level of mean background and oxidative DNA damage was estimated in the cancer patient cohort than in the healthy subject group; however similar mean values of the initial DNA damage and the rate of DNA repair kinetics were found in both groups. No adaptive response was determined in PBL from cancer patients due to radiotherapy. The acute radiation toxicity and the clinical outcome were scored according to the criteria as proposed by the National Cancer Institute. A substantial delay in DNA strand break rejoining was determined in cancer patients suffering from adverse side effects (G2+) in comparison to persons with no or very mild radiation toxicity (G0-G1) (p<0.05). The recurrence of disease has been associated with a lower initial DNA damage and slope value of dose-response effect, and increased rate of DNA repair. Results from this pilot study suggest that the residual DNA damage level might be a promising prognostic biomarker of acute radiation morbidity; however, further study is necessary to validate this finding.