Porphyrins in urine after administration of 5-aminolevulinic acid as a potential tumor marker

Photodiagnosis Photodyn Ther. 2011 Dec;8(4):328-31. doi: 10.1016/j.pdpdt.2011.04.004. Epub 2011 Jun 1.

Abstract

Background: Tumor markers are commonly used for cancer screening and as indicators of therapeutic effects. Certain types of tumor have been known to produce a variety of porphyrins after 5-aminolevulinic acid (ALA) administration. In this study, porphyrins in tumor-bearing mouse urine were analyzed after oral administration of ALA in order to identify new tumor markers excreted in the urine.

Methods: Porphyrin concentrations in the urine of tumor-bearing mice were measured after administration of 1.0mg of ALA (approximately 50mgkg(-1)).

Results: Porphyrin concentrations in the urine of tumor-bearing mice increased after administration of ALA. HPLC analysis of the urine revealed the existence of uroporphyrin (UP) and coproporphyrin (CP) in the urine of ALA-treated tumor-bearing mice. Furthermore, at 3h after ALA administration, UP concentrations in the urine of tumor-bearing mice significantly increased compared to those in the urine of normal mice.

Conclusion: These results suggest that UP as a precursor of heme detected in the urine of tumor-bearing mice after ALA administration is a potential marker of tumor development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminolevulinic Acid / administration & dosage*
  • Animals
  • Biomarkers, Tumor / urine*
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / drug therapy*
  • Carcinoma, Hepatocellular / urine*
  • Cell Line, Tumor
  • Mice
  • Mice, Inbred C3H
  • Photochemotherapy / methods*
  • Photosensitizing Agents / administration & dosage*
  • Porphyrins / urine*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Treatment Outcome

Substances

  • Biomarkers, Tumor
  • Photosensitizing Agents
  • Porphyrins
  • Aminolevulinic Acid