Cisplatin is the founding member of the platin-group drugs that has platinum metal and ammonium group. Since its fi rst approval in 1978 by US Food and Drug Administration, it has been widely used for various types of cancer such as lung, ovarian, lymphomas, breast and bladder cancers (Smith and Talbot, 1992;von der Maase et al., 2000;Crino et al., 2001;Muggia, 2009). The mechanism of anticancer effect is cytotoxicity due to DNA cross-linking, oxidative damages and apoptosis (Gong et al., 1999;Pruefer et al., 2008). Due to these cytotoxic effect, cisplatin kills not only cancer cells but also normal cells, resulting in undesirable effects in various tissues including kidney, nerves, ear and gastroenteric ones (Loehrer and Einhorn, 1984). Among these, the nephrotoxicity is most common and can be a cause for the cessation of the drug therapy (Arany and Safi rstein, 2003;Yao et al., 2007). Typically, BloodCisplatin is widely used for various types of cancers. However, its side effects, most notably, renal toxicity often limit its clinical utility. Although previous metabolomic studies reported possible toxicity markers, they used small number of animals and statistical approaches that may not perform best in the presence of intra-group variation. Here, we identifi ed urinary biomarkers associated with renal toxicity induced by cisplatin using NMR-based metabolomics combined with Orthogonal Projections to Latent Structures-Discriminant Analysis (OPLS-DA). Male Sprague-Dawley rats (n=22) were treated with cisplatin (10 mg/kg single dose), and the urines obtained before and after treatment were analyzed by NMR. Multivariable analysis of NMR data presented clear separation between non-treated and treated groups. The OPLS-DA statistical results revealed that 1,3-dimethylurate, taurine, glucose, glycine and branched-chain amino acid (isoleucine, leucine and valine) were signifi cantly elevated in the treated group and that phenylacetylglycine and sarcosine levels were decreased in the treated group. To test the robustness of the approach, we built a prediction model for the toxicity and were able to predict all the unknown samples (n=14) correctly. We believe the proposed NMR-based metabolomics with OPLS-DA approach and the resulting urine markers can be used to augment the currently available blood markers.
AbstractUrea Nitrogen (BUN), and blood creatinine are checked to monitor the expression of renal toxicity. In addition, hydration and diuretic measures are taken to minimize possible kidney damages. Still, BUN and creatinine are measured from blood and are late stage kidney functional markers (Hewitt et al.,