Full text
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| Author(s): |
Suene Bernardes dos Santos
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Instituto de Física (IF/SBI) |
| Defense date: | 2012-10-01 |
| Examining board members: |
Manfredo Harri Tabacniks;
Carlos Roberto Appoloni;
Jose Fernando Diniz Chubaci;
Ivone Mulako Sato;
Alvaro Vannucci
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| Advisor: | Manfredo Harri Tabacniks |
| Abstract | |
Recording chemical elements, either as major or trace quantities, in tissues and biological fluids is regularly being used for medical diagnosis, health assessments, nutritional status, and for the monitoring and prevention of diseases. In many cases, such relationship is firmly established, but for cancer, there is still a search for a relationship between chemical elements and various types (or stages) of cancer. In this kind of study, highly sensitive multielemental spectroscopic methods are used which are not yet routinely available in clinical laboratories. In this study, changes in the concentration of chemical elements in serum of melanoma patients were sought by means of PIXE and HR-ICPMS analysis as an aid to early diagnosis, and to help increasing the likelihood of pacients recovery. The multi-elemental PIXE method (Proton Induced X-ray Emission) relies on the detection of characteristic X-rays of the sample, while the HR-ICPMS (High Resolution Inductively Coupled Plasma Mass Spectrometry) is a high resolution mass spectrometer. Blood samples from 30 patients and 116 healthy donors were collected at the Hospital (protocols CEP 1036/08 UNIFESP) in glass tubes without additives, and the serum separated after centrifugation for 15 minutes at 4500 rpm. A total of 10 elements were measured: 4 by HR-ICPMS (Mg, Se, Cu and Zn), 8 by PIXE (P, S, Cl, K, Ca, Br, Cu and Zn). The analytical methods were assessed analyzing reference materials QMEQAS06S-06, QMEQAS08S-06 and NIST 1577b. The analytical precision ranged from 3 % to 9 %. Relevant clinical information of patients has also been included in the statistical analysis (histological type of tumor, level of melanoma, Breslow depth scale, number of lymph nodes, presence or absence of mitosis and/or ulceration). The evaluation of the control group showed different concentrations of P and Mg for individuals aged above and below 40 years. The P, S, Ca, Cu and Zn in healthy individuals differed according to the gender, highlighting the need of inserting the variables age and gender in the case-control analysis. The concentrations of K, S, Ca and Se showed differences between the control group and the melanoma, when considering the clinical variables of the patients (p <0.05). The need for stratification by age, gender and stage of cancer, critically reduced the already limited number of samples, compromising the interpretation of the small differences in elemental concentrations found. The results for the healthy population agreed with the values reported in the literature and contributed to strengthen the database of elemental concentrations in serum of the Brazilian population. (AU) | |
| FAPESP's process: | 08/01413-9 - Trace Elements in blood serum measured by PIXE and ICP-MS for early diagnosis of melanoma. |
| Grantee: | Suene Bernardes dos Santos |
| Support Opportunities: | Scholarships in Brazil - Doctorate |