Key result
PON1 levels predict lung or head and neck cancer with ~80% sensitivity and rise after radiotherapy.
Why the study?
To investigate alterations in paraoxonase-1 levels and lipoprotein profiles in patients with lung cancer or head and neck cancer, and the effects produced by radiotherapy.
Does radiotherapy alter serum PON1 levels and lipoprotein profiles in patients with lung or head and neck cancer?
Observational (n=111)
Does radiotherapy alter serum PON1 levels and lipoprotein profiles in patients with lung or head and neck cancer?
Serum PON1 levels are reduced in lung and head and neck cancer patients and increase following radiotherapy, suggesting potential utility as a biomarker.
We investigated alterations in the levels of the antioxidant paraoxonase-1 (PON1) and the lipoprotein profile (analyzed by nuclear magnetic resonance) in patients with lung cancer (LC) or head and neck cancer (HNC), and the effects produced thereon by radiotherapy (RT). We included 33 patients with LC and 28 patients with HNC. Before irradiation, and one month after completion of RT, blood samples were obtained. The control group was composed of 50 healthy subjects. Patients had significantly lower serum PON1 activity and concentration before RT than the control group. PON1-related variables were good predictors of the presence of LC or HNC, with analytical sensitivities and specificities greater than 80%. Patients showed a significant increase in the number of particles of all subclasses of very-low-density lipoproteins (large, medium and small). However, these changes were not maintained when adjusted for age, sex, and other clinical and demographic variables. Irradiation was associated with a significant increase in PON1 concentration and, only in patients with HNC, with an increase in high-density lipoprotein-cholesterol concentration. Our results suggest that determinations of the levels of PON1-related variables may constitute good biomarkers for the evaluation of these diseases. Studies with a larger number of patients are needed to fully confirm this hypothesis.
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Rodríguez‐Tomàs et al. (2019) conducted an observational in Lung cancer or head and neck cancer (n=111). Radiotherapy vs. Before irradiation / healthy controls was evaluated on Serum PON1 activity and concentration, and lipoprotein profile. PON1-related variables predicted the presence of lung or head and neck cancer with sensitivities and specificities >80%, and radiotherapy significantly increased PON1 concentration.
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