1. Optimization of the non-invasive 13C-sucrose breath test in a rat model of methotrexate-induced mucositis
- Author
-
Katie L. Tooley, Gordon S. Howarth, Kerry A. Lymn, Ross N. Butler, Tooley, KL, Howarth, GS, Lymn, KA, and Butler, RN
- Subjects
Sucrose ,Cancer Research ,medicine.medical_treatment ,specificity ,chemotherapy ,Toxicology ,Gastroenterology ,Eating ,chemistry.chemical_compound ,Intestine, Small ,Pharmacology (medical) ,Carbon Isotopes ,medicine.diagnostic_test ,Organ Size ,Dose–response relationship ,Breath Tests ,Oncology ,Female ,Sucrase ,medicine.drug ,Mucositis ,Antimetabolites, Antineoplastic ,medicine.medical_specialty ,Rat model ,Sensitivity and Specificity ,methotrexate ,Internal medicine ,medicine ,Animals ,SBT ,time-course ,reproducibility ,Pharmacology ,Breath test ,Chemotherapy ,Reproducibility ,Dose-Response Relationship, Drug ,sucrose breath test ,business.industry ,Body Weight ,medicine.disease ,Rats ,Disease Models, Animal ,Methotrexate ,mucositis ,chemistry ,business - Abstract
Purpose In order to determine the sensitivity and specificity of the test and to optimize experimental conditions utilizing the SBT in a rat model of chemotherapy-induced small intestinal damage. Methods Initially, a 13C-sucrose dose-response study was performed in rats to determine an optimal sucrose concentration for the SBT; then applied to assess chemotherapy-induced intestinal damage. A further study was conducted to establish a SBT time-course of methotrexate-induced small intestinal damage and repair. Animals were killed at 96 or 144 h. Results A sucrose concentration of 0.25 g/ml was optimal (20% CV) for reproducibility and detection of intestinal damage. Maximal damage occurred at 72 h, small intestinal repair was initiated by 96 h and continued at 144 h post-MTX, as determined by the SBT and confirmed by biochemical analyses. Levels of sensitivity and specificity for the SBT were 98 and 94%, respectively. Conclusions The SBT is a reliable non-invasive marker of small intestinal health and damage with a high degree of sensitivity and specificity. Refereed/Peer-reviewed
- Published
- 2009
- Full Text
- View/download PDF