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Thanan R, Oikawa S, Hiraku Y, Ohnishi S, Ma N, Pinlaor S, Yongvanit P, Kawanishi S, Murata M, 2015. Oxidative stress and its significant roles in neurodegenerative diseases and cancer. Int J Mol Sci 16: 193–217.
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Xia Y, Wong LY, Bunker BC, Bernert JT, 2014. Comparison of creatinine and specific gravity for hydration corrections on measurement of the tobacco-specific nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) in urine. J Clin Lab Anal 28: 353–363.
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-
20.
Sripa B, Brindley PJ, Mulvenna J, Laha T, Smout MJ, Mairiang E, Bethony JM, Loukas A, 2012. The tumorigenic liver fluke Opisthorchis viverrini—multiple pathways to cancer. Trends Parasitol 28: 395–407.
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Elevated Levels of Urinary 8-oxodG Correlate with Persistent Periductal Fibrosis after Praziquantel Treatment in Chronic Opisthorchiasis
Chompunoot Wangboon
Chompunoot Wangboon
Faculty of Graduate School, Biomedical Science Program, Khon Kaen University, Khon Kaen, Thailand;
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Puangrat Yongvanit
Puangrat Yongvanit
Cholangiocarcinoma Screening and Care Program (CASCAP), Khon Kaen University, Khon Kaen, Thailand;
Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Watcharin Loilome
Watcharin Loilome
Cholangiocarcinoma Screening and Care Program (CASCAP), Khon Kaen University, Khon Kaen, Thailand;
Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Raynoo Thanan
Raynoo Thanan
Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Chanika Worasith
Chanika Worasith
Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Chatanun Eamudomkarn
Chatanun Eamudomkarn
Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Nittaya Chamadol
Nittaya Chamadol
Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Eimorn Mairiang
Eimorn Mairiang
Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Jiraporn Sithithaworn
Jiraporn Sithithaworn
Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand;
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Prasert Saichua
Prasert Saichua
Tropical Disease Research Center, Tropical Medicine International Graduate Program, Faculty of Medicine, Khon Kaen University, Thailand;
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Banchob Sripa
Banchob Sripa
Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Narong Khuntikeo
Narong Khuntikeo
Cholangiocarcinoma Screening and Care Program (CASCAP), Khon Kaen University, Khon Kaen, Thailand;
Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;
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Jeffrey M. Bethony
Jeffrey M. Bethony
Department of Microbiology, Immunology and Tropical Medicine, George Washington University, Washington, District of Columbia
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Paiboon Sithithaworn
Paiboon Sithithaworn
Cholangiocarcinoma Screening and Care Program (CASCAP), Khon Kaen University, Khon Kaen, Thailand;
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Previous studies demonstrated that urinary 8-oxodG is a predictive biomarker for Opisthorchis viverrini (OV)–associated hepatobiliary disease (HBD) and cholangiocarcinoma (CCA). This study examined the effects of praziquantel treatment on the profile of urinary 8-oxodG in relation to HBD status. Infection with OV, levels of urinary 8-oxodG, and HBD status in terms of periductal fibrosis (PDF) assessed by abdominal ultrasonography (US) were monitored and compared in cohorts of participants in Khon Kaen, Thailand, before and 1 year after praziquantel treatment. Urinary 8-oxodG levels significantly decreased after treatment compared with the baseline level in OV-infected participants who had no HBD (PDF negative; PDF−ve) (N = 14). Levels of 8-oxodG were unchanged after treatment in OV-infected subjects (OV+ve) who had positive PDF (N = 52). Within the positive PDF (PDF+ve) group who became PDF−ve after treatment, there was no significant change in 8-oxodG levels between pre-and posttreatment (reversible PDF = 65.3%). In those who had persistent PDF+ve at both ultrasound sampling points, there was no significant difference in urinary 8-oxodG levels between pre- and posttreatment (persistent PDF = 34.6%). Based on a logistic regression model and receiver operation curve analysis, the increase of 8-oxodG levels was found to be associated with increasing risk of PDF. Measurement of urinary 8-oxodG and US increased the likelihood of discovering persistent PDF, which is a predictable condition for the patients at risk of OV-associated CCA. To identify high-risk individuals for CCA, it is useful to perform US in combination with urinary 8-oxodG measurement.
- Supplemental Materials (PDF 223 KB)
Author Notes
Financial support: This work was supported by the Royal Golden Jubilee PhD Program (grant no. PHD/0294/2551 to C. W.), the Higher Education Research Promotion, and the Office of the Higher Education Commission through health cluster (SHeP-GMS), as well as awards R01CA155297 (J. M. B.) from the National Cancer Institute and P50 AI098639 (B. S. and J. M. B.).
Authors’ addresses: Chompunoot Wangboon, Faculty of Graduate School, Khon Kaen University, Khon Kaen, Thailand, E-mail: tookkiko@hotmail.com. Puangrat Yongvanit, Watcharin Loilome, and Narong Khuntikeo, Cholangiocarcinoma Screening and Care Program (CASCAP), Khon Kaen University, Khon Kaen, Thailand, E-mails: puangrat@kku.ac.th, watloi@yahoo.com, and nkhuntikeo@gmail.com. Raynoo Thanan, Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: raynoo@kku.ac.th. Chanika Worasith, Chatanun Eamudomkarn, and Paiboon Sithithaworn, Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mails: ch-p_019@hotmail.com, chatanune@yahoo.com, and paibsit@gmail.com. Nittaya Chamadol and Eimorn Mairiang, Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mails: nittayachamadol@yahoo.com and eimmai@kku.ac.th. Jiraporn Sithithaworn, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand, E-mail: jirapornsith@gmail.com. Prasert Saichua, Tropical Disease Research Center, Tropical Medicine International Graduate Program, Faculty of Medicine, Khon Kaen University, Thailand, E-mail: psaichua@hotmail.com. Banchob Sripa, Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: banchob@kku.ac.th. Jeffrey M. Bethony, Department of Microbiology, Immunology and Tropical Medicine, George Washington University, Washington, DC, E-mail: jeffreybethony@gmail.com.
ProCite
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Reference Manager
BibTeX
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EndNote
-
1.
Elkins DB, Haswell-Elkins MR, Mairiang E, Mairiang P, Sithithaworn P, Kaewkes S, Bhudhisawasdi V, Uttaravichien T, 1990. A high frequency of hepatobiliary disease and suspected cholangiocarcinoma associated with heavy Opisthorchis viverrini infection in a small community in north-east Thailand. Trans R Soc Trop Med Hyg 84: 715–719.
-
2.
IARC, 1994. Infection with liver flukes (Opisthorchis viverrivi, Opisthorchis felineus and Clonorchis sinensis). IARC Monogr Eval Carcinog Risks Hum 61: 121–175.
-
3.
Mairiang E, Elkins DB, Mairiang P, Chaiyakum J, Chamadol N, Loapaiboon V, Posri S, Sithithaworn P, Haswell-Elkins M, 1992. Relationship between intensity of Opisthorchis viverrini infection and hepatobiliary disease detected by ultrasonography. J Gastroenterol Hepatol 7: 17–21.
-
4.
Thanan R, Oikawa S, Hiraku Y, Ohnishi S, Ma N, Pinlaor S, Yongvanit P, Kawanishi S, Murata M, 2015. Oxidative stress and its significant roles in neurodegenerative diseases and cancer. Int J Mol Sci 16: 193–217.
-
5.
Evans MD, Saparbaev M, Cooke MS, 2010. DNA repair and the origins of urinary oxidized 2′-deoxyribonucleosides. Mutagenesis 25: 433–442.
-
6.
Murata M, Thanan R, Ma N, Kawanishi S, 2012. Role of nitrative and oxidative DNA damage in inflammation-related carcinogenesis. J Biomed Biotechnol 2012: 623019.
-
7.
Wynn TA, 2008. Cellular and molecular mechanisms of fibrosis. J Pathol 214: 199–210.
-
8.
Yongvanit P, Pinlaor S, Bartsch H, 2012. Oxidative and nitrative DNA damage: key events in opisthorchiasis-induced carcinogenesis. Parasitol Int 61: 130–135.
-
9.
Saichua P et al. 2015. Levels of 8-OxodG predict hepatobiliary pathology in Opisthorchis viverrini endemic settings in Thailand. PLoS Negl Trop Dis 9: e0003949.
-
10.
Thanan R, Murata M, Pinlaor S, Sithithaworn P, Khuntikeo N, Tangkanakul W, Hiraku Y, Oikawa S, Yongvanit P, Kawanishi S, 2008. Urinary 8-oxo-7,8-dihydro-2′-deoxyguanosine in patients with parasite infection and effect of antiparasitic drug in relation to cholangiocarcinogenesis. Cancer Epidemiol Biomarkers Prev 17: 518–524.
-
11.
Elkins DB, Mairiang E, Sithithaworn P, Mairiang P, Chaiyakum J, Chamadol N, Loapaiboon V, Haswell-Elkins MR, 1996. Cross-sectional patterns of hepatobiliary abnormalities and possible precursor conditions of cholangiocarcinoma associated with Opisthorchis viverrini infection in humans. Am J Trop Med Hyg 55: 295–301.
-
12.
Mairiang E, Laha T, Bethony JM, Thinkhamrop B, Kaewkes S, Sithithaworn P, Tesana S, Loukas A, Brindley PJ, Sripa B, 2012. Ultrasonography assessment of hepatobiliary abnormalities in 3359 subjects with Opisthorchis viverrini infection in endemic areas of Thailand. Parasitol Int 61: 208–211.
-
13.
Mairiang E, Mairiang P, 2003. Clinical manifestation of opisthorchiasis and treatment. Acta Trop 88: 221–227.
-
14.
Chamadol N, Pairojkul C, Khuntikeo N, Laopaiboon V, Loilome W, Sithithaworn P, Yongvanit P, 2014. Histological confirmation of periductal fibrosis from ultrasound diagnosis in cholangiocarcinoma patients. J Hepatobiliary Pancreat Sci 21: 316–322.
-
15.
Kaewkes S, Elkins DB, Sithithaworn P, Haswell-Elkins MR, 1991. Comparative studies on the morphology of the eggs of Opisthorchis viverrini and lecithodendriid trematodes. Southeast Asian J Trop Med Public Health 22: 623–630.
-
16.
Tesana S, Srisawangwonk T, Kaewkes S, Sithithaworn P, Kanla P, Arunyanart C, 1991. Eggshell morphology of the small eggs of human trematodes in Thailand. Southeast Asian J Trop Med Public Health 22: 631–636.
-
17.
Songserm N, Promthet S, Wiangnon S, Sithithaworn P, 2012. Prevalence and co-infection of intestinal parasites among Thai rural residents at high-risk of developing cholangiocarcinoma: a cross-sectional study in a prospective cohort study. Asian Pac J Cancer Prev 13: 6175–6179.
-
18.
Xia Y, Wong LY, Bunker BC, Bernert JT, 2014. Comparison of creatinine and specific gravity for hydration corrections on measurement of the tobacco-specific nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) in urine. J Clin Lab Anal 28: 353–363.
-
19.
Sripa B, Mairiang E, Thinkhamrop B, Laha T, Kaewkes S, Sithithaworn P, Tessana S, Loukas A, Brindley PJ, Bethony JM, 2009. Advanced periductal fibrosis from infection with the carcinogenic human liver fluke Opisthorchis viverrini correlates with elevated levels of interleukin-6. Hepatology 50: 1273–1281.
-
20.
Sripa B, Brindley PJ, Mulvenna J, Laha T, Smout MJ, Mairiang E, Bethony JM, Loukas A, 2012. The tumorigenic liver fluke Opisthorchis viverrini—multiple pathways to cancer. Trends Parasitol 28: 395–407.
-
21.
Sripa B, Kaewkes S, 2000. Localisation of parasite antigens and inflammatory responses in experimental opisthorchiasis. Int J Parasitol 30: 735–740.
-
22.
Worasith C et al. 2015. Advances in the diagnosis of human opisthorchiasis: development of Opisthorchis viverrini antigen detection in urine. PLoS Negl Trop Dis 9: e0004157.
-
23.
Wishahi M, Zakarya A, Hamamm O, Abdel-Rasol M, Badawy H, Elganzoury H, Ismail M, Elkhouly A, Meheina A, 2014. Impact of density of schistosomal antigen expression in urinary bladder tissue on the stratification, cell type, and staging, and prognosis of carcinoma of the bladder in Egyptian patients. Infect Agent Cancer 9: 21.
-
24.
Sundararaj KP, Samuvel DJ, Li Y, Sanders JJ, Lopes-Virella MF, Huang Y, 2009. Interleukin-6 released from fibroblasts is essential for up-regulation of matrix metalloproteinase-1 expression by U937 macrophages in coculture: cross-talking between fibroblasts and U937 macrophages exposed to high glucose. J Biol Chem 284: 13714–13724.
-
25.
Martins-Leite P, Gazzinelli G, Alves-Oliveira LF, Gazzinelli A, Malaquias LC, Correa-Oliveira R, Teixeira-Carvalho A, Silveira AM, 2008. Effect of chemotherapy with praziquantel on the production of cytokines and morbidity associated with schistosomiasis mansoni. Antimicrob Agents Chemother 52: 2780–2786.
-
26.
Deenonpoe R, Chomvarin C, Pairojkul C, Chamgramol Y, Loukas A, Brindley PJ, Sripa B, 2015. The carcinogenic liver fluke Opisthorchis viverrini is a reservoir for species of Helicobacter. Asian Pac J Cancer Prev 16: 1751–1758.
-
27.
Loft S, Vistisen K, Ewertz M, Tjonneland A, Overvad K, Poulsen HE, 1992. Oxidative DNA damage estimated by 8-hydroxydeoxyguanosine excretion in humans: influence of smoking, gender and body mass index. Carcinogenesis 13: 2241–2247.
-
28.
Pinlaor S et al. 2006. iNOS-dependent DNA damage via NF-kappaB expression in hamsters infected with Opisthorchis viverrini and its suppression by the antihelminthic drug praziquantel. Int J Cancer 119: 1067–1072.
-
29.
Mairiang E, Haswell-Elkins MR, Mairiang P, Sithithaworn P, Elkins DB, 1993. Reversal of biliary tract abnormalities associated with Opisthorchis viverrini infection following praziquantel treatment. Trans R Soc Trop Med Hyg 87: 194–197.
-
30.
Chai JY, 2013. Praziquantel treatment in trematode and cestode infections: an update. Infect Chemother 45: 32–43.
-
31.
Lovis L et al. 2012. Efficacy of praziquantel against Schistosoma mekongi and Opisthorchis viverrini: a randomized, single-blinded dose-comparison trial. PLoS Negl Trop Dis 6: e1726.
-
32.
Saengsawang P, Promthet S, Bradshaw P, 2013. Infection with Opisthorchis viverrini and use of praziquantel among a working-age population in northeast Thailand. Asian Pac J Cancer Prev 14: 2963–2966.
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