Clinical value of bioelectrical properties of cancerous tissue in advanced epithelial ovarian cancer patients
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Supporting information
Published version
Author(s)
Type
Journal Article
Abstract
Currently, there are no valid pre-operatively established biomarkers or algorithms that can accurately predict surgical and clinical outcome for patients with advanced epithelial ovarian cancer (EOC). In this study, we suggest that profiling of tumour parameters such as bioelectrical-potential and metabolites, detectable by electronic sensors, could facilitate the future development of devices to better monitor disease and predict surgical and treatment outcomes. Biopotential was recorded, using a potentiometric measurement system, in ex vivo paired non-cancerous and cancerous omental tissues from advanced stage EOC (n = 36), and lysates collected for metabolite measurement by microdialysis. Consistently different biopotential values were detected in cancerous tissue versus non-cancerous tissue across all cases (p < 0.001). High tumour biopotential levels correlated with advanced tumour stage (p = 0.048) and tumour load, and negatively correlated with stroma. Within our EOC cohort and specifically the high-grade serous subtype, low biopotential levels associated with poorer progression-free survival (p = 0.0179, p = 0.0143 respectively). Changes in biopotential levels significantly correlated with common apoptosis related pathways. Lactate and glucose levels measured in paired tissues showed significantly higher lactate/glucose ratio in tissues with low biopotential (p < 0.01, n = 12). Our study proposes the feasibility of biopotential and metabolite monitoring as a biomarker modality profiling EOC to predict surgical and clinical outcomes.
Date Issued
2018-10-02
Date Acceptance
2018-09-11
Citation
Scientific Reports, 2018, 8 (1), pp.1-12
ISSN
2045-2322
Publisher
Nature Publishing Group
Start Page
1
End Page
12
Journal / Book Title
Scientific Reports
Volume
8
Issue
1
Copyright Statement
© The Author(s) 2018. This article is licensed under a Creative Commons Attribution 4.0 International
License, which permits use, sharing, adaptation, distribution and reproduction in any medium or
format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative
Commons license, and indicate if changes were made. Te images or other third party material in this
article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the
material. If material is not included in the article’s Creative Commons license and your intended use is not permitted
by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the
copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
License, which permits use, sharing, adaptation, distribution and reproduction in any medium or
format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative
Commons license, and indicate if changes were made. Te images or other third party material in this
article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the
material. If material is not included in the article’s Creative Commons license and your intended use is not permitted
by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the
copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Sponsor
Medical Research Council (MRC)
Identifier
https://www.nature.com/articles/s41598-018-32720-8
Grant Number
MC_PC_14100
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
BREAST-CANCER
PROGNOSTIC-FACTOR
POTENTIALS
MICRODIALYSIS
EXPRESSION
CHALLENGES
SURGERY
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor
Biosensing Techniques
Carcinoma, Ovarian Epithelial
Cytoreduction Surgical Procedures
Disease Progression
Electric Impedance
Electrodes
Female
Humans
Kaplan-Meier Estimate
Microdialysis
Microfluidics
Middle Aged
Omentum
Ovarian Neoplasms
Prognosis
Progression-Free Survival
Omentum
Humans
Ovarian Neoplasms
Disease Progression
Prognosis
Microdialysis
Biosensing Techniques
Microfluidics
Electrodes
Electric Impedance
Adult
Aged
Aged, 80 and over
Middle Aged
Female
Kaplan-Meier Estimate
Cytoreduction Surgical Procedures
Biomarkers, Tumor
Carcinoma, Ovarian Epithelial
Progression-Free Survival
Publication Status
Published online
Article Number
14695
Date Publish Online
2018-10-02