99mTc-thymine scintigraphy may be a promising method in the diagnosis of breast cancer

OBJECTIVE: Mammography has been established as the gold standard for the detection of breast cancer, and imaging techniques such as ultrasonography, magnetic resonance imaging, scintigraphy and positron emission tomography may be useful to improve its sensitivity and specificity. The objective of this study with breast scintigraphy was to evaluate the uptake of 99mTc-thymine in mammary lesions. METHODS: A total of 45 patients were included in this study. Thirty-three patients (73%) were subjected to surgery or percutaneous biopsy, providing histopathological data. The other 12 patients who remained under surveillance received clinical examinations and biannual mammography with a normal follow-up of at least three years, the data from which were used for comparison with the scintimammography results. RESULTS: The majority of patients (64.4%) had clinically impalpable lesions with a mammogram diagnosis of microcalcifications, impalpable nodules, or focal asymmetry. Of the studied lesions, 87% were smaller or equal to 20 mm in diameter, and 22% had malignant histopathological findings. Scintigraphy with 99mTc-thymine had a sensitivity of 70%, a specificity of 85.7%, positive and negative predictive values of 58.3% and 90.9%, respectively, and an accuracy of 82.2%. CONCLUSIONS: The results of this study are consistent with those previously reported by other authors. The good specificity and high negative predictive value of this technique and the absence of uptake in the heart indicate that it may be a promising complementary method in clinical practice and that it may contribute to reducing unnecessary benign biopsies.

Hidroperóxido de timina como fonte biológica de oxigênio molecular singlete [O2 (1 Delta g)] / Thymine hydroperoxide as biological source of singlet molecular oxygen [O2 (1 Delta g)]

A oxidação do DNA por espécies reativas de oxigênio, como o oxigênio molecular singlete [O2 (1Δg)] , pode estar relacionada ao aparecimento de mutações e ao desenvolvimento de doenças. O O2 (1Δg) pode ser gerado biologicamente por reação de fotossensibilização, pela reação de H2O2 e HOCl e pela decomposição de peróxidos orgânicos contendo hidrogênio alfa (α-ROOH), na presença de metais de transição (Fe2+, Cu2+) ou HOCl. A decomposição de α-ROOH, como hidroperóxidos de lipídeos ou proteínas na presença de metais de transição, pode gerar O2 (1Δg) via mecanismo de Russell. Neste mecanismo, a oxidação de α -ROOH gera radicais peroxila, que podem reagir entre si, formando um intermediário tetraóxido linear. Este intermediário tetraóxido linear pode decompor através de um mecanismo cíclico e produzir O2 (1Δg), um álcool e um composto carbonílico. Como a decomposição de α-ROOH pelo mecanismo de Russell pode ser uma importante fonte biológica de O2 (1Δg) decidimos investigar se o α-hidroperóxido de timina, 5-(hidroperoximetil)uracil (5-HMPU), poderia gerar esta espécie reativa na presença de metais (Ce4+, Fe2+, Cu2+) e HOCl. Outro objetivo foi avaliar os efeitos oxidativos, em DNA plasmidial (pBR322), da decomposição de 5-HPMU na presença de Cu2+. A geração de O2 (1Δg) na reação de 5-HPMU e Ce4+ ou HOCl foi demonstrada por meio do monitoramento da emissão de luz monomolecular de O2 (1Δg) na região do infravermelho próximo (IR-próximo, λ = 1270 nm) e bimolecular na região do visível (λ = 634 e 703 nm). A aquisição do espectro de emissão de O2 (1Δg) forneceu evidências inequívocas da geração desta espécie reativa na reação de 5-HPMU e Ce4+ ou HOCl. Além disto, a formação de O2 (1Δg) na reação de 5-HPMU e Fe2+, Cu2+ ou HOCl foi demonstrada através da captação química de O2 (1Δg) utilizando 9,10- divinilsulfonatoantraceno (AVS) e detecção por HPLC/MS/MS do endoperóxido (AVSO2) formado. A detecção por HPLC/MS/MS dos produtos de decomposição de 5-HPMU...

Oxidation of DNA by singlet molecular oxygen O2 (1Δg) can be involved in the development of mutations and diseases. In vivo, O2 (1Δg) can be generated by photosensitization reaction, H2O2 and HOCl reaction and decomposition of organic hydroperoxides with α-hydrogen (α-ROOH) in the presence of metal ions (Fe2+, Cu2+) or HOCl. The α-ROOH decomposition, such as lipid or protein hydroperoxides in the presence of metal ions or HOCl can generate O2 (1Δg) by Russell mechanism. In this mechanism, the self-reaction of peroxyl radicals generates a linear tetraoxide intermediate that decomposes to O2 (1Δg) , an alcohol and an aldehyde. Therefore, the purpose of this work is to investigate if O2 (1Δg) can be generated by α-thymine hydroperoxide, 5- (hydroperoxymethyl)uracil (5-HPMU) in the presence of Ce4+, Fe2+, Cu2+ or HOCl. Another purpose is to study base modification and strand breaks formation in plasmid DNA (pBR322) by 5-HPMU decomposition in the presence of Cu2+. The generation of O2 (1Δg) in the reaction of 5- HPMU and Ce4+ or HOCl was monitored by monomol light emission in the near-infrared region (NIR, λ = 1270 nm) and dimol light emission in the visible region (λ = 634 e 703 nm). The generation of O2 (1Δg) during the reaction of 5-HPMU and Ce4+ or HOCl was confirmed by acquisition of the light emission spectrum in the NIR. Furthermore, the generation of O2 (1Δg) produced by 5-HPMU and Fe2+, Cu2+ or HOCl was also confirmed by chemical trapping using anthracene-9,10-divinylsulfonate (AVS) and HPLC/MS/MS detection of the corresponding endoperoxide (AVSO2). The detection by HPLC/MS/MS of 5-(hydroxymethyl)uracil (5-HMU) and 5-formyluracil (5-FoU), two 5-HPMU decomposition products, support the Russell mechanism. Plasmid results from pBR322, 5-HPMU and Cu2+ reaction showed formation of DNA open circular form (OC), probably produced by 5-HPMU peroxyl and alkoxyl radicals. Additionally, the reaction of pBR322, 5-HPMU and Cu2+ following by Fpg and NTH enzyme treatment...