[Significance of urinary uracil measurement following administration of DPD inhibitory fluoropyrimidine(DIF)products]

Gan To Kagaku Ryoho. 2009 Apr;36(4):683-6.
[Article in Japanese]

Abstract

Individual differences in 5-FU metabolism are mainly attributed to individual differences in the activity of DPD, an enzyme that can metabolize more than 85% of 5-FU. Because urinary uracil is a reflection of DPD activity, it is measured to predict and prevent the occurrence of side effects caused by pyrimidine-type chemotherapeutic agents. From urinary uracil values measured in 84 gastrointestinal cancer patients, 0-60 mmol/g.creatinine was set as a standard. In patients whose urinary uracil values exceeded the standard, 5-FU tended to be accumulated when S-1, a DIF product, was administered and side effects, such as anorexia, vomiting and diarrhea occurred immediately after the start of S-1 administration. If an appropriate DIF product is selected and its dosage set based on the patient's urinary uracil value, the occurrence of side effects would be reduced. Subsequently, a continuation of medication would be possible.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Agents / urine*
  • Dihydrouracil Dehydrogenase (NADP) / antagonists & inhibitors*
  • Dihydrouracil Dehydrogenase (NADP) / metabolism
  • Duodenal Neoplasms / drug therapy*
  • Duodenal Neoplasms / enzymology
  • Duodenal Neoplasms / urine
  • Enzyme Inhibitors / administration & dosage
  • Enzyme Inhibitors / therapeutic use
  • Enzyme Inhibitors / urine*
  • Female
  • Fluorine Compounds / administration & dosage
  • Fluorine Compounds / therapeutic use
  • Fluorine Compounds / urine*
  • Humans
  • Male
  • Middle Aged
  • Stomach Neoplasms / drug therapy*
  • Stomach Neoplasms / enzymology
  • Stomach Neoplasms / urine
  • Uracil / urine*

Substances

  • Antineoplastic Agents
  • Enzyme Inhibitors
  • Fluorine Compounds
  • Uracil
  • Dihydrouracil Dehydrogenase (NADP)