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Detection of capecitabine (Xeloda®) on the skin surface after oral administration
Palmoplantar erythrodysesthesia (PPE), or hand-foot syndrome, is a cutaneous toxicity under various chemotherapeutics contributing to the most frequent side effects in patients treated with capecitabine (Xeloda®). The pathomechanism of PPE has been unclear. Here, the topical detection of capecitabin...
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Published in: | Journal of biomedical optics 2016-04, Vol.21 (4), p.047002-047002 |
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container_title | Journal of biomedical optics |
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creator | Huang, Mao-Dong Fuss, Harald Lademann, Jürgen Florek, Stefan Patzelt, Alexa Meinke, Martina C Jung, Sora |
description | Palmoplantar erythrodysesthesia (PPE), or hand-foot syndrome, is a cutaneous toxicity under various chemotherapeutics contributing to the most frequent side effects in patients treated with capecitabine (Xeloda®). The pathomechanism of PPE has been unclear. Here, the topical detection of capecitabine in the skin after oral application was shown in 10 patients receiving 2500 mg/m2/day capecitabine. Sweat samples were taken prior to and one week after oral administration of capecitabine. Using high-resolution continuum source absorption spectrometry, the changes in concentrations of fluorine, which is an ingredient of capecitabine, were quantified and statistically analyzed. Here, we show an increase in fluorine concentrations from 40±10 ppb (2±0.5 pM) before capecitabine administration to 27.7±11.8 ppm (14.6±6.5 nM) after application, p |
doi_str_mv | 10.1117/1.JBO.21.4.047002 |
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The pathomechanism of PPE has been unclear. Here, the topical detection of capecitabine in the skin after oral application was shown in 10 patients receiving 2500 mg/m2/day capecitabine. Sweat samples were taken prior to and one week after oral administration of capecitabine. Using high-resolution continuum source absorption spectrometry, the changes in concentrations of fluorine, which is an ingredient of capecitabine, were quantified and statistically analyzed. Here, we show an increase in fluorine concentrations from 40±10 ppb (2±0.5 pM) before capecitabine administration to 27.7±11.8 ppm (14.6±6.5 nM) after application, p<0.001. The results show the secretion of capecitabine on the skin surface after oral administration, indicating a local toxic effect as a possible pathomechanism of PPE.</description><identifier>ISSN: 1083-3668</identifier><identifier>EISSN: 1560-2281</identifier><identifier>DOI: 10.1117/1.JBO.21.4.047002</identifier><identifier>PMID: 27117193</identifier><language>eng</language><publisher>United States: Society of Photo-Optical Instrumentation Engineers</publisher><subject>Administration, Oral ; Aged ; Aged, 80 and over ; Antimetabolites, Antineoplastic - administration & dosage ; Antimetabolites, Antineoplastic - pharmacokinetics ; Antimetabolites, Antineoplastic - therapeutic use ; Capecitabine - administration & dosage ; Capecitabine - pharmacokinetics ; Capecitabine - therapeutic use ; Female ; Fluorine - analysis ; Humans ; Male ; Middle Aged ; Neoplasms - drug therapy ; Skin - chemistry ; Spectrum Analysis ; Sweat - chemistry</subject><ispartof>Journal of biomedical optics, 2016-04, Vol.21 (4), p.047002-047002</ispartof><rights>2016 Society of Photo-Optical Instrumentation Engineers (SPIE)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-b43d2f601ae9846bd4efd13bd41fa7a804b307603144b209ab706bb1108528ec3</citedby><cites>FETCH-LOGICAL-c460t-b43d2f601ae9846bd4efd13bd41fa7a804b307603144b209ab706bb1108528ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.spiedigitallibrary.org/journalArticle/Download?urlId=10.1117/1.JBO.21.4.047002$$EPDF$$P50$$Gspie$$H</linktopdf><linktohtml>$$Uhttp://www.dx.doi.org/10.1117/1.JBO.21.4.047002$$EHTML$$P50$$Gspie$$H</linktohtml><link.rule.ids>314,780,784,24043,27924,27925,55379,55380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27117193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Mao-Dong</creatorcontrib><creatorcontrib>Fuss, Harald</creatorcontrib><creatorcontrib>Lademann, Jürgen</creatorcontrib><creatorcontrib>Florek, Stefan</creatorcontrib><creatorcontrib>Patzelt, Alexa</creatorcontrib><creatorcontrib>Meinke, Martina C</creatorcontrib><creatorcontrib>Jung, Sora</creatorcontrib><title>Detection of capecitabine (Xeloda®) on the skin surface after oral administration</title><title>Journal of biomedical optics</title><addtitle>J. Biomed. Opt</addtitle><description>Palmoplantar erythrodysesthesia (PPE), or hand-foot syndrome, is a cutaneous toxicity under various chemotherapeutics contributing to the most frequent side effects in patients treated with capecitabine (Xeloda®). The pathomechanism of PPE has been unclear. Here, the topical detection of capecitabine in the skin after oral application was shown in 10 patients receiving 2500 mg/m2/day capecitabine. Sweat samples were taken prior to and one week after oral administration of capecitabine. Using high-resolution continuum source absorption spectrometry, the changes in concentrations of fluorine, which is an ingredient of capecitabine, were quantified and statistically analyzed. Here, we show an increase in fluorine concentrations from 40±10 ppb (2±0.5 pM) before capecitabine administration to 27.7±11.8 ppm (14.6±6.5 nM) after application, p<0.001. The results show the secretion of capecitabine on the skin surface after oral administration, indicating a local toxic effect as a possible pathomechanism of PPE.</description><subject>Administration, Oral</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antimetabolites, Antineoplastic - administration & dosage</subject><subject>Antimetabolites, Antineoplastic - pharmacokinetics</subject><subject>Antimetabolites, Antineoplastic - therapeutic use</subject><subject>Capecitabine - administration & dosage</subject><subject>Capecitabine - pharmacokinetics</subject><subject>Capecitabine - therapeutic use</subject><subject>Female</subject><subject>Fluorine - analysis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - drug therapy</subject><subject>Skin - chemistry</subject><subject>Spectrum Analysis</subject><subject>Sweat - chemistry</subject><issn>1083-3668</issn><issn>1560-2281</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9kM1OFjEUhhujkR-9ADamS1jM0NOWzswSQQRCgjGYuGvazmkszjcztp0FXJQXwZVZ-IAFGlen6XmeNzkvITvAagBo9qE-_3hZc6hlzWTDGH9FNuFAsYrzFl6XN2tFJZRqN8hWSteMsVZ16i3Z4E3RoROb5OsxZnQ5TCOdPHVmRheysWFEuvsdh6k3d7_3aNnmH0jTzzDStERvHFLjM0Y6RTNQ06_CGFKO5j7oHXnjzZDw_ePcJt9OPl0dnVYXl5_Pjg4vKicVy5WVoudeMTDYtVLZXqLvQZQJ3jSmZdIK1igmQErLWWdsw5S1UI464C06sU1217lznH4tmLJeheRwGMyI05I0NAUE2Xa8oLBGXZxSiuj1HMPKxBsNTN9XqUGXKjUHLfW6yuJ8eIxf7Ar7Z-OpuwLUayDNAfX1tMSxnPvfxKt_Cc_YbZhfOg9_hzEHN-CX45O_1nPvxR9WMZiG</recordid><startdate>20160430</startdate><enddate>20160430</enddate><creator>Huang, Mao-Dong</creator><creator>Fuss, Harald</creator><creator>Lademann, Jürgen</creator><creator>Florek, Stefan</creator><creator>Patzelt, Alexa</creator><creator>Meinke, Martina C</creator><creator>Jung, Sora</creator><general>Society of Photo-Optical Instrumentation Engineers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160430</creationdate><title>Detection of capecitabine (Xeloda®) on the skin surface after oral administration</title><author>Huang, Mao-Dong ; Fuss, Harald ; Lademann, Jürgen ; Florek, Stefan ; Patzelt, Alexa ; Meinke, Martina C ; Jung, Sora</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-b43d2f601ae9846bd4efd13bd41fa7a804b307603144b209ab706bb1108528ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Administration, Oral</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antimetabolites, Antineoplastic - administration & dosage</topic><topic>Antimetabolites, Antineoplastic - pharmacokinetics</topic><topic>Antimetabolites, Antineoplastic - therapeutic use</topic><topic>Capecitabine - administration & dosage</topic><topic>Capecitabine - pharmacokinetics</topic><topic>Capecitabine - therapeutic use</topic><topic>Female</topic><topic>Fluorine - analysis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasms - drug therapy</topic><topic>Skin - chemistry</topic><topic>Spectrum Analysis</topic><topic>Sweat - chemistry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Mao-Dong</creatorcontrib><creatorcontrib>Fuss, Harald</creatorcontrib><creatorcontrib>Lademann, Jürgen</creatorcontrib><creatorcontrib>Florek, Stefan</creatorcontrib><creatorcontrib>Patzelt, Alexa</creatorcontrib><creatorcontrib>Meinke, Martina C</creatorcontrib><creatorcontrib>Jung, Sora</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of biomedical optics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Mao-Dong</au><au>Fuss, Harald</au><au>Lademann, Jürgen</au><au>Florek, Stefan</au><au>Patzelt, Alexa</au><au>Meinke, Martina C</au><au>Jung, Sora</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of capecitabine (Xeloda®) on the skin surface after oral administration</atitle><jtitle>Journal of biomedical optics</jtitle><addtitle>J. Biomed. Opt</addtitle><date>2016-04-30</date><risdate>2016</risdate><volume>21</volume><issue>4</issue><spage>047002</spage><epage>047002</epage><pages>047002-047002</pages><issn>1083-3668</issn><eissn>1560-2281</eissn><abstract>Palmoplantar erythrodysesthesia (PPE), or hand-foot syndrome, is a cutaneous toxicity under various chemotherapeutics contributing to the most frequent side effects in patients treated with capecitabine (Xeloda®). The pathomechanism of PPE has been unclear. Here, the topical detection of capecitabine in the skin after oral application was shown in 10 patients receiving 2500 mg/m2/day capecitabine. Sweat samples were taken prior to and one week after oral administration of capecitabine. Using high-resolution continuum source absorption spectrometry, the changes in concentrations of fluorine, which is an ingredient of capecitabine, were quantified and statistically analyzed. Here, we show an increase in fluorine concentrations from 40±10 ppb (2±0.5 pM) before capecitabine administration to 27.7±11.8 ppm (14.6±6.5 nM) after application, p<0.001. The results show the secretion of capecitabine on the skin surface after oral administration, indicating a local toxic effect as a possible pathomechanism of PPE.</abstract><cop>United States</cop><pub>Society of Photo-Optical Instrumentation Engineers</pub><pmid>27117193</pmid><doi>10.1117/1.JBO.21.4.047002</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Administration, Oral Aged Aged, 80 and over Antimetabolites, Antineoplastic - administration & dosage Antimetabolites, Antineoplastic - pharmacokinetics Antimetabolites, Antineoplastic - therapeutic use Capecitabine - administration & dosage Capecitabine - pharmacokinetics Capecitabine - therapeutic use Female Fluorine - analysis Humans Male Middle Aged Neoplasms - drug therapy Skin - chemistry Spectrum Analysis Sweat - chemistry |
title | Detection of capecitabine (Xeloda®) on the skin surface after oral administration |
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