Diagnostic yield of the plasma free amino acid index for pancreatic cancer in patients with diabetes mellitus

Suguru Mizuno, Hiroyuki Isayama, Yousuke Nakai, Kazunaga Ishigaki, Kei Saito, Tatsuya Sato, Tsuyoshi Takeda, Ryunosuke Hakuta, Tomotaka Saito, Naminatsu Takahara, Hirofumi Kogure, Hideaki Ijichi, Keisuke Tateishi, Minoru Tada, Nahoko Shikata, Tomoyuki Tagami, Shinya Kikuchi, Hiroshi Yamamoto, Minoru Yamakado, Kazuhiko Koike

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Objectives: A multivariate index calculated using plasma free amino acids (PFAA index) was reported as a diagnostic biomarker for pancreatic cancer (PaC). Although diabetes mellitus (DM) is expected to be an early diagnostic indicator of PaC, identifying the high-risk individuals among patients with DM is warranted. We evaluated the diagnostic yield of the PFAA index for PaC in patients with DM. Methods: We compared the diagnostic yield of the PFAA index between individuals with and those without DM. Cases and controls were recruited prospectively, and controls were matched to cases at a 1:1 ratio for age, sex, and DM status. Results: A total of 180 case–control pairs were included in the analysis. The prevalence of DM was 53.3%. The sensitivity of the PFAA index was 66.7% in cases with DM and 56.0% in those without DM (P = 0.14), and the specificity was 92.7% in controls with DM and 94.0% in those without DM (P = 0.95). Conclusions: This matched case-control study revealed a comparable diagnostic yield of the PFAA index for PaC in individuals with and those without DM. The PFAA index can be used as a biomarker for further diagnostic imaging in selected patients with DM.

Original languageEnglish
Pages (from-to)695-698
Number of pages4
JournalPancreatology
Volume19
Issue number5
DOIs
Publication statusPublished - Jul 2019
Externally publishedYes

Keywords

  • Amino acid
  • Biomarker
  • Diabetes mellitus
  • Metabolomics
  • Pancreatic cancer

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