Bladder cancer (BC) is frequent cancer affecting the urinary tract and is one of the most prevalent malignancies worldwide. No biomarkers that can be used for effective monitoring of therapeutic interventions for this cancer have been identified to date. This study investigated polar metabolite profiles in urine samples from 100 BC patients and 100 normal controls (NCs) using nuclear magnetic resonance (NMR) and two methods of high- resolution nanoparticle-based laser desorption/ionization mass spectrometry (LDI-MS). Five urine metabolites were identified and quantified using NMR spectroscopy to be potential indicators of bladder cancer. Twenty-five LDI-MS-detected compounds, predominantly peptides and lipids, distinguished urine samples from BC and NCs individuals. Level changes of three characteristic urine metabolites enabled BC tumor grades to be distinguished, and ten metabolites were reported to correlate with tumor stages. Receiver-Operating Characteristics analysis showed high predictive power for all three types of metabolomics data, with the area under the curve (AUC) values greater than 0.87. These findings suggest that metabolite markers identified in this study may be useful for the non-invasive detection and monitoring of bladder cancer stages and grades.
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This content will become publicly available on November 22, 2025
Assessment of urinary biomarkers of mycotoxin exposure in adults from Cameroon
Abstract In Cameroon, dietary staples are frequently contaminated with diverse toxic fungal metabolites, known as mycotoxins. Aflatoxins and fumonisins are a public health concern, particularly concerning cancer and/or early life stunting. Mycotoxin mixtures are predicted from food measures; and this study reports the levels and frequencies of urinary mycotoxin biomarkers in Cameroonian adults. A single first void urine sample was collected from 89 adults from Yaoundé, Cameroon. Urine samples were tested for eight distinct mycotoxins using measures of both parent compounds and/or their metabolites by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Altogether, seven distinct mycotoxins, aflatoxin, fumonisin, deoxynivalenol, zearalenone, nivalenol, ochratoxin A, and citrinin, (or their metabolites) were observed in urine samples. At least one mycotoxin was detected in all of the urine samples, 87 (98%) of which were above the limit of quantitation. Aflatoxin M1was detected in 42% (n.d.-0.21 μg/l) of samples of which about a quarter additionally contained fumonisin B1. Of the remaining toxins deoxynivalenol (78%), zearalenone (99%), ochratoxin A (95%), nivalenol (53%), and citrinin (87%) were present in the samples. Alternariol was not detected in any sample. Mixtures of mycotoxins in the samples were frequently observed with 64 samples (72%) containing more than five mycotoxin exposure biomarkers. Estimates of intake exceeded the TDIs for fumonisin B1(n = 4), deoxynivalenol (n = 1) and zearalenone (n = 2), no TDI is set for aflatoxin. This study reveals frequent co-exposure of Cameroonian individuals to a complex mixture of toxic and carcinogenic mycotoxins, with mixtures of aflatoxin and fumonisin being a particular priority from a public health standpoint.
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- Award ID(s):
- 1828910
- PAR ID:
- 10601116
- Publisher / Repository:
- World Mycotoxin Journal
- Date Published:
- Journal Name:
- World Mycotoxin Journal
- Volume:
- 17
- Issue:
- 3-4
- ISSN:
- 1875-0796
- Page Range / eLocation ID:
- 191 to 203
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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