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. 2018 Nov 1;3(3):1–17. doi: 10.1159/000492929

Table 2.

Monitoring women with invasive breast cancer non-invasively: potential urinary biomarkers for bone metastasis

1st
Author
Study
year
PMID Study title Urinary biomarkers Details Study,
n
Yadav et al. 1993 8138660 CA 15.3 with urinary calcium excretion is useful in the diagnosis and monitoring of bone metastases from breast cancer Urinary Ca 2 + Multiplexed with serum CA 15-3, urine levels of Ca 2 + accounted for a 90% correct identification of MBC patients 73
 
Houz é et al. 1999 10217629 Urinary carboxyterminal telopeptide of collagen I as a potential marker of bone metastases chemotherapy monitoring in breast cancer CTX CTX was significantly elevated in urines of breast cancer-positive bone metastases compared to healthy pre- and postmenopausal controls (p < 0.01) 144
 
Ulrich et al. 2001 11205705 Cross-linked type I collagen C- and N-telopeptides in women with bone metastases from breast cancer NTx NTx had a sensitivity and specificity of 44% and 79% respectively in identifying BM from breast cancer (p < 0.01) 106
 
Cloos et al. 2003 PMC165019 Breast cancer patients with bone metastases are characterised by increased levels of nonisomerised type I collagen fragments α CTX Nonisomerized alpha CTX peptides showed to be increasingly released into urines of women with bone metastases 178
 
Cloos et al. 2004 15209436 An immunoassay for measuring fragments of newly synthesized collagen type I produced during metastatic invasion of bone αα CTX αα CTX levels were higher concentrated in urines of MBC patients compared to IBC without bone involvement and normal controls with a significance of p = 0.005 and p < 0.0001, respectively 156
 
Leeming et al. 2006 16835341 Alpha CTX as a biomarker of skeletal invasion of breast cancer: immunolocalization and the load dependency of urinary excretion αα CTX Bone metastases load correlates with the increase in urinary αα CTX levels 40
 
Leeming et al. 2006 16434583 The Relative Use of Eight Collagenous and Noncollagenous Markers for Diagnosis of Skeletal Metastases in Breast, Prostate, or Lung Cancer Patients αα CTX
ββ CTX
NTX
Of the eight potential bone turnover markers tested, the three urinary-based αα CTX, ββ CTX and NTX were significantly higher concentrated in breast cancer patients with BM compared to those without 90
 
Wu et al. 2016 27647403 Clinical significance of combined detection of urine NTX and serum ICTP for breast cancer patients with bone metastases NTx Urinary NTx was significantly higher in urines of BC patients with BM as compared to healthy controls (p < 0.05) and significantly decreased with successful treatment (p < 0.05) 98