Title: Study of Efficacy of Serum Lactate Dehydrogenase, Gamma Glutamyl Transpeptidase and Alkaline Phosphatase Levels as Prognostic and Diagnostic Markers in Breast Cancer

Authors: Mohammed Saheb SK, Kasibabu A

 DOI: https://dx.doi.org/10.18535/jmscr/v8i2.114

Abstract

   

Introduction: Carcinoma breast is one of the commonest causes of death in many developed countries in women. Cancer that is detected at an early stage can potentially be cured when the tumor is small enough to be completely removed surgically. Keeping this in view of these phenomena, the present study takes into consideration of certain biochemical investigations like Serum LDH, GGT and ALP levels that are inexpensive, accurate, and identified by the easy method of detection, and to establish their establish their diagnostic and prognostic value in breast cancer

Patients and Methods: The present study comprises of 120 participants of which 60 healthy controls, and 60 patients suffering from carcinoma breast, which was confirmed by clinical and histopathological examination.

Results: Serum LDH ,GGT and ALP levels are significantly increased in breast cancer patients compared to controls and also  found that the levels was gradually increased with advancing stages of breast cancer.

Conclusion: It is concluded that serum LDH, GGT and ALP levels are reliable and inexpensive promising enzyme markers with prognostic and diagnostic importance in carcinoma breast patients.

References

  1. Freddie Bray; Jacques Ferlay; Isabelle Soerjomataram; Rebecca L. Siegel.et.al; Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries; CA CANCER J CLIN 2018;68:394–424.
  2. Gupta A, Shridhar K, Dhillon PK. A review of breastcancer awareness among women in india: cancer literate or awareness deficit Eur J Cancer 2015; 51: 2058–66.
  3. Collaborative Group on Hormonal Factors in Breast Cancer: Menarche, menopause, and breast cancer risk: individual participant meta-analysis, including 118 964 women with breast cancer from 117 epidemiological studies. Lancet Oncol 2012; 13:1141-51.
  4. Ford D, Easton DF, Stratton M. et. al. Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. Am J Hum Genet. 1998; 62:676–89.
  5. Brinton LA, Richesson D, Leitzmann MF, Gierach GL, Schatzkin A, Mouw T, et al. Menopausal hormone therapy and breast cancer risk in the NIH-AARP. Diet and Health Study Cohort. Cancer Epidemiol Biomarkers Prev. 2008; 17:3150-60.
  6. Henry RJ, Chiamor N, Golub OJ, Berkman S. Revised spectrophotometric methods for the determination of glutamic -oxaloacetic transaminase and lactic acid dehydrogenase. Am J ClinPathol. 1960; 34: 381-98.
  7. Szasz, G., Clinical chemistry, Vol.22, No.12 (1976), 2051.
  8. Bowers, G.N., and McComb, R.B., Clin Chem. 21: 1988 -1995, 1975.
  9. Basnyat AS, Bhupal Govinda Sreshta, Abhimanyu Jha, R Pathak Study of Serum Lactate Dehydrogenase and Gamma-Glutamyl Transpeptidase in Breast Cancer Patients Receiving Chemotherapy .The journal of tropical science , April 2017 Vol. 7, No. 2, pp. 128 – 132.
  10. Guddanti Rajeswari, Psatyasrinivas, k. sivarama Krishna sai, Edalasuresh/ International Journal of Biomedical and Advance Research 2016; 7(1): 031-034.
  11. Chandrakanth KH. K pyati, A,murthy DS, J. Significance of serum total alkaline phosphatase levels in breast cancer. Int J Clin and Biomed Res. 2016;2(1):13-15.
  12. Aditi Agrawal et al., LDH Biomarker in Ca. Breast. Journal of Clinical and Diagnostic Research. 2016 Mar, Vol-10(3): BC06-BC08.
  13. Swati S, Neelima Singh, Akshay Kumar N, Kumar S, Sanjay Singh, Reetika S. Serum Alkaline Phosphatase Level As A Better Predictor for Metastatic Breast Cancer in Comparison to Acid Phosphatase And Calcium Activities, Journal of Dental and Medical Sciences (IOSR-JDMS). (December. 2016), Volume 15, Issue 12 Ver. II PP 15-19.
  14. Choudhari A, Desai P, Indumati V, Kadi S. Activities of serum Ada, GGT and alp  in carcinoma breast-a  case control study for diagnostic and prognostic significance .Indian J Med Sci 2013;67:123-
  15. Prabasheela B, S Baskaran, R Arivazhagan. Evaluation of alkaline phosphatase in pre and post operative breast cancer patients. Int J Biol Med Res. 2012; 3(2): 1536-1537.
  16. M Jarari Abdalla, S.shakila, Saeid Omar Alsoaeitiv, Nouh. MH. Aljarari et.al. Serum levels of LDH and Gamma GT in Libyan Breast Cancer patients. Indian journal of Medical Research. Volume: 3 | Issue : 12 | Dec 2013.
  17. Chandrakanth KH, Nagaraj,  Murthy  JDS,  Kumar  SD,  Pyati A. Study  of  serum  levels  of  gamma- glutamyltransferase,  lactate  dehydrogenase  malondialdehyde and vitamin  E  in  breast  Int J of Pharma  and  Bio Sciences. 2(4):489-98,Oct-Dec 2011.

Corresponding Author

Mohammed Saheb SK