Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Serum MUC5AC Predicts Recurrence in Pancreatic Ductal Adenocarcinoma Patients on Neoadjuvant Chemotherapy

Version 1 : Received: 11 September 2024 / Approved: 11 September 2024 / Online: 12 September 2024 (13:19:57 CEST)

How to cite: Manne, A.; Bao, Y.; Sheel, A.; Sara, A.; Manne, U.; Thanikachalam, K.; He, K.; Esnakula, A. K.; Paluri, R. K.; Kasi, A.; Noonan, A. M.; Mittra, A.; Hays, J.; Roychowdhury, S.; Malalur, P.; Rahman, S.; Jin, N.; Cloyd, J. M.; Tsai, S.; Ejaz, A.; Sherpally, D.; Jeepalyam, S.; Shah, R.; Dillhoff, M.; Yu, L.; Yang, W. Serum MUC5AC Predicts Recurrence in Pancreatic Ductal Adenocarcinoma Patients on Neoadjuvant Chemotherapy. Preprints 2024, 2024090945. https://doi.org/10.20944/preprints202409.0945.v1 Manne, A.; Bao, Y.; Sheel, A.; Sara, A.; Manne, U.; Thanikachalam, K.; He, K.; Esnakula, A. K.; Paluri, R. K.; Kasi, A.; Noonan, A. M.; Mittra, A.; Hays, J.; Roychowdhury, S.; Malalur, P.; Rahman, S.; Jin, N.; Cloyd, J. M.; Tsai, S.; Ejaz, A.; Sherpally, D.; Jeepalyam, S.; Shah, R.; Dillhoff, M.; Yu, L.; Yang, W. Serum MUC5AC Predicts Recurrence in Pancreatic Ductal Adenocarcinoma Patients on Neoadjuvant Chemotherapy. Preprints 2024, 2024090945. https://doi.org/10.20944/preprints202409.0945.v1

Abstract

Background: We explored the potential value of serum MUC5AC (sMUC5AC) as a biomarker to guide perioperative management of early-stage pancreatic ductal adenocarcinoma (PDA) patients receiving neoadjuvant therapy (NAT). Methods: We performed enzyme-linked immunoassays using a human MUC5AC kit (NBP2-76703) in serum samples obtained from The Ohio State Uni-versity biorepository (between January 2010 and June 2021). Univariate (UV) and multivariate (MV) Cox regression models were used to quantify progression-free survival (PFS); clinical and pathological variables were adjusted in the MV models. UV logistic regression analysis was utilized to examine the association of sMUC5AC with pathological features and survival. Results: Overall, 23 samples (19 FOLFIRINOX, 3 gemcitabine/nab-paclitaxel, 1 FOLFOX) were available for analysis. The median age was 66 years, and 52% were females. sMUC5AC was associated with a) treatment response, margin status, and residual disease (R0 vs. R1/R2) (all P

Keywords

Pancreatic cancer; MUC5AC; biomarker; predicting; pancreatic ductal adenocarcinoma, neoadjuvant therapy; treatment response; FOLFIRINOX

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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