Use of amantadine as substrate for SSAT-1 activity as a reliable clinical diagnostic assay for breast and lung cancer

Future Sci OA. 2018 Dec 11;5(2):FSO365. doi: 10.4155/fsoa-2018-0106. eCollection 2019 Feb.

Abstract

Aim: Spermidine/spermine N1-acetyltransferase (SSAT-1) plays a critical role in cell growth, proliferation and death, and is known to be activated in human cancer cells. Amantadine, a US FDA-approved antiviral drug, is a substrate for SSAT-1 and can be used to indirectly measure SSAT-1 activity because of its conversion to acetylamantadine (AA). This study was undertaken to further validate SSAT-1 activity in breast and lung cancer patients.

Results: An increase in the urinary concentration of AA in lung and breast cancer patients was observed. The 0-2 h collection time point was determined to be optimal in revealing significant differences in urinary AA concentration between healthy controls and cancer patients.

Conclusion: The high urine concentration of AA could be used as a simple and useful test for the detection of breast and lung cancer.

Keywords: SSAT-1; amantadine; biomarkers; breast cancer; cancer diagnostics and screening; lung cancer; polyamine metabolism.