Serum biomarker panels for the diagnosis of gastric adenocarcinoma.

Background: Currently, serum biomarkers, which are sufficiently sensitive and specific for early detection and risk classification of gastric adenocarcinoma do not exist. Therefore, this study identified a panel of serum biomarkers for the diagnosis of gastric adenocarcinoma.Methods: A 29-plex array...

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Publicado en:British Journal of Cancer Vol. 106; no. 4; pp. 733 - 740
Autores principales: Ahn HS, Shin YS, Park PJ, Kang KN, Kim Y, Lee HJ, Yang HK, Kim CW, Ahn, H S, Shin, Y S, Park, P J, Kang, K N, Kim, Y, Lee, H-J, Yang, H-K, Kim, C W
Formato: research Journal Article
Publicado: Springer Nature 2/14/2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Serum biomarker panels for the diagnosis of gastric adenocarcinoma.
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          Ahn HS
          Shin YS
          Park PJ
          Kang KN
          Kim Y
          Lee HJ
          Yang HK
          Kim CW
          Ahn, H S
          Shin, Y S
          Park, P J
          Kang, K N
          Kim, Y
          Lee, H-J
          Yang, H-K
          Kim, C W
        affil: Department of Surgery, Seoul National University-Boramae hospital, Seoul, Korea
      sug:
        subj:
          Adenocarcinoma Blood
          Early Diagnosis
          Stomach Neoplasms Blood
          Tumor Markers, Biological Blood
          Aged
          Algorithms
          Female
          Human
          Male
          Middle Age
          Sensitivity and Specificity
          Validation Studies
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Currently, serum biomarkers, which are sufficiently sensitive and specific for early detection and risk classification of gastric adenocarcinoma do not exist. Therefore, this study identified a panel of serum biomarkers for the diagnosis of gastric adenocarcinoma.Methods: A 29-plex array platform with 29 biomarkers, consisting of 11 proteins discovered through proteomics and 18 previously known to be cancer-associated, was constructed. A test/training set consisting of 120 gastric adenocarcinoma and 120 control samples were examined. After 13 proteins were selected as candidate biomarkers, multivariate classification analyses were used to identify algorithms for diagnostic biomarker combinations. These algorithms were independently validated using a set of 95 gastric adenocarcinoma and 51 control samples.Results: Epidermal growth factor receptor (EGFR), pro-apolipoprotein A1 (proApoA1), apolipoprotein A1, transthyretin (TTR), regulated upon activation, normally T-expressed and presumably secreted (RANTES), D-dimer, vitronectin (VN), interleukin-6, α-2 macroglobulin, C-reactive protein and plasminogen activator inhibitor-1 were selected as classifiers in the two algorithms. These algorithms differentiated between the majority of gastric adenocarcinoma and control serum samples in the training/test set with high accuracy (>88%). These algorithms also accurately classified in the validation set (>85%).Conclusion: Two panels of combinatorial biomarkers, including EGFR, TTR, RANTES, and VN, are developed, which are less invasive method for the diagnosis of gastric adenocarcinoma. They could supplement clinical gastroscopic evaluation of symptomatic patients to enhance diagnostic accuracy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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