A novel approach toward development of a rapid blood test for breast cancer.

Mammography remains the diagnostic test of choice for breast cancer, but 20% of cancers still go undetected. Many serum biomarkers have been reported for breast cancer but none have proven to represent effective diagnostic strategies. ProteinChip mass spectrometry is an innovative technology that se...

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Bibliographic Details
Published in:Clinical Breast Cancer Vol. 4; no. 3; pp. 203 - 210
Main Authors: Vlahou A, Laronga C, Wilson L, Gregory B, Fournier K, McGaughey D, Perry RR, Wright GL Jr., Semmes OJ, Vlahou, Antonia, Laronga, Christine, Wilson, Lori, Gregory, Betsy, Fournier, Keith, McGaughey, Dean, Perry, Roger R, Wright, George L Jr, Semmes, O John
Format: research tables/charts Journal Article
Published: Elsevier B.V. 2003 Aug
Online Access:View this record in EBSCOhost
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      dt: 2003 Aug
      vid: 4
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      pub: Elsevier B.V.
      place: New York, New York
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        atl: A novel approach toward development of a rapid blood test for breast cancer.
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          Vlahou A
          Laronga C
          Wilson L
          Gregory B
          Fournier K
          McGaughey D
          Perry RR
          Wright GL Jr.
          Semmes OJ
          Vlahou, Antonia
          Laronga, Christine
          Wilson, Lori
          Gregory, Betsy
          Fournier, Keith
          McGaughey, Dean
          Perry, Roger R
          Wright, George L Jr
          Semmes, O John
        affil: Department of Microbiology, and Virginia Prostate Center, Eastern Virginia Medical School, Norfolk, VA 23507, USA
      sug:
        subj:
          Breast Neoplasms Blood
          Breast Neoplasms Diagnosis
          Hematologic Tests Methods
          Hematologic Tests Trends
          Adult
          Aged
          Aged, 80 and Over
          Algorithms
          Biological Markers
          Female
          Funding Source
          Middle Age
          Sensitivity and Specificity
          Software
          Time Factors
          Validation Studies
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: Mammography remains the diagnostic test of choice for breast cancer, but 20% of cancers still go undetected. Many serum biomarkers have been reported for breast cancer but none have proven to represent effective diagnostic strategies. ProteinChip mass spectrometry is an innovative technology that searches the proteome for differentially expressed proteins, allowing for the creation of a panel or profile of biomarkers. The objective of this study was to construct unique cancer-associated serum profiles that, combined with a classification algorithm, would enhance the detection of breast cancer Pretreatment serum samples from 134 female patients (45 with cancer, 42 with benign disease, 47 normal) were procured prospectively following institutional review board-approved protocols. Proteins were denatured, applied onto ProteinChip affinity surfaces, and subjected to surface enhanced laser desorption/ionization (SELDI) time-of-flight mass spectrometry. The SELDI output was analyzed using Biomarker Pattern Software to develop a classification tree based on group-specific protein profiles. The cross-validation analysis of cancer versus normal revealed sensitivity and specificity rates of 80% and 79%, and for cancer versus benign disease, 78% and 83%, respectively. When 2 different chip surfaces were combined the sensitivity and specificity increased to 90% and 93%, respectively. The sensitivity and specificity of this technique are comparable to those of mammography and, if confirmed in a larger study, this technique could provide the means toward development of a simple blood test to aid in the early detection of breast cancer. The combination of SELDI ProteinChip mass spectrometry and a classification- and regression-tree algorithm has the potential to use serum protein expression profiles for detection and diagnosis of breast cancer.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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