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Sci Rep. 2025;15(1):35659.

Development of a serum protein biomarker panel for the diagnosis of pancreatic ductal adenocarcinoma using a machine learning approach.

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제1저자 신동우 · 교신저자 황진혁

소속 (8)
  1. Department of Translational Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
  2. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do, 14068, Republic of Korea.
  3. Department of Biochemistry, College of Veterinary Medicine, BK 21 PLUS, Seoul National University, Seoul, 08826, Republic of Korea.
  4. Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, 13620, Republic of Korea.
  5. Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
  6. Department of Internal Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam, Gyeonggi-do, 13620, Republic of Korea.
  7. Department of Internal Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam, Gyeonggi-do, 13620, Republic of Korea. woltoong@snu.ac.kr.
  8. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea. woltoong@snu.ac.kr.

Abstract

Early detection of pancreatic ductal adenocarcinoma (PDA) remains a major clinical challenge due to the lack of reliable biomarkers. We developed and validated a machine learning (ML)-based serum protein biomarker panel to enhance PDA diagnosis. Serum concentrations of 47 protein biomarkers were measured in 355 individuals using a Luminex™ bead-based immunoassay. Multiple ML algorithms were employed to construct a diagnostic model, with SHapley Additive exPlanations (SHAP) analysis used to determine the importance of each biomarker. The diagnostic performance of the panel was assessed by the area under the receiver operating characteristic curve (AUROC), F1 score, sensitivity, specificity, and accuracy, and further validated in an independent cohort of 130 individuals. Among the tested models, CatBoost demonstrated the highest diagnostic accuracy. SHAP analysis identified CA19-9, GDF15, and suPAR as key biomarkers, and the combined panel significantly outperformed CA19-9 alone in detecting PDA across all stages (AUROC 0.992 vs. 0.952) and in early-stage PDA (AUROC 0.976 vs. 0.868). Validation in another cohort confirmed the robustness of the model, with AUROC values of 0.977 for all stages and 0.987 for early-stage PDA. These findings suggest that ML-integrated biomarker panels may enable earlier and more accurate PDA detection in clinical practice.

© 2025. The Author(s).

Keywords

BiomarkersDiagnosisMachine learningPancreatic cancerProteomics

Figures

Fig. 1
Fig. 1 Overview of the research workflow.
Fig. 2
Fig. 2 Serum protein biomarker expression profiles in patients with PDA and healthy controls. (a) Heatmap illustrating the intensity and distribution of serum protein biomarkers in patients with PDA and healthy controls. Rows represent individual biomarkers, and columns represent individual samples. Higher expression levels are indicated in red, while lower levels are shown in blue. (b) Boxplots of Z-score distributions for 47 serum protein biomarkers across three groups: healthy controls (blue), early-stage (stage I/II, orange) PDA, and advanced-stage (stage III/IV, red) PDA. Each box represents the IQR, with whiskers extending to 1.5 times the IQR; individual dots indicate outliers. (c) Scatter plots comparing biomarker distributions in Cohort A. (d) Scatter plots comparing biomarker distributions in Cohort B.
Fig. 3
Fig. 3 Performance evaluation of the ML-based biomarker panel for all-stage PDA diagnosis. (a) ROC curve comparing the diagnostic performance of multiple ML models in cohort A. (b) Confusion matrices for different ML algorithms. (c) Feature importance analysis for all-stage PDA using Random Forest. (d) Feature importance analysis for all-stage PDA using XGBoost. (e) Feature importance analysis for all-stage PDA using LightGBM. (f) Feature importance analysis for all-stage PDA using CatBoost.
Fig. 4
Fig. 4 Performance evaluation of the ML-based biomarker panel for early-stage PDA diagnosis. (a) ROC curve comparing the diagnostic performance of multiple ML models in cohort A. (b) Confusion matrices for different ML algorithms. (c) Feature importance analysis for early-stage PDA using Random Forest. (d) Feature importance analysis for early-stage PDA using XGBoost. (e) Feature importance analysis for early-stage PDA using LightGBM. (f) Feature importance analysis for early-stage PDA using CatBoost.
Fig. 5
Fig. 5 Diagnostic performance of biomarker panels for PDA. (a) All-stage PDA vs. healthy controls in Cohort A. (b) Early-stage PDA vs. healthy controls in Cohort A. (c) All-stage PDA vs. healthy controls in Cohort B. (d) Early-stage PDA vs. healthy controls in Cohort B.

그림 출처: PubMed Central 공개 논문 (PMC12518602)

Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

그 밖의 정보
출판 형태
Journal Article
저널
Scientific reports · eISSN 2045-2322
전자 출판
2025-10-13
MeSH
Humans · Machine Learning* · Carcinoma, Pancreatic Ductal* / diagnosis / blood · Biomarkers, Tumor* / blood · Female · Pancreatic Neoplasms* / diagnosis / blood · Male · Middle Aged · Aged · ROC Curve · CA-19-9 Antigen / blood · Blood Proteins* / analysis · Early Detection of Cancer / methods · Growth Differentiation Factor 15 / blood · Adult
Substances
Biomarkers, Tumor · CA-19-9 Antigen · Blood Proteins · Growth Differentiation Factor 15
연구비
Seoul National University Bundang Hospital 14-2021-0042, 06-2020-0113
참고문헌
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