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PLoS One. 2013;8(5):e63468.

Development of biomarkers for screening hepatocellular carcinoma using global data mining and multiple reaction monitoring.

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제1저자 김현수, 김경곤 · 교신저자 윤정환

소속 (1)
  1. Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Republic of Korea.

Abstract

Hepatocellular carcinoma (HCC) is one of the most common and aggressive cancers and is associated with a poor survival rate. Clinically, the level of alpha-fetoprotein (AFP) has been used as a biomarker for the diagnosis of HCC. The discovery of useful biomarkers for HCC, focused solely on the proteome, has been difficult; thus, wide-ranging global data mining of genomic and proteomic databases from previous reports would be valuable in screening biomarker candidates. Further, multiple reaction monitoring (MRM), based on triple quadrupole mass spectrometry, has been effective with regard to high-throughput verification, complementing antibody-based verification pipelines. In this study, global data mining was performed using 5 types of HCC data to screen for candidate biomarker proteins: cDNA microarray, copy number variation, somatic mutation, epigenetic, and quantitative proteomics data. Next, we applied MRM to verify HCC candidate biomarkers in individual serum samples from 3 groups: a healthy control group, patients who have been diagnosed with HCC (Before HCC treatment group), and HCC patients who underwent locoregional therapy (After HCC treatment group). After determining the relative quantities of the candidate proteins by MRM, we compared their expression levels between the 3 groups, identifying 4 potential biomarkers: the actin-binding protein anillin (ANLN), filamin-B (FLNB), complementary C4-A (C4A), and AFP. The combination of 2 markers (ANLN, FLNB) improved the discrimination of the before HCC treatment group from the healthy control group compared with AFP. We conclude that the combination of global data mining and MRM verification enhances the screening and verification of potential HCC biomarkers. This efficacious integrative strategy is applicable to the development of markers for cancer and other diseases.

Figures

Figure 1
Figure 1 Workflow of HCC biomarker discovery. First, we selected candidate HCC biomarkers, based on global data mining using preexisting databases. In the first and second screening steps, preliminary MRM analysis of the target peptides/transitions was conducted using pooled serum samples to examine whether the transitions were detectable in serum samples. In the first verification step, MRM analysis of individual serum samples was performed using the predetermined retention time. In the second verification step, the data were analyzed and verified by Western blot. In the multivariate analysis, logistic regression (LR) analysis was performed to construct a multimarker panel of potential markers that could differentiate cancerous from noncancerous subjects.
Figure 2
Figure 2 Response curve using ATP-dependent RNA helicase A (DHX9) peptide. MRM runs were performed using an internal standard peptide (ELDALDANDELTPLGR) of ATP-dependent RNA helicase A (DHX9) at a Q1/Q3 transition of 876.4/1095.57 m/z, with which the standard curve was drawn. Triplicate MRM analyses were performed at 8 concentrations of the peptide (0, 1, 5, 10, 50, 100, 250, 500 fmol). The curve showed a linearity of R2 = 0.9984.
Figure 3
Figure 3 Verification of four proteins by Western blot. Comparison and relative quantification of AFP, ANLN, C4A, and FLNB expression in serum samples from the nondisease group and disease group. Relative abundance, represented by the band intensity in Western blot, is summarized in box plot.
Figure 4
Figure 4 ROC curves of AFP and 2-marker panel. ROC curves are based on prediction models using AFP alone or the 2-marker panel. Simple ROC analysis was performed to compare AFP with the 2-marker panel. LR analysis models were prepared to determine false positive/negative rate in the classifier tables, in which error rates are also shown. Three LR analysis models were prepared: (A) healthy control versus before HCC treatment group, (B) before HCC treatment versus after HCC treatment group, and (C) healthy control plus after HCC treatment versus before HCC treatment group.

그림 출처: PubMed Central 공개 논문 (PMC3661589)

Conflict of interest statement

Competing Interests:The authors have declared that no competing interests exist.

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
PloS one · eISSN 1932-6203
전자 출판
2013-05-22
MeSH
Aged · Aged, 80 and over · Biomarkers, Tumor / blood / genetics / metabolism · Carcinoma, Hepatocellular / blood / diagnosis / genetics / metabolism · Complement C4a / genetics / metabolism · Contractile Proteins / blood / genetics / metabolism · DNA Copy Number Variations / genetics · Data Mining / methods · Epigenomics / methods · Female · Filamins / genetics / metabolism · Humans · Liver Neoplasms / blood / diagnosis / genetics / metabolism · Male · Microfilament Proteins / blood / genetics / metabolism · Middle Aged · Mutation / genetics · Oligonucleotide Array Sequence Analysis / methods · Proteome / immunology · Proteomics / methods · alpha-Fetoproteins / genetics / metabolism
Substances
AFP protein, human · Biomarkers, Tumor · Contractile Proteins · FLNB protein, human · Filamins · Microfilament Proteins · Proteome · alpha-Fetoproteins · anillin · Complement C4a
참고문헌
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