Novel combined tumor autoantibody detection in serological diagnosis of gastric cancer.

IF 1.1 Q4 ONCOLOGY
International journal of clinical and experimental pathology Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI:10.62347/XMAW3065
Zixin Yu, Hushan Zhang, Sheng Li, Qingwen Huo, Han Ling, Ke Chen, Zhiming Wang
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引用次数: 0

Abstract

Objective: Gastric cancer (GC) is a highly prevalent malignancy, yet its early diagnosis rate is generally low. Therefore, we have established a serum-based combined detection method based on tumor autoantibodies aimed at improving the diagnostic rate of gastric cancer.

Methods: Through clinical studies, we selected a series of proteins aberrantly expressed in gastric cancer patients, including RalA, Survivin, NY-ESO-1, p53, Cyclin B1, and Koc, and expressed and purified them using prokaryotic expression and nickel column chromatography.

Results: The levels of autoantibodies in the serum of gastric cancer patients and healthy individuals were measured using enzyme-linked immunosorbent assay (ELISA), and the diagnostic value of the combined detection of tumor autoantibodies for gastric cancer was evaluated through receiver operating characteristic (ROC) curve analysis. The levels of autoantibodies against RalA, Survivin, NY-ESO-1, p53, and Cyclin B1 in the serum of gastric cancer patients were significantly higher than those in healthy individuals (P < 0.05), while the level of Koc showed no significant difference between the two groups (P > 0.05), suggesting that Koc may not be suitable for serological diagnosis of gastric cancer. ROC analysis of the combined levels of autoantibodies against RalA, Survivin, NY-ESO-1, p53, and Cyclin B1 for gastric cancer diagnosis achieved a sensitivity of 73.68% and specificity of 78.13%, with an AUC value of 0.8767.

Conclusion: The combined tumor autoantibody detection established in this study may have promising potential applications in early screening and diagnosis of gastric cancer.

在胃癌血清学诊断中进行新型肿瘤自身抗体联合检测
目的:胃癌是一种高发的恶性肿瘤,但其早期诊断率普遍较低。因此,我们建立了一种基于肿瘤自身抗体的血清联合检测方法,旨在提高胃癌的诊断率。方法:通过临床研究,选取RalA、Survivin、NY-ESO-1、p53、Cyclin B1、Koc等一系列胃癌患者异常表达蛋白,采用原核表达和镍柱色谱法进行表达纯化。结果:采用酶联免疫吸附试验(ELISA)检测胃癌患者和健康人血清中自身抗体水平,并通过受试者工作特征(ROC)曲线分析评价联合检测肿瘤自身抗体对胃癌的诊断价值。胃癌患者血清中抗RalA、Survivin、NY-ESO-1、p53、Cyclin B1的自身抗体水平显著高于健康人群(P < 0.05),而Koc水平在两组间差异无统计学意义(P < 0.05),提示Koc可能不适合用于胃癌的血清学诊断。ROC分析RalA、Survivin、NY-ESO-1、p53、Cyclin B1自身抗体联合水平对胃癌诊断的敏感性为73.68%,特异性为78.13%,AUC值为0.8767。结论:本研究建立的联合肿瘤自身抗体检测方法在胃癌的早期筛查和诊断中具有广阔的应用前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
42
审稿时长
1 months
期刊介绍: The International Journal of Clinical and Experimental Pathology (IJCEP, ISSN 1936-2625) is a peer reviewed, open access online journal. It was founded in 2008 by an international group of academic pathologists and scientists who are devoted to the scientific exploration of human disease and the rapid dissemination of original data. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal.
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