Blood autoantibodies against tumor-associated antigens as biomarkers in early detection of colorectal cancer

Abstract Multiple studies have shown that cancer patients produce detectable autoantibodies against certain tumor-associated antigens, which might be promising blood biomarkers for early detection of colorectal cancer (CRC). We aimed to provide an overview of published studies on blood autoantibody...

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Veröffentlicht in:Cancer letters 2014-05, Vol.346 (2), p.178-187
Hauptverfasser: Chen, Hongda, Werner, Simone, Tao, Sha, Zörnig, Inka, Brenner, Hermann
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container_end_page 187
container_issue 2
container_start_page 178
container_title Cancer letters
container_volume 346
creator Chen, Hongda
Werner, Simone
Tao, Sha
Zörnig, Inka
Brenner, Hermann
description Abstract Multiple studies have shown that cancer patients produce detectable autoantibodies against certain tumor-associated antigens, which might be promising blood biomarkers for early detection of colorectal cancer (CRC). We aimed to provide an overview of published studies on blood autoantibody markers for early detection of CRC and to summarize their diagnostic performance. A systematic literature search was performed in PubMed, ISI Web of Knowledge and EMBASE to find relevant studies published until 23 July 2013. Relevant information, such as study population characteristics, autoantibodies studied, analytical methods and diagnostic performance characteristics was independently extracted by two reviewers. Overall, 67 studies evaluating 109 autoantibody markers were included. Most individual markers showed low sensitivity (below 25%) for detecting CRC, along with high specificity close to 100%. Occasionally reported higher sensitivities for specific antibodies are yet to be replicated in independent studies. Generally, more promising results were seen for combinations of multiple autoantibody markers. But again, these promising results are yet to be replicated in other samples. In conclusion, autoantibody signatures may become a promising approach to noninvasive CRC screening. Optimized marker panels are yet to be developed, and promising results require validation in large screening populations.
doi_str_mv 10.1016/j.canlet.2014.01.007
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We aimed to provide an overview of published studies on blood autoantibody markers for early detection of CRC and to summarize their diagnostic performance. A systematic literature search was performed in PubMed, ISI Web of Knowledge and EMBASE to find relevant studies published until 23 July 2013. Relevant information, such as study population characteristics, autoantibodies studied, analytical methods and diagnostic performance characteristics was independently extracted by two reviewers. Overall, 67 studies evaluating 109 autoantibody markers were included. Most individual markers showed low sensitivity (below 25%) for detecting CRC, along with high specificity close to 100%. Occasionally reported higher sensitivities for specific antibodies are yet to be replicated in independent studies. Generally, more promising results were seen for combinations of multiple autoantibody markers. But again, these promising results are yet to be replicated in other samples. 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In conclusion, autoantibody signatures may become a promising approach to noninvasive CRC screening. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Hongda</au><au>Werner, Simone</au><au>Tao, Sha</au><au>Zörnig, Inka</au><au>Brenner, Hermann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood autoantibodies against tumor-associated antigens as biomarkers in early detection of colorectal cancer</atitle><jtitle>Cancer letters</jtitle><addtitle>Cancer Lett</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>346</volume><issue>2</issue><spage>178</spage><epage>187</epage><pages>178-187</pages><issn>0304-3835</issn><eissn>1872-7980</eissn><abstract>Abstract Multiple studies have shown that cancer patients produce detectable autoantibodies against certain tumor-associated antigens, which might be promising blood biomarkers for early detection of colorectal cancer (CRC). 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subjects Antibodies, Neoplasm - blood
Antibodies, Neoplasm - immunology
Antibody Specificity
Antigens, Neoplasm - immunology
Autoantibodies
Autoantibodies - blood
Autoantibodies - immunology
Biomarker
Biomarkers
Biomarkers, Tumor - blood
Biomarkers, Tumor - immunology
Blood
Colorectal cancer
Colorectal Neoplasms - blood
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - immunology
Confidence intervals
Early detection
Early Detection of Cancer - methods
Hematology, Oncology and Palliative Medicine
Humans
Immunoassay
Medical screening
Proteins
Studies
Systematic review
title Blood autoantibodies against tumor-associated antigens as biomarkers in early detection of colorectal cancer
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