Serum protein signature may improve detection of ductal carcinoma in situ of the breast

Ductal carcinoma in situ (DCIS) of the breast is part of a spectrum of preinvasive lesions that originate within normal breast tissue and progress to invasive breast cancer. The detection of DCIS is important for the reduction of mortality from breast cancer, but the diagnosis of preinvasive breast...

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Veröffentlicht in:Oncogene 2010-01, Vol.29 (4), p.550-560
Hauptverfasser: Solassol, J, Rouanet, P, Lamy, P J, Allal, C, Favre, G, Maudelonde, T, Mangé, A
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container_title Oncogene
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creator Solassol, J
Rouanet, P
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Maudelonde, T
Mangé, A
description Ductal carcinoma in situ (DCIS) of the breast is part of a spectrum of preinvasive lesions that originate within normal breast tissue and progress to invasive breast cancer. The detection of DCIS is important for the reduction of mortality from breast cancer, but the diagnosis of preinvasive breast tumors is hampered by the lack of an adequate detection method. To identify the changes in protein expression during the initial stage of tumorigenesis and to identify the presence of new DCIS markers, we analysed serum from 60 patients with breast cancer and 60 normal controls using mass spectrometry. A 23-protein index was generated that correctly distinguishes the DCIS and control groups with sensitivities and specificities in excess of 80% in two independent cohorts. Two candidate peptides were purified and identified as platelet factor 4 (PF-4) and complement C3a desArg anaphylatoxin (C3a desArg ) using liquid chromatography–tandem mass spectrometry (LC–MS/MS). In an independent serum set of 165 patients, PF-4 and C3a desArg were significantly upregulated in DCIS compared with non-cancerous controls, as validated using western blot and enzyme-linked immunosorbent assay. We conclude that our serum protein-based test, used in conjunction with image-based screening practices, could improve the sensitivity and specificity of breast cancer detection.
doi_str_mv 10.1038/onc.2009.341
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source MEDLINE; Nature; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Amino Acid Sequence
Apoptosis
Biological and medical sciences
Biological markers
Biomarkers, Tumor - blood
Biomarkers, Tumor - chemistry
Blood tests
Breast cancer
Breast Neoplasms - blood
Breast Neoplasms - chemistry
Breast Neoplasms - diagnosis
Carcinoma, Ductal, Breast - blood
Carcinoma, Ductal, Breast - chemistry
Carcinoma, Ductal, Breast - diagnosis
Cell Biology
Cell physiology
Cell transformation and carcinogenesis. Action of oncogenes and antioncogenes
Complement C3 - analysis
Complement C3 - chemistry
Development and progression
Diagnosis
Diagnostic tests
Enzyme-linked immunosorbent assay
Fundamental and applied biological sciences. Psychology
Genetics
Gynecology. Andrology. Obstetrics
Human Genetics
Humans
Internal Medicine
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Molecular and cellular biology
Molecular Sequence Data
Oncology
original-article
Platelet Factor 4 - blood
Platelet Factor 4 - chemistry
Protein Array Analysis
Proteins
Tandem Mass Spectrometry
Tumors
Up-Regulation
title Serum protein signature may improve detection of ductal carcinoma in situ of the breast
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