Changes in the serum proteome associated with the development of hepatocellular carcinoma in hepatitis C-related cirrhosis

Early diagnosis of hepatocellular carcinoma (HCC) is the key to the delivery of effective therapies. The conventional serological diagnostic test, estimation of serum alpha-fetoprotein (AFP) lacks both sensitivity and specificity as a screening tool and improved tests are needed to complement ultras...

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Veröffentlicht in:British journal of cancer 2006-01, Vol.94 (2), p.287-292
Hauptverfasser: Ward, D G, Cheng, Y, N'kontchou, G, Thar, T T, Barget, N, Wei, W, Billingham, L J, Martin, A, Beaugrand, M, Johnson, P J
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container_issue 2
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container_title British journal of cancer
container_volume 94
creator Ward, D G
Cheng, Y
N'kontchou, G
Thar, T T
Barget, N
Wei, W
Billingham, L J
Martin, A
Beaugrand, M
Johnson, P J
description Early diagnosis of hepatocellular carcinoma (HCC) is the key to the delivery of effective therapies. The conventional serological diagnostic test, estimation of serum alpha-fetoprotein (AFP) lacks both sensitivity and specificity as a screening tool and improved tests are needed to complement ultrasound scanning, the major modality for surveillance of groups at high risk of HCC. We have analysed the serum proteome of 182 patients with hepatitis C-induced liver cirrhosis (77 with HCC) by surface-enhanced laser desorption/ionisation time-of-flight mass spectrometry (SELDI). The patients were split into a training set (84 non-HCC, 60 HCC) and a ‘blind’ test set (21 non-HCC, 17 HCC). Neural networks developed on the training set were able to classify the blind test set with 94% sensitivity (95% CI 73–99%) and 86% specificity (95% CI 65–95%). Two of the SELDI peaks (23/23.5 kDa) were elevated by an average of 50% in the serum of HCC patients ( P
doi_str_mv 10.1038/sj.bjc.6602923
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The conventional serological diagnostic test, estimation of serum alpha-fetoprotein (AFP) lacks both sensitivity and specificity as a screening tool and improved tests are needed to complement ultrasound scanning, the major modality for surveillance of groups at high risk of HCC. We have analysed the serum proteome of 182 patients with hepatitis C-induced liver cirrhosis (77 with HCC) by surface-enhanced laser desorption/ionisation time-of-flight mass spectrometry (SELDI). The patients were split into a training set (84 non-HCC, 60 HCC) and a ‘blind’ test set (21 non-HCC, 17 HCC). Neural networks developed on the training set were able to classify the blind test set with 94% sensitivity (95% CI 73–99%) and 86% specificity (95% CI 65–95%). Two of the SELDI peaks (23/23.5 kDa) were elevated by an average of 50% in the serum of HCC patients ( P &lt;0.001) and were identified as κ and λ immunoglobulin light chains. This approach may permit identification of several individual proteins, which, in combination, may offer a novel way to diagnose HCC.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/sj.bjc.6602923</identifier><identifier>PMID: 16404431</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Amino Acid Sequence ; Base Sequence ; Biological and medical sciences ; Biomarkers, Tumor - blood ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Carcinoma, Hepatocellular - blood ; Carcinoma, Hepatocellular - diagnosis ; Drug Resistance ; Electrophoresis, Polyacrylamide Gel ; Epidemiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatitis C ; Hepatitis C - complications ; Humans ; Immunoglobulin G - blood ; Immunoglobulin G - genetics ; Liver cancer ; Liver cirrhosis ; Liver Cirrhosis - etiology ; Liver Neoplasms - blood ; Liver Neoplasms - diagnosis ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Mass spectrometry ; Medical research ; Medical sciences ; Molecular Diagnostics ; Molecular Medicine ; Molecular Sequence Data ; Neural Networks, Computer ; Oncology ; Patients ; Proteins - analysis ; Proteome - analysis ; ROC Curve ; Scientific imaging ; Sensitivity and Specificity ; Serology ; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ; Surveillance ; Tumors ; Ultrasonic imaging</subject><ispartof>British journal of cancer, 2006-01, Vol.94 (2), p.287-292</ispartof><rights>The Author(s) 2006</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jan 30, 2006</rights><rights>Copyright © 2006 Cancer Research UK 2006 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-d25c9fb4b1a436c4b57713f95cad5c79dd30055a0f6c6c4291965474e40cd61b3</citedby><cites>FETCH-LOGICAL-c485t-d25c9fb4b1a436c4b57713f95cad5c79dd30055a0f6c6c4291965474e40cd61b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2361123/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2361123/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17666330$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16404431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ward, D G</creatorcontrib><creatorcontrib>Cheng, Y</creatorcontrib><creatorcontrib>N'kontchou, G</creatorcontrib><creatorcontrib>Thar, T T</creatorcontrib><creatorcontrib>Barget, N</creatorcontrib><creatorcontrib>Wei, W</creatorcontrib><creatorcontrib>Billingham, L J</creatorcontrib><creatorcontrib>Martin, A</creatorcontrib><creatorcontrib>Beaugrand, M</creatorcontrib><creatorcontrib>Johnson, P J</creatorcontrib><title>Changes in the serum proteome associated with the development of hepatocellular carcinoma in hepatitis C-related cirrhosis</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Early diagnosis of hepatocellular carcinoma (HCC) is the key to the delivery of effective therapies. The conventional serological diagnostic test, estimation of serum alpha-fetoprotein (AFP) lacks both sensitivity and specificity as a screening tool and improved tests are needed to complement ultrasound scanning, the major modality for surveillance of groups at high risk of HCC. We have analysed the serum proteome of 182 patients with hepatitis C-induced liver cirrhosis (77 with HCC) by surface-enhanced laser desorption/ionisation time-of-flight mass spectrometry (SELDI). The patients were split into a training set (84 non-HCC, 60 HCC) and a ‘blind’ test set (21 non-HCC, 17 HCC). Neural networks developed on the training set were able to classify the blind test set with 94% sensitivity (95% CI 73–99%) and 86% specificity (95% CI 65–95%). Two of the SELDI peaks (23/23.5 kDa) were elevated by an average of 50% in the serum of HCC patients ( P &lt;0.001) and were identified as κ and λ immunoglobulin light chains. This approach may permit identification of several individual proteins, which, in combination, may offer a novel way to diagnose HCC.</description><subject>Amino Acid Sequence</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - blood</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Carcinoma, Hepatocellular - blood</subject><subject>Carcinoma, Hepatocellular - diagnosis</subject><subject>Drug Resistance</subject><subject>Electrophoresis, Polyacrylamide Gel</subject><subject>Epidemiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatitis C</subject><subject>Hepatitis C - complications</subject><subject>Humans</subject><subject>Immunoglobulin G - blood</subject><subject>Immunoglobulin G - genetics</subject><subject>Liver cancer</subject><subject>Liver cirrhosis</subject><subject>Liver Cirrhosis - etiology</subject><subject>Liver Neoplasms - blood</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Mass spectrometry</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Molecular Diagnostics</subject><subject>Molecular Medicine</subject><subject>Molecular Sequence Data</subject><subject>Neural Networks, Computer</subject><subject>Oncology</subject><subject>Patients</subject><subject>Proteins - analysis</subject><subject>Proteome - analysis</subject><subject>ROC Curve</subject><subject>Scientific imaging</subject><subject>Sensitivity and Specificity</subject><subject>Serology</subject><subject>Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization</subject><subject>Surveillance</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc2r1DAUxYMovvHp1qUEQXedl-9MNoIMfsEDN7oOaZq-prTNmNs-0b_ezExxVHAVwvndc8_lIPScki0lfHcD_bbu_VYpwgzjD9CGSs4qumP6IdoQQnRFDCNX6AlAX76G7PRjdEWVIEJwukE_952b7gLgOOG5CxhCXkZ8yGkOaQzYASQf3Rwa_D3O3Qlpwn0Y0mEM04xTi7twcHPyYRiWwWXsXfZxSqM7Op60OEfA-yqH4eTjY85dgghP0aPWDRCere81-vr-3Zf9x-r284dP-7e3lRc7OVcNk960taipE1x5UUutKW-N9K6RXpum4YRI6UirfJGZoUZJoUUQxDeK1vwavTn7HpZ6DI0vubMb7CHH0eUfNrlo_1am2Nm7dG8ZV5QyXgxerwY5fVsCzHaMcDzYTSEtYDXRlFIiC_jyH7BPS57KcZYxY7QShhRoe4Z8TgA5tL-TUGKPnVrobenUrp2WgRd_5r_ga4kFeLUCDrwb2uwmH-HCaaUU58fNN2cOilRKz5d4_1n9Cx__vUk</recordid><startdate>20060130</startdate><enddate>20060130</enddate><creator>Ward, D G</creator><creator>Cheng, Y</creator><creator>N'kontchou, G</creator><creator>Thar, T T</creator><creator>Barget, N</creator><creator>Wei, W</creator><creator>Billingham, L J</creator><creator>Martin, A</creator><creator>Beaugrand, M</creator><creator>Johnson, P J</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060130</creationdate><title>Changes in the serum proteome associated with the development of hepatocellular carcinoma in hepatitis C-related cirrhosis</title><author>Ward, D G ; Cheng, Y ; N'kontchou, G ; Thar, T T ; Barget, N ; Wei, W ; Billingham, L J ; Martin, A ; Beaugrand, M ; Johnson, P J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-d25c9fb4b1a436c4b57713f95cad5c79dd30055a0f6c6c4291965474e40cd61b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Amino Acid Sequence</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - blood</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Carcinoma, Hepatocellular - blood</topic><topic>Carcinoma, Hepatocellular - diagnosis</topic><topic>Drug Resistance</topic><topic>Electrophoresis, Polyacrylamide Gel</topic><topic>Epidemiology</topic><topic>Gastroenterology. 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subjects Amino Acid Sequence
Base Sequence
Biological and medical sciences
Biomarkers, Tumor - blood
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Hepatocellular - blood
Carcinoma, Hepatocellular - diagnosis
Drug Resistance
Electrophoresis, Polyacrylamide Gel
Epidemiology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis C
Hepatitis C - complications
Humans
Immunoglobulin G - blood
Immunoglobulin G - genetics
Liver cancer
Liver cirrhosis
Liver Cirrhosis - etiology
Liver Neoplasms - blood
Liver Neoplasms - diagnosis
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Mass spectrometry
Medical research
Medical sciences
Molecular Diagnostics
Molecular Medicine
Molecular Sequence Data
Neural Networks, Computer
Oncology
Patients
Proteins - analysis
Proteome - analysis
ROC Curve
Scientific imaging
Sensitivity and Specificity
Serology
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
Surveillance
Tumors
Ultrasonic imaging
title Changes in the serum proteome associated with the development of hepatocellular carcinoma in hepatitis C-related cirrhosis
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