Abstract | BACKGROUND:
Lung cancer is the leading cancer killer. Early detection will reduce the related deaths. The objective of this study was to identify potential biomarkers for early-stage lung cancer in sputum supernatant. MATERIALS AND METHODS: Using shotgun proteomics, we detected changes in protein profiles that were associated with lung cancer by analyzing sputum supernatants from 6 patients with early-stage lung cancer and 5 cancer-free controls. Using western blotting, we validated the proteomic results in 22 lung cancer cases and 22 controls. Using enzyme-linked immunosorbent assay (ELISA), we evaluated the diagnostic performance of the biomarker candidates in an independent set of 35 cases and 36 controls. RESULTS: Proteomics identified 8 biomarker candidates for lung cancer. Western blotting validation of the candidates showed that enolase 1 (ENO1) displayed a higher expression level in patients with cancer than in cancer-free individuals (P = .015). ELISA revealed that the assessment of ENO1 expression in sputum supernatant had 58.33% sensitivity and 80.00% specificity in distinguishing patients with stage I lung cancer from cancer-free individuals. CONCLUSION: The analysis of protein biomarkers in sputum may provide a potential approach for the early detection of lung cancer. Future validation of all the candidates defined by shotgun proteomics in a large cohort study may help develop additional biomarkers that can be added to ENO1 to provide more diagnostic efficacy for lung cancer.
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Authors | Lei Yu, Jun Shen, Kaiissar Mannoor, Maria Guarnera, Feng Jiang |
Journal | Clinical lung cancer
(Clin Lung Cancer)
Vol. 15
Issue 5
Pg. 372-378.e1
(Sep 2014)
ISSN: 1938-0690 [Electronic] United States |
PMID | 24984566
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Validation Study)
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Copyright | Copyright © 2014 Elsevier Inc. All rights reserved. |
Chemical References |
- Biomarkers, Tumor
- DNA-Binding Proteins
- Tumor Suppressor Proteins
- ENO1 protein, human
- Phosphopyruvate Hydratase
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Topics |
- Aged
- Biomarkers, Tumor
(genetics, metabolism)
- Blotting, Western
- Case-Control Studies
- DNA-Binding Proteins
(genetics, metabolism)
- Enzyme-Linked Immunosorbent Assay
- Female
- Gene Expression Regulation, Neoplastic
- Humans
- Lung Neoplasms
(genetics, pathology)
- Male
- Neoplasm Staging
- Phosphopyruvate Hydratase
(genetics, metabolism)
- Proteomics
(methods)
- Sensitivity and Specificity
- Sputum
(metabolism)
- Tumor Suppressor Proteins
(genetics, metabolism)
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