Detection of pancreatic cancer using serum protein profiling

Berit Velstra, Bert A. Bonsing, Bart J. Mertens, Yuri E. M. van der Burgt, Anouck Huijbers, Hans Vasen, Wilma E. Mesker, Andre M. Deelder, Rob A. E. M. Tollenaar*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Background: Currently, no suitable biomarkers for the early detection of pancreatic cancer (PC) are available. Proteins present in the serum could reflect a state of the disease. In this study, these profiles as a diagnostic marker for PC were evaluated.

Methods: Serum samples were obtained from PC patients (n = 50 calibration set, n = 39 validation set) and healthy volunteers (n = 110 and n = 75 respectively) according to a uniform standardized collection and processing protocol. For peptide and protein isolation, automated solid-phase extraction (SPE) with Weak Cation Exchange (WCX) magnetic beads (MB) was performed using a 96-channel liquid handling platform. Protein profiles were obtained by mass spectrometry (MS) and evaluated by linear discriminant analysis with double cross-validation.

Results: A discriminating profile for PC has been identified, with a sensitivity of 78% and a specificity of 89% in the calibration set with an area under the curve (AUC) of 90%. These results were validated with a sensitivity of 74% and a specificity of 91% (AUC 90%).

Conclusion: Serum profiles of healthy controls and PC can be discrimated between. Further research is warranted to evaluate specificity and whether this biosignature can be used for early detection in a high risk population.

Original languageEnglish
Pages (from-to)602-610
Number of pages9
JournalHPB
Volume15
Issue number8
DOIs
Publication statusPublished - Aug 2013
Externally publishedYes

Keywords

  • TOF MASS-SPECTROMETRY
  • ENHANCED LASER-DESORPTION
  • PROTEOMIC ANALYSIS
  • GEL-ELECTROPHORESIS
  • DIAGNOSIS
  • IDENTIFICATION
  • ADENOCARCINOMA
  • BIOMARKERS
  • PATTERNS
  • RISK

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