Glycomics

糖组学
  • 文章类型: Journal Article
    传统的方法通常在解决生物系统的复杂性方面不足。在这方面,系统生物学组学为进行全面分析带来了宝贵的工具。当前的测序能力彻底改变了遗传学和基因组学研究,以及几种物种和样品类型的转录谱和动力学的表征。生物系统经历涉及数千个分子的复杂生化过程。这些过程发生在不同的水平,可以使用基于质谱(基于MS)的分析进行研究,实现高通量蛋白质组学,糖蛋白质组学,糖组学,代谢组学,和脂质组学分析。这里,我们介绍了用于完成组学分析的最新技术.此外,我们包括一些有趣的例子,多组学的适用性,各种生物系统。
    Traditional methodologies often fall short in addressing the complexity of biological systems. In this regard, system biology omics have brought invaluable tools for conducting comprehensive analysis. Current sequencing capabilities have revolutionized genetics and genomics studies, as well as the characterization of transcriptional profiling and dynamics of several species and sample types. Biological systems experience complex biochemical processes involving thousands of molecules. These processes occur at different levels that can be studied using mass spectrometry-based (MS-based) analysis, enabling high-throughput proteomics, glycoproteomics, glycomics, metabolomics, and lipidomics analysis. Here, we present the most up-to-date techniques utilized in the completion of omics analysis. Additionally, we include some interesting examples of the applicability of multi omics to a variety of biological systems.
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  • 文章类型: Journal Article
    糖组学,关注聚糖在生物过程中的作用,特别是它们对折叠的影响,糖缀合物样抗体的稳定性和受体相互作用,对我们理解生物学至关重要。免疫球蛋白G(IgG)N-糖基化的变化与各种生理和病理生理条件有关。然而,耗时的手动样品制备是糖组学诊断实施中的限制之一。该研究旨在开发一种在TecanFreedomEvo200平台上进行样品制备的自动化方法,并将其效率和精度与手动方法进行比较。
    最初的方法开发包括32个混合血浆技术重复。在方法比较中使用另外24个汇集的样品以及从10,001Dalmatians生物库收集的78个随机重复的血浆样品,以比较手动和自动方法。
    开发产生了一种新的自动化方法。对于自动化方法,对于手动方法,包含91%的总样品聚糖的聚糖峰显示小于5%的变化,而92%的总样品显示小于5%的变化。Passing-Bablok回归的结果表明12个聚糖峰(GP)的自动和手动方法之间没有差异。然而,对于8个GP存在系统差异,而四个全科医生存在系统和比例差异。
    开发的用于IgG聚糖分析的自动化样品制备方法减少了对危险化学品的暴露,并提供了简化的工作流程。尽管方法之间略有不同,新的自动化方法显示出高精度,并被证明与手动方法高度可比。
    UNASSIGNED: Glycomics, focusing on the role of glycans in biological processes, particularly their influence on the folding, stability and receptor interactions of glycoconjugates like antibodies, is vital for our understanding of biology. Changes in immunoglobulin G (IgG) N-glycosylation have been associated with various physiological and pathophysiological conditions. Nevertheless, time-consuming manual sample preparation is one of the limitations in the glycomics diagnostic implementation. The study aimed to develop an automated method for sample preparation on the Tecan Freedom Evo 200 platform and compare its efficiency and precision with the manual counterpart.
    UNASSIGNED: The initial method development included 32 pooled blood plasma technical replicates. An additional 24 pooled samples were used in the method comparison along with 78 random duplicates of plasma samples collected from 10,001 Dalmatians biobank to compare the manual and automated methods.
    UNASSIGNED: The development resulted in a new automated method. For the automated method, glycan peaks comprising 91% of the total sample glycan showed a variation of less than 5% while 92% of the total sample showed a variation of less than 5% for the manual method. The results of the Passing-Bablok regression indicated no differences between the automated and manual methods for 12 glycan peaks (GPs). However, for 8 GPs systematic difference was present, while both systematic and proportional differences were present for four GPs.
    UNASSIGNED: The developed automated sample preparation method for IgG glycan analysis reduced exposure to hazardous chemicals and offered a simplified workflow. Despite slight differences between the methods, the new automated method showed high precision and proved to be highly comparable to its manual counterpart.
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  • 文章类型: Journal Article
    与白人妇女(WW)相比,较高的乳腺癌死亡率继续不成比例地影响黑人妇女(BW)。这种差异主要是由于肿瘤侵袭性的差异,这可能与不同的祖先相关的乳腺肿瘤微环境(TME)有关。然而,乳腺组织中正常微环境(NME)的特征及其与乳腺癌危险因素的关系仍不清楚。N-聚糖,与葡萄糖代谢相关的翻译后修饰,在正常乳腺组织中没有被表征。我们假设具有不同乳腺成像和报告数据系统(BI-RADS)类别的正常女性乳腺组织具有基于N-聚糖特征的独特微环境,这些特征随遗传祖先而变化。使用基质辅助激光解吸/电离(MALDI)质谱成像(MSI)在具有乳腺癌风险的BW(n=20)和WW(n=20)的正常乳腺组织中表征N-聚糖的分布。在NME中鉴定了总共176个N-聚糖(32个核心岩藻糖基化和144个非核心岩藻糖基化)。我们发现某些核心岩藻糖基化,外臂岩藻糖基化和高甘露糖N-聚糖结构在乳腺NME中具有特定的强度模式和组织学分布,这取决于BI-RADS密度和血统。来自BW的正常乳腺组织,而不是WW,乳腺密度不均一,遵循高甘露糖模式,如浸润性导管癌和小叶癌所示。最后,生活方式因素(例如年龄、更年期状态,盖尔得分,BMI,BI-RADS)基于血统与岩藻糖基化和高甘露糖N-聚糖差异相关。这项研究旨在破译来自不同祖先的乳腺NME中的分子特征,以改善乳腺癌负担的总体差异。
    Higher breast cancer mortality rates continue to disproportionally affect black women (BW) compared to white women (WW). This disparity is largely due to differences in tumor aggressiveness that can be related to distinct ancestry-associated breast tumor microenvironments (TMEs). Yet, characterization of the normal microenvironment (NME) in breast tissue and how they associate with breast cancer risk factors remains unknown. N-glycans, a glucose metabolism-linked post-translational modification, has not been characterized in normal breast tissue. We hypothesized that normal female breast tissue with distinct Breast Imaging and Reporting Data Systems (BI-RADS) categories have unique microenvironments based on N-glycan signatures that varies with genetic ancestries. Profiles of N-glycans were characterized in normal breast tissue from BW (n = 20) and WW (n = 20) at risk for breast cancer using matrix assisted laser desorption/ionization (MALDI) mass spectrometry imaging (MSI). A total of 176 N-glycans (32 core-fucosylated and 144 noncore-fucosylated) were identified in the NME. We found that certain core-fucosylated, outer-arm fucosylated and high-mannose N-glycan structures had specific intensity patterns and histological distributions in the breast NME dependent on BI-RADS densities and ancestry. Normal breast tissue from BW, and not WW, with heterogeneously dense breast densities followed high-mannose patterns as seen in invasive ductal and lobular carcinomas. Lastly, lifestyles factors (e.g. age, menopausal status, Gail score, BMI, BI-RADS) differentially associated with fucosylated and high-mannose N-glycans based on ancestry. This study aims to decipher the molecular signatures in the breast NME from distinct ancestries towards improving the overall disparities in breast cancer burden.
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  • 文章类型: Journal Article
    Glycans,或者复杂的碳水化合物,是信息丰富的生物聚合物,对许多生物过程至关重要,在药物治疗中具有相当重要的意义。我们的理解,虽然,与其他生物分子如DNA和蛋白质相比是有限的。聚糖结构的更大复杂性和常规化学分析方法的局限性阻碍了聚糖研究。令人发指的是,纳米孔单分子传感器-商业上可用于DNA测序-作为实现和推进聚糖分析的工具具有很大的前景。我们专注于推进纳米孔聚糖表征的两个关键领域:分子表面涂层,以增强纳米孔性能,包括通过分子识别,和高质量的聚糖化学标准进行培训。
    Glycans, or complex carbohydrates, are information-rich biopolymers critical to many biological processes and with considerable importance in pharmaceutical therapeutics. Our understanding, though, is limited compared to other biomolecules such as DNA and proteins. The greater complexity of glycan structure and the limitations of conventional chemical analysis methods hinder glycan studies. Auspiciously, nanopore single-molecule sensors-commercially available for DNA sequencing-hold great promise as a tool for enabling and advancing glycan analysis. We focus on two key areas to advance nanopore glycan characterization: molecular surface coatings to enhance nanopore performance including by molecular recognition, and high-quality glycan chemical standards for training.
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  • 文章类型: Journal Article
    载脂蛋白-CIII(apo-CIII)抑制甘油三酸酯从循环中的清除,并与糖尿病并发症的风险增加有关。它存在于四种主要的蛋白形式中:含有零的O-糖基化变体,一,或两个唾液酸和非糖基化变体。O-糖基化可能影响apo-CIII的代谢功能。我们调查了血浆中apo-CIII糖基化的关联,通过质谱测量完整的蛋白质,和具有微血管和大血管并发症的遗传变异(视网膜病变,肾病,神经病,DiaGene研究(n=1571)和HoornDCS队列(n=5409)中的2型糖尿病的心血管疾病)。单唾液酸化载脂蛋白-CIII(apo-CIII1)与视网膜病变风险降低相关(β=-7.215,95%CI-11.137至-3.294),而二唾液酸化载脂蛋白-CIII(apo-CIII2)与风险增加相关(β=5.309,95%CI2.279至8.339)。GALNT2基因的变体(rs4846913),以前与较低的apo-CIII0a相关,与视网膜病变患病率降低相关(OR=0.739,95%CI0.575~0.951).较高的apo-CIII1水平与神经病变相关(β=7.706,95%CI2.317至13.095),较低的apo-CIII0a与大血管并发症相关(β=-9.195,95%CI-15.847至-2.543)。总之,apo-CIII糖基化与糖尿病微血管和大血管并发症的患病率相关.此外,GALNT2基因的一个变异与apo-CIII糖基化和视网膜病变有关,暗示了因果效应。这些发现促进了对糖尿病并发症病理生理学的分子理解,并保证将apo-CIII糖基化作为预防糖尿病并发症的潜在目标。
    Apolipoprotein-CIII (apo-CIII) inhibits the clearance of triglycerides from circulation and is associated with an increased risk of diabetes complications. It exists in four main proteoforms: O-glycosylated variants containing either zero, one, or two sialic acids and a non-glycosylated variant. O-glycosylation may affect the metabolic functions of apo-CIII. We investigated the associations of apo-CIII glycosylation in blood plasma, measured by mass spectrometry of the intact protein, and genetic variants with micro- and macrovascular complications (retinopathy, nephropathy, neuropathy, cardiovascular disease) of type 2 diabetes in a DiaGene study (n = 1571) and the Hoorn DCS cohort (n = 5409). Mono-sialylated apolipoprotein-CIII (apo-CIII1) was associated with a reduced risk of retinopathy (β = -7.215, 95% CI -11.137 to -3.294) whereas disialylated apolipoprotein-CIII (apo-CIII2) was associated with an increased risk (β = 5.309, 95% CI 2.279 to 8.339). A variant of the GALNT2-gene (rs4846913), previously linked to lower apo-CIII0a, was associated with a decreased prevalence of retinopathy (OR = 0.739, 95% CI 0.575 to 0.951). Higher apo-CIII1 levels were associated with neuropathy (β = 7.706, 95% CI 2.317 to 13.095) and lower apo-CIII0a with macrovascular complications (β = -9.195, 95% CI -15.847 to -2.543). In conclusion, apo-CIII glycosylation was associated with the prevalence of micro- and macrovascular complications of diabetes. Moreover, a variant in the GALNT2-gene was associated with apo-CIII glycosylation and retinopathy, suggesting a causal effect. The findings facilitate a molecular understanding of the pathophysiology of diabetes complications and warrant consideration of apo-CIII glycosylation as a potential target in the prevention of diabetes complications.
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  • 文章类型: Journal Article
    可靠的单细胞分配器的开发和质谱灵敏度的显着提高使得可以实现单个细胞的蛋白质组学分析。然而,由于无法扩增聚糖以及与样品处理和聚糖标记相关的样品损失,目前还没有确定的单细胞聚糖分析方法。在这项工作中,我们提出了一个集成平台,将在线毛细管内样品处理与高灵敏度无标记毛细管电泳-质谱联用,用于单个哺乳动物细胞的N-聚糖谱分析。对于HeLa和U87细胞,证明了单细胞表面N糖的直接和无偏定量表征,每个单细胞检测多达100个N-聚糖。有趣的是,在脂多糖刺激的HeLa和U87细胞中,在单细胞水平上明确检测到N-糖改变。开发的工作流程也适用于分析ng水平(5-500ng)的血液衍生蛋白质,细胞外囊泡,和总血浆分离物,产生超过170、220和370个定量的N-聚糖,分别。
    The development of reliable single-cell dispensers and substantial sensitivity improvement in mass spectrometry made proteomic profiling of individual cells achievable. Yet, there are no established methods for single-cell glycome analysis due to the inability to amplify glycans and sample losses associated with sample processing and glycan labeling. In this work, we present an integrated platform coupling online in-capillary sample processing with high-sensitivity label-free capillary electrophoresis-mass spectrometry for N-glycan profiling of single mammalian cells. Direct and unbiased quantitative characterization of single-cell surface N-glycomes are demonstrated for HeLa and U87 cells, with the detection of up to 100 N-glycans per single cell. Interestingly, N-glycome alterations are unequivocally detected at the single-cell level in HeLa and U87 cells stimulated with lipopolysaccharide. The developed workflow is also applied to the profiling of ng-level amounts (5-500 ng) of blood-derived protein, extracellular vesicle, and total plasma isolates, resulting in over 170, 220, and 370 quantitated N-glycans, respectively.
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  • 文章类型: Journal Article
    糖图谱的改变是癌症的标志,包括结直肠癌(CRC)。同时,糖蛋白和糖脂的糖基化已被广泛研究用于CRC细胞系和组织,由于使用了不同的样本和分析方法,目前仍缺乏对CRC糖组学的全面概述.在这项研究中,我们比较了N-糖基化特征,一组22个CRC细胞系的O-和鞘糖脂(GSL)聚糖,均采用多孔石墨化碳纳米液相色谱-串联质谱(PGC-nanoLC-MS/MS)测定。总的来说,发现结肠样细胞系的(唾液酸)Lewis抗原丰度高,而未分化的细胞系显示H血型抗原和α2-3/6唾液酸化的高表达。此外,在三类聚糖之间发现了糖基化特征的显著关联,如(唾液酸)Lewis和H血型抗原。数据集与转录组学数据的整合显示(唾液酸)Lewis抗原之间呈正相关,相应的糖基转移酶(GT)FUT3和转录因子(TFs)CDX,ETS,HNF1/4A,MECOM和MYB。这表明这些TFs在(唾液酸)Lewis抗原上调中的可能作用,特别是在GSL聚糖上,通过FUT3/4在结肠样细胞系中的表达。总之,我们的研究提供了对CRC中聚糖的可能调控的见解,并可作为诊断和治疗性生物标志物开发的指南.
    Alterations in the glycomic profile are a hallmark of cancer, including colorectal cancer (CRC). While, the glycosylation of glycoproteins and glycolipids has been widely studied for CRC cell lines and tissues, a comprehensive overview of CRC glycomics is still lacking due to the usage of different samples and analytical methods. In this study, we compared glycosylation features of N-, O-glycans, and glycosphingolipid glycans for a set of 22 CRC cell lines, all measured by porous graphitized carbon nano-liquid chromatography-tandem mass spectrometry. An overall, high abundance of (sialyl)Lewis antigens for colon-like cell lines was found, while undifferentiated cell lines showed high expression of H blood group antigens and α2-3/6 sialylation. Moreover, significant associations of glycosylation features were found between the three classes of glycans, such as (sialyl)Lewis and H blood group antigens. Integration of the datasets with transcriptomics data revealed positive correlations between (sialyl)Lewis antigens, the corresponding glycosyltransferase FUT3 and transcription factors CDX1, ETS, HNF1/4A, MECOM, and MYB. This indicates a possible role of these transcription factors in the upregulation of (sialyl)Lewis antigens, particularly on glycosphingolipid glycans, via FUT3/4 expression in colon-like cell lines. In conclusion, our study provides insights into the possible regulation of glycans in CRC and can serve as a guide for the development of diagnostic and therapeutic biomarkers.
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  • 文章类型: Journal Article
    人类诺如病毒,全球病毒性胃肠炎的主要原因,显示对组织血型抗原(HBGA)的菌株特异性亲和力,并且可以成功地在人肠类肠(HIE)中离体繁殖。从具有不同ABO的个体的空肠干细胞建立的HIE,刘易斯和分泌基因和表型,对这种感染表现出不同的易感性。使用自下而上的糖蛋白质组学方法,我们已经定义并比较了七个空肠HIE的糖蛋白的N连接聚糖。提取膜蛋白,胰蛋白酶消化,和通过亲水相互作用液相色谱富集的糖肽,并通过nanoLC-MS/MS进行分析。Byonic软件用于糖肽鉴定,然后进行动手验证和解释。通过分析诊断性糖氧离子(B-离子),通过高能碰撞解离获得的MS2光谱鉴定了聚糖结构和附着位点,聚糖(Y-离子)的逐步糖苷断裂,和肽序列离子(b-和y-离子)。总共鉴定了来自93种糖蛋白的694种独特的糖肽。N-聚糖包括少糖和寡甘露糖,混合型和复合型结构。值得注意的是,4种糖蛋白tetraspanin-8,癌胚抗原相关细胞粘附分子5,蔗糖-异麦芽糖酶和氨肽酶N的含多岩藻糖基化HBGA的糖肽尤其突出,并且与供体ABO有关,每个HIE的刘易斯和分泌者类型。对于这些糖蛋白,几乎没有鉴定出唾液酸化的N-聚糖,这表明与岩藻糖基化和HBGA生物合成相比,末端唾液酸化很少发生。这种方法提供了有关人HIE糖蛋白的N-连接聚糖的结构复杂性的独特位点特异性信息,并为将来研究宿主糖蛋白在胃肠道感染性疾病中的作用提供了平台。
    Human noroviruses, globally the main cause of viral gastroenteritis, show strain specific affinity for histo-blood group antigens (HBGA) and can successfully be propagated ex vivo in human intestinal enteroids (HIEs). HIEs established from jejunal stem cells of individuals with different ABO, Lewis and secretor geno- and phenotypes, show varying susceptibility to such infections. Using bottom-up glycoproteomic approaches we have defined and compared the N-linked glycans of glycoproteins of seven jejunal HIEs. Membrane proteins were extracted, trypsin digested, and glycopeptides enriched by hydrophilic interaction liquid chromatography and analyzed by nanoLC-MS/MS. The Byonic software was used for glycopeptide identification followed by hands-on verifications and interpretations. Glycan structures and attachment sites were identified from MS2 spectra obtained by higher-energy collision dissociation through analysis of diagnostic saccharide oxonium ions (B-ions), stepwise glycosidic fragmentation of the glycans (Y-ions), and peptide sequence ions (b- and y-ions). Altogether 694 unique glycopeptides from 93 glycoproteins were identified. The N-glycans encompassed pauci- and oligomannose, hybrid- and complex-type structures. Notably, polyfucosylated HBGA-containing glycopeptides of the four glycoproteins tetraspanin-8, carcinoembryonic antigen-related cell adhesion molecule 5, sucrose-isomaltase and aminopeptidase N were especially prominent and were characterized in detail and related to donor ABO, Lewis and secretor types of each HIE. Virtually no sialylated N-glycans were identified for these glycoproteins suggesting that terminal sialylation was infrequent compared to fucosylation and HBGA biosynthesis. This approach gives unique site-specific information on the structural complexity of N-linked glycans of glycoproteins of human HIEs and provides a platform for future studies on the role of host glycoproteins in gastrointestinal infectious diseases.
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  • 文章类型: Journal Article
    由于与原代细胞和活体动物相比,它们的可及性和易于繁殖,因此通常使用永生化细胞在体外进行生物学实验。然而,由于引入了增强增殖(例如CDK4)或使端粒延长的基因,永生化细胞可呈现与原代细胞来源不同的蛋白质组和糖蛋白质组特征。为了证明CDK4转化后表型的变化,我们对人类肺癌原代细胞系(DTW75)和衍生自DTW75的CDK4转化细胞系(GL01)进行了LC-MS/MS糖组学和蛋白质组学表征。我们观察到,原代和CDK4转化的细胞表达显著不同水平的唾液酸化,岩藻糖基化,和唾液酸岩藻糖基化的N-聚糖。具体来说,原代细胞表达更高水平的杂交型和复合型唾液酸化N-聚糖,而CDK4转化的细胞表达更高水平的复合型岩藻糖基化和唾液酸岩藻糖基化N-聚糖。Further,我们比较了细胞系之间的蛋白质组差异,发现CDK4转化的细胞表达更高水平的RNA结合和粘附蛋白.Further,我们观察到CDK4转化的细胞在细胞培养31天后改变N-糖基化,随着高甘露糖的减少和岩藻糖基化的增加,唾液酸化,和唾液酸岩藻糖基化的N-聚糖。鉴定原代和CDK4转化细胞之间的这些变化将在适应更接近体内生理条件的细胞系时提供有用的见解。
    Biological experiments are often conducted in vitro using immortalized cells due to their accessibility and ease of propagation compared to primary cells and live animals. However, immortalized cells may present different proteomic and glycoproteomic characteristics from the primary cell source due to the introduction of genes that enhance proliferation (e.g. CDK4) or enable telomere lengthening. To demonstrate the changes in phenotype upon CDK4-transformation, we performed LC-MS/MS glycomic and proteomic characterizations of a human lung cancer primary cell line (DTW75) and a CDK4-transformed cell line (GL01) derived from DTW75. We observed that the primary and CDK4-transformed cells expressed significantly different levels of sialylated, fucosylated, and sialofucosylated N-glycans. Specifically, the primary cells expressed higher levels of hybrid- and complex-type sialylated N-glycans, while CDK4-transformed cells expressed higher levels of complex-type fucosylated and sialofucosylated N-glycans. Further, we compared the proteomic differences between the cell lines and found that CDK4-transformed cells expressed higher levels of RNA-binding and adhesion proteins. Further, we observed that the CDK4-transformed cells changed N-glycosylation after 31 days in cell culture, with a decrease in high-mannose and increase in fucosylated, sialylated, and sialofucosylated N-glycans. Identifying these changes between primary and CDK4-transformed cells will provide useful insight when adapting cell lines that more closely resemble in vivo physiological conditions.
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  • 文章类型: Journal Article
    背景:胰腺导管腺癌(PDAC)预后不良,5年生存率低于10%,由于其晚期诊断。早期发现胰腺癌(PC)可以显着提高生存率。
    目的:通过血清N-聚糖分析确定与早期PDAC相关的血清生物标志物特征。
    方法:使用广泛的患者队列来确定生物标志物特征,包括早期明确的PDAC患者(I期和II期).生物标志物签名来自一项病例对照研究,使用病例队列设计,由29名I期患者组成,22与第二阶段,4与阶段III,16与阶段IVPDAC,88个控制我们使用多参数分析来识别早期PDACN-聚糖特征,并开发了一种基于N-聚糖特征的诊断模型,称为“Glyco模型”。
    结果:创建生物标记标记以区分来自PC患者和对照组的样本,曲线下的接收器工作特征面积为0.86。此外,与癌症抗原19-9结合的生物标志物标记可以将PDAC患者与对照组区分开来,曲线下的接收器工作特征面积为0.919。Glyco模型在PC的所有阶段都表现出良好的诊断性能。Ⅰ期PDAC的诊断灵敏度为89.66%。
    结论:在一项前瞻性验证研究中,这种血清生物标志物特征可能为检测早期PDAC提供可行的方法.
    BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis, with a 5-year survival rate of less than 10%, owing to its late-stage diagnosis. Early detection of pancreatic cancer (PC) can significantly increase survival rates.
    OBJECTIVE: To identify the serum biomarker signatures associated with early-stage PDAC by serum N-glycan analysis.
    METHODS: An extensive patient cohort was used to determine a biomarker signature, including patients with PDAC that was well-defined at an early stage (stages I and II). The biomarker signature was derived from a case-control study using a case-cohort design consisting of 29 patients with stage I, 22 with stage II, 4 with stage III, 16 with stage IV PDAC, and 88 controls. We used multiparametric analysis to identify early-stage PDAC N-glycan signatures and developed an N-glycan signature-based diagnosis model called the \"Glyco-model\".
    RESULTS: The biomarker signature was created to discriminate samples derived from patients with PC from those of controls, with a receiver operating characteristic area under the curve of 0.86. In addition, the biomarker signature combined with cancer antigen 19-9 could discriminate patients with PDAC from controls, with a receiver operating characteristic area under the curve of 0.919. Glyco-model demonstrated favorable diagnostic performance in all stages of PC. The diagnostic sensitivity for stage I PDAC was 89.66%.
    CONCLUSIONS: In a prospective validation study, this serum biomarker signature may offer a viable method for detecting early-stage PDAC.
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