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应用磁珠联合质谱技术建立结直肠癌血清差异蛋白诊断模型

刘清银, 李明, 涂斌, 胡晓丹, 孙良起, 李华信

刘清银, 李明, 涂斌, 胡晓丹, 孙良起, 李华信. 应用磁珠联合质谱技术建立结直肠癌血清差异蛋白诊断模型[J]. 肿瘤防治研究, 2015, 42(08): 801-805. DOI: 10.3971/j.issn.1000-8578.2015.08.011
引用本文: 刘清银, 李明, 涂斌, 胡晓丹, 孙良起, 李华信. 应用磁珠联合质谱技术建立结直肠癌血清差异蛋白诊断模型[J]. 肿瘤防治研究, 2015, 42(08): 801-805. DOI: 10.3971/j.issn.1000-8578.2015.08.011
LIU Qingyin, LI Ming, TU Bin, HU Xiaodan, SUN Liangqi, LI Huaxin. Serum Peptidome Patterns of Colorectal Cancer Based on Magnetic Bead Separation and Mass-spectrometry Technique[J]. Cancer Research on Prevention and Treatment, 2015, 42(08): 801-805. DOI: 10.3971/j.issn.1000-8578.2015.08.011
Citation: LIU Qingyin, LI Ming, TU Bin, HU Xiaodan, SUN Liangqi, LI Huaxin. Serum Peptidome Patterns of Colorectal Cancer Based on Magnetic Bead Separation and Mass-spectrometry Technique[J]. Cancer Research on Prevention and Treatment, 2015, 42(08): 801-805. DOI: 10.3971/j.issn.1000-8578.2015.08.011

应用磁珠联合质谱技术建立结直肠癌血清差异蛋白诊断模型

详细信息
    作者简介:

    刘清银(1979-),女,学士,主管技师,主要从事免疫学临床诊断以及消化系肿瘤的早期诊断研究

    通讯作者:

    孙良起,E-mail: slq6311@sohu.com

    李华信,E-mail: 947273373@qq.com

  • 中图分类号: R454.1;R735.3;R44

Serum Peptidome Patterns of Colorectal Cancer Based on Magnetic Bead Separation and Mass-spectrometry Technique

  • 摘要: 目的 应用磁珠联合质谱技术筛选结直肠癌Ⅰ、Ⅱ期患者差异蛋白质,建立其血清学筛查方法。方法 收集血清样本156例(其中结直肠癌80例,健康志愿者76例),随机分为建模组和验证组。采用弱阳离子磁珠分离血清小分子蛋白,基质辅助激光解吸离子飞行时间质谱仪建立结直肠癌及健康志愿者血清蛋白谱,Clinprot Tools 2.2软件对建模组血清蛋白谱进行定量分析,建立结直肠癌判别模型,以所获取的判别模型判别验证组样本,评价判别模型的诊断价值。应用ELISA法检测验证组癌胚抗原。结果 对比分析建模组结直肠癌及健康志愿者血清蛋白谱,发现共有44个差异蛋白峰(P<0.05),其中在结直肠癌中高表达35个,低表达9个,利用其中3个差异峰(质荷比分别为1330.95、2883.96、9294.14)建立诊断模型,交叉验证的准确性为94.87%(74/78),经独立样本双盲验证,其敏感度为87.50%(35/40),特异性为89.47%(34/38),高于CEA。结论 应用磁珠分离和质谱技术建立的诊断模型具有较高的准确性,对提高结直肠癌的筛查具有一定的临床意义。

     

    Abstract: Objective To establish a proteomic pattern for colorectal cancer(CRC) screening by comparing serum proteomic spectra between CRCs and healthy individuals. Methods Serum samples were collected from 80 CRCs and 78 healthy volunteers, and randomly divided into model construction group and validation group. The weak cation exchange(WCX) beads combined matrix-assisted laser desorption/ionization time of flight mass spectrometry(MALDI-TOF MS) technique were used to detect the mass spectrometry data. The obtained mass spectrometry data were then analyzed using Clinprot Tools 2.2 software. A model identifying CRC from healthy volunteers was built in the model construction group and evaluated in the model validation group for reliability. Serum CEA from validation group was detected using ELISA kit as a control. Results Forty-four differentially expressed proteins in serum(P<0.05), including 35 up-regulated proteins and 9 down-regulated proteins, were screened by comparing serum protemic spectra between CRCs and healthy volunteers. Three proteins at m/z 1330.95, 2883.96 and 9294.14 were obtained for developing a Clinprot model which could identify CRCs from healthy volunteers with an accuracy of 94.87%(74/78). In a double blind validation, the Clinprot model yielded a sensitivity of 87.50% and a specificity of 89.47%, which surpassed to CEA. Conclusion Clinprot model constructed using MALDI-TOF-MS combined with WCX kit technology allows identifying CRCs from healthy volunteers with high accuracy, which may contribute to the screening of CRCs.

     

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出版历程
  • 收稿日期:  2014-10-16
  • 修回日期:  2015-01-17
  • 刊出日期:  2015-08-24

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