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10.1200/JCO.2015.61.7779

http://scihub22266oqcxt.onion/10.1200/JCO.2015.61.7779
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suck abstract from ncbi


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pmid26282655
      J+Clin+Oncol 2015 ; 33 (33 ): 3880-6
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  • Diacetylspermine Is a Novel Prediagnostic Serum Biomarker for Non-Small-Cell Lung Cancer and Has Additive Performance With Pro-Surfactant Protein B #MMPMID26282655
  • Wikoff WR ; Hanash S ; DeFelice B ; Miyamoto S ; Barnett M ; Zhao Y ; Goodman G ; Feng Z ; Gandara D ; Fiehn O ; Taguchi A
  • J Clin Oncol 2015[Nov]; 33 (33 ): 3880-6 PMID26282655 show ga
  • PURPOSE: We have investigated the potential of metabolomics to discover blood-based biomarkers relevant to lung cancer screening and early detection. An untargeted metabolomics approach was applied to identify biomarker candidates using prediagnostic sera from the Beta-Carotene and Retinol Efficacy Trial (CARET) study. PATIENTS AND METHODS: A liquid chromatography/mass spectrometry hydrophilic interaction method designed to profile a wide range of metabolites was applied to prediagnostic serum samples from CARET participants (current or former heavy smokers), consisting of 100 patients who subsequently developed non-small-cell lung cancer (NSCLC) and 199 matched controls. A separate aliquot was used to quantify levels of pro-surfactant protein B (pro-SFTPB), a previously established protein biomarker for NSCLC. On the basis of the results from the discovery set, blinded validation of a metabolite, identified as N(1),N(12)-diacetylspermine (DAS), and pro-SFTPB was performed using an independent set of CARET prediagnostic sera from 108 patients with NSCLC and 216 matched controls. RESULTS: Serum DAS was elevated by 1.9-fold, demonstrating significant specificity and sensitivity in the discovery set for samples collected up to 6 months before diagnosis of NSCLC. In addition, DAS significantly complemented performance of pro-SFTPB in both the discovery and validations sets, with a combined area under the curve in the validation set of 0.808 (P < .001 v pro-SFTPB). CONCLUSION: DAS is a novel serum metabolite with significant performance in prediagnostic NSCLC and has additive performance with pro-SFTPB.
  • |Aged [MESH]
  • |Biomarkers, Tumor/*blood [MESH]
  • |Carcinoma, Non-Small-Cell Lung/*blood/epidemiology/physiopathology [MESH]
  • |Case-Control Studies [MESH]
  • |Chromatography, Liquid/methods [MESH]
  • |Disease-Free Survival [MESH]
  • |Early Detection of Cancer/*methods [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Lung Neoplasms/*blood/epidemiology/physiopathology [MESH]
  • |Male [MESH]
  • |Mass Spectrometry/methods [MESH]
  • |Middle Aged [MESH]
  • |Prognosis [MESH]
  • |Protein Precursors/*blood [MESH]
  • |Pulmonary Surfactant-Associated Proteins/*blood [MESH]
  • |ROC Curve [MESH]
  • |Risk Assessment [MESH]
  • |Sensitivity and Specificity [MESH]
  • |Smoking/adverse effects/blood [MESH]
  • |Spermine/*analogs & derivatives/blood [MESH]
  • |Statistics, Nonparametric [MESH]


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