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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Clin+Oncol
2015 ; 33
(33
): 3880-6
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gab.com Text
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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.