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使用重组肿瘤相关抗原组合增强癌症中抗体的检测。

Enhancement of antibody detection in cancer using panel of recombinant tumor-associated antigens.

作者信息

Zhang Jian-Ying, Casiano Carlos A, Peng Xuan-Xian, Koziol James A, Chan Edward K L, Tan Eng M

机构信息

W.M. Keck Autoimmune Disease Center, The Scripps Research Institute, La Jolla, California 92037, USA.

出版信息

Cancer Epidemiol Biomarkers Prev. 2003 Feb;12(2):136-43.

Abstract

Cancer sera contain antibodies which react with a unique group of autologous cellular antigens called tumor-associated antigens (TAAs). This study determines whether a mini-array of multiple TAAs would enhance antibody detection and be a useful approach to cancer detection and diagnosis. The mini-array of TAAs comprised full-length recombinant proteins expressed from cDNAs encoding c-myc, p53, cyclin B1, p62, Koc, IMP1, and survivin. Enzyme immunoassay was used to detect antibodies in 527 sera from six different types of cancer. Antibody frequency to any individual TAA was variable but rarely exceeded 15-20%. With the successive addition of TAAs to a final total of seven antigens, there was a stepwise increase of positive antibody reactions up to a range of 44-68%. Breast, lung, and prostate cancer patients showed separate and distinct profiles of reactivity, suggesting that uniquely constituted antigen mini-arrays might be developed to distinguish between some types of cancer. Distinct antibody profiles were not observed in gastric, colorectal, and hepatocellular carcinomas with this set of seven TAAs. Detection of autoantibodies in cancer can be enhanced by using a mini-array of several TAAs as target antigens. Additional studies in early cancer patients and high-risk individuals and the design of unique antigen panels for different cancers would help to determine whether multiple antigen mini-arrays for the detection of autoantibodies might contribute a clinically useful noninvasive approach to cancer detection and diagnosis.

摘要

癌症血清中含有与一组独特的自体细胞抗原发生反应的抗体,这些抗原被称为肿瘤相关抗原(TAAs)。本研究旨在确定多种肿瘤相关抗原的微型阵列是否能增强抗体检测,以及是否是一种用于癌症检测和诊断的有效方法。肿瘤相关抗原的微型阵列由编码c-myc、p53、细胞周期蛋白B1、p62、Koc、IMP1和生存素的cDNA表达的全长重组蛋白组成。采用酶免疫测定法检测来自六种不同类型癌症的527份血清中的抗体。针对任何单个肿瘤相关抗原的抗体频率各不相同,但很少超过15%-20%。随着肿瘤相关抗原依次增加至总共七种抗原,阳性抗体反应呈逐步增加,范围达到44%-68%。乳腺癌、肺癌和前列腺癌患者表现出各自独特的反应模式,这表明可能开发出独特构成的抗原微型阵列以区分某些类型的癌症。使用这组七种肿瘤相关抗原,在胃癌、结直肠癌和肝细胞癌中未观察到明显的抗体模式。通过使用几种肿瘤相关抗原的微型阵列作为靶抗原,可以增强癌症中自身抗体的检测。对早期癌症患者和高危个体进行的进一步研究以及针对不同癌症设计独特的抗原组,将有助于确定用于检测自身抗体的多种抗原微型阵列是否可能为癌症检测和诊断提供一种临床上有用的非侵入性方法。

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