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[BARD1剪接变体自身抗体在卵巢癌检测中的临床评估]

[Clinical evaluation of autoantibody of splice variant of BARD1 in detection of ovarian cancer].

作者信息

Yang Zhi-Jun, Jiang Yan-Ming, Yang Guang, Ran Yu-Liang, Yang Zhi-Hua, Zhang Wei, Zhang Jie-Qing, Pan Zhong-Mian, Li Li

机构信息

Department of Gynecological Oncology, Tumor Hospital of Guangxi Medical University, Nanning 530021, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2008 Sep;43(9):680-4.

Abstract

OBJECTIVE

To investigate the value of autoantibody of breast cancer susceptibility 1-associated RING domain (BARD1) splice variant (OV-142) in detection of ovarian cancer.

METHODS

We cloned OV-142 gene into plasmid pET-30b(+). The recombinant protein of OV-142 was expressed in pET-30b(+) system and purified. The autoantibody of OV-142 was detected by indirect enzyme-linked immunosorbent assay (ELISA).

RESULTS

We successfully constructed the recombinant plasmid of OV-142. The recombinant protein was expressed in pET-30b(+) system and purified. The purification rate of the recombinant protein was up to 90%. The relative amount of autoantibody of OV-142 detected by indirect ELISA was analyzed by receiver operating characteristic curve (ROC) and the cutoff value was determined. Combination of the autoantibody IgG of OV-142 and CA(125) was analyzed by logistic regression. The sensitivity, specificity and accuracy was 71.4%, 89.1%, and 81.9%, respectively, which were higher than IgG (41.3%, 84.2%, 66.8%) and CA(125) (61.1%, 88.0%, 77.1%) when used alone each.

CONCLUSIONS

OV-142 is a splice variant of BARD1. It may be a potential immunotherapy target of ovarian cancer. Detection of autoantibody of OV-142 is a potent complementary tool of CA(125) in ovarian cancer diagnosis.

摘要

目的

探讨乳腺癌易感基因1相关环结构域(BARD1)剪接变异体(OV-142)自身抗体在卵巢癌检测中的价值。

方法

将OV-142基因克隆至质粒pET-30b(+)。在pET-30b(+)系统中表达并纯化OV-142重组蛋白。采用间接酶联免疫吸附测定法(ELISA)检测OV-142自身抗体。

结果

成功构建OV-142重组质粒。在pET-30b(+)系统中表达并纯化了重组蛋白,重组蛋白纯化率高达90%。通过受试者工作特征曲线(ROC)分析间接ELISA法检测的OV-142自身抗体相对含量并确定临界值。采用logistic回归分析OV-142自身抗体IgG与CA125的联合检测。其灵敏度、特异度和准确度分别为71.4%、89.1%和81.9%,均高于单独检测IgG(41.3%、84.

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