Xu Yangchun, Jin Yonglong, Liu Linlin, Zhang Xuan, Chen Yubing, Wei Jun
The Second Hospital, Jilin University, Changchun 130041, China.
Division of Health Research, University of the Highlands & Islands, Centre for Health Science, Inverness IV2 3JH, UK.
FEBS Open Bio. 2015 Mar 17;5:198-201. doi: 10.1016/j.fob.2015.03.007. eCollection 2015.
The present study was undertaken to detect circulating IgG antibodies to peptide antigens derived from baculoviral IAP repeat-containing protein 5 isoform 2 (BIRC5) and myc proto-oncogene protein (MYC) in cervical cancer. A total of 107 female patients with cervical cancer of stages I and II, and 130 healthy female subjects were recruited for analysis of circulating IgG antibodies to BIRC5 and MYC. Student's t-test showed significant differences in circulating levels of anti-BIRC5 IgG (t = -4.27, df = 235, P < 0.0001) and anti-MYC IgG (t = 3.51, df = 232, P = 0.0005) between the patient group and the control group. Receiver operating characteristic (ROC) analysis showed an area under the ROC curve (AUC) of 0.67 with sensitivity of 23.4% against specificity of 90% for the anti-BIRC5 IgG assay and an AUC of 0.66 with sensitivity of 9.4% against specificity of 90.6% for the anti-MYC IgG assay. Analysis of quality control samples gave an inter-assay deviation of 8.9% in the anti-BIRC5 IgG assay and 9.0% in the anti-MYC IgG assay. This work suggests that anti-BIRC5 IgG could serve as a biomarker for early diagnosis of cervical cancer although a panel of such tumor-associated antigens is needed to develop a highly sensitive test.
本研究旨在检测宫颈癌患者血清中针对杆状病毒IAP重复序列包含蛋白5亚型2(BIRC5)和原癌基因蛋白(MYC)衍生肽抗原的循环IgG抗体。共招募了107例I期和II期宫颈癌女性患者以及130名健康女性受试者,分析其血清中针对BIRC5和MYC的循环IgG抗体。学生t检验显示,患者组与对照组之间抗BIRC5 IgG(t = -4.27,自由度 = 235,P < 0.0001)和抗MYC IgG(t = 3.51,自由度 = 232,P = 0.0005)的循环水平存在显著差异。受试者工作特征(ROC)分析显示,抗BIRC5 IgG检测的ROC曲线下面积(AUC)为0.67,敏感性为23.4%,特异性为90%;抗MYC IgG检测的AUC为0.66,敏感性为9.4%,特异性为90.6%。质量控制样本分析显示,抗BIRC5 IgG检测的批间偏差为8.9%,抗MYC IgG检测的批间偏差为9.0%。这项研究表明,抗BIRC5 IgG可作为宫颈癌早期诊断的生物标志物,尽管需要一组此类肿瘤相关抗原才能开发出高灵敏度检测方法。