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用于检测肝病患者血清GP73糖基化改变的多种凝集素检测法

Multiple lectin assays for detecting glyco-alteration of serum GP73 in liver diseases.

作者信息

Jiang Kai, Shang Shuxin, Li Wei, Guo Kun, Qin Xue, Zhang Shu, Liu Yinkun

机构信息

Cancer Research Center, Institutes of Biomedical Sciences, Fudan University, Shanghai, 200032, China.

Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.

出版信息

Glycoconj J. 2015 Dec;32(9):657-64. doi: 10.1007/s10719-015-9614-6. Epub 2015 Sep 5.

Abstract

Serum GP73 is a functional resident Golgi type II membrane protein with three potential N-glycosylation sites. In this study, we used multiple lectin assays to analyze glycan patterns of serum GP73 and evaluated its diagnostic value for distinguishing hepatocellular carcinoma (HCC) from liver cirrhosis (LC). Firstly, Antibody overlay lectin microarray and lectin blot were performed to observe altered glycans of GP73. Fucosylated structures were found to increase significantly in LC compared with HCC patients. Then, AAL ELISA assay using ELISA Index was utilized to measure fucosylation level of GP73 on its protein level (Fuc-GP73). ELISA Indices of 54 LC and 54 HCC patients was obtained and the area under the ROC curve (AUC) was 0.807 with a sensitivity of 85.2% and a specificity of 63.0% (cutoff of 3.182). In addition, combining Fuc-GP73 and AFP-L3 greatly improved the diagnostic accuracy (AUC = 0.953) and the diagnostic values were 94.4% sensitivity at 88.9% specificity. These data indicated that multiple lectin assays could contribute to pre-clinical evaluation of focused glycoprotein and Fuc-GP73 could act as a potential glycobiomarker complementary to AFP-L3 for discrimination of HCC from LC patients.

摘要

血清GP73是一种功能性驻留高尔基体II型膜蛋白,具有三个潜在的N-糖基化位点。在本研究中,我们使用多种凝集素分析方法来分析血清GP73的聚糖模式,并评估其在区分肝细胞癌(HCC)和肝硬化(LC)方面的诊断价值。首先,进行抗体覆盖凝集素微阵列和凝集素印迹分析以观察GP73聚糖的变化。结果发现,与HCC患者相比,LC患者中岩藻糖基化结构显著增加。然后,利用ELISA指数的AAL ELISA检测法在蛋白质水平上测量GP73的岩藻糖基化水平(Fuc-GP73)。获得了54例LC患者和54例HCC患者的ELISA指数,ROC曲线下面积(AUC)为0.807,灵敏度为85.2%,特异性为63.(截断值为3.182)。此外,将Fuc-GP73和AFP-L3联合使用可大大提高诊断准确性(AUC = 0.953),诊断价值为灵敏度94.4%,特异性88.9%。这些数据表明,多种凝集素分析方法有助于对特定糖蛋白进行临床前评估,并且Fuc-GP73可作为一种潜在的糖生物标志物,与AFP-L3互补,用于区分HCC和LC患者。

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