Lee Yi-Chao, Huang Chi-Chen, Lin Ding-Yen, Chang Wen-Chang, Lee Kuen-Haur
Graduate Institute of Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.
Institute of Bioinformatics and Biosignal Transduction, College of Bioscience and Biotechnology, National Cheng Kung University, Tainan, Taiwan.
PeerJ. 2015 Nov 5;3:e1386. doi: 10.7717/peerj.1386. eCollection 2015.
Ovarian cancer has a poor prognosis. Most patients are diagnosed with ovarian cancer when the disease has reached an advanced stage and cure rates are generally under 30%. Hence, early diagnosis of ovarian cancer is the best means to control the disease in the long term and abate mortality. So far, cancer antigen 125 (CA125) and human epididymis protein 4 (HE4) are the gold-standard tumor markers for ovarian cancer; however, these two markers can be elevated in a number of conditions unrelated to ovarian cancer, resulting in decreased specifically and positive predictive value. Therefore, it is urgent to identify novel biomarkers with high reliability and sensitivity for ovarian cancer. In this study for the first time, we identified a member of the centromere protein (CENP) family, CENPK, which was specifically upregulated in ovarian cancer tissues and cell lines and the overexpression of which was associated with poor prognoses in patients with ovarian cancer. In addition, the presence of CENPK significantly improved the sensitivity of CA125 or HE4 for predicting clinical outcomes of ovarian cancer patients. In conclusion, we identified that CENPK was specifically upregulated in ovarian cancer cells and can be used as a novel tumor marker of ovarian cancer.
卵巢癌预后较差。大多数患者在疾病处于晚期时才被诊断出患有卵巢癌,治愈率通常低于30%。因此,卵巢癌的早期诊断是长期控制该疾病并降低死亡率的最佳方法。到目前为止,癌抗原125(CA125)和人附睾蛋白4(HE4)是卵巢癌的金标准肿瘤标志物;然而,这两种标志物在许多与卵巢癌无关的情况下也会升高,导致特异性和阳性预测值降低。因此,迫切需要鉴定出对卵巢癌具有高可靠性和敏感性的新型生物标志物。在本研究中,我们首次鉴定出着丝粒蛋白(CENP)家族的一个成员CENPK,其在卵巢癌组织和细胞系中特异性上调,并且其过表达与卵巢癌患者的不良预后相关。此外,CENPK的存在显著提高了CA125或HE4预测卵巢癌患者临床结局的敏感性。总之,我们发现CENPK在卵巢癌细胞中特异性上调,可作为卵巢癌的一种新型肿瘤标志物。