Aslebagh Roshanak, Channaveerappa Devika, Arcaro Kathleen F, Darie Costel C
Biochemistry & Proteomics Group, Department of Chemistry & Biomolecular Science, Clarkson University, Potsdam, NY, USA.
Department of Veterinary & Animal Sciences, University of Massachusetts, Amherst, MA, USA.
Electrophoresis. 2018 Feb;39(4):653-665. doi: 10.1002/elps.201700123.
Detection of breast cancer (BC) in young women is challenging because mammography, the most common tool for detecting BC, is not effective on the dense breast tissue characteristic of young women. In addition to the limited means for detecting their BC, young women face a transient increased risk of pregnancy-associated BC. As a consequence, reproductively active women could benefit significantly from a tool that provides them with accurate risk assessment and early detection of BC. One potential method for detection of BC is biochemical monitoring of proteins and other molecules in bodily fluids such as serum, nipple aspirate, ductal lavage, tear, urine, saliva and breast milk. Of all these fluids, only breast milk provides access to a large volume of breast tissue, in the form of exfoliated epithelial cells, and to the local breast environment, in the form of molecules in the milk. Thus, analysis of breast milk is a non-invasive method with significant potential for assessing BC risk. Here we analyzed human breast milk by mass spectrometry (MS)-based proteomics to build a biomarker signature for early detection of BC. Ten milk samples from eight women provided five paired-groups (cancer versus control) for analysis of dysregulatedproteins: two within woman comparisons (milk from a diseased breast versus a healthy breast of the same woman) and three across women comparisons (milk from a woman with cancer versus a woman without cancer). Despite a wide range in the time between milk donation and cancer diagnosis (cancer diagnosis occurred from 1 month before to 24 months after milk donation), the levels of some proteins differed significantly between cancer and control in several of the five comparison groups. These pilot data are supportive of the idea that molecular analysis of breast milk will identify proteins informative for early detection and accurate assessment of BC risk, and warrant further research. Data are available via ProteomeXchange with identifier PXD007066.
在年轻女性中检测乳腺癌(BC)具有挑战性,因为乳腺钼靶检查作为检测BC最常用的工具,对年轻女性特有的致密乳腺组织效果不佳。除了检测BC的手段有限外,年轻女性还面临与妊娠相关的BC的短暂风险增加。因此,有生殖活性的女性可以从一种能为她们提供准确风险评估和早期BC检测的工具中显著受益。检测BC的一种潜在方法是对血清、乳头抽吸液、导管灌洗液、泪液、尿液、唾液和母乳等体液中的蛋白质和其他分子进行生化监测。在所有这些体液中,只有母乳能够以脱落上皮细胞的形式获取大量乳腺组织,并以乳汁中的分子形式获取局部乳腺环境。因此,母乳分析是一种具有评估BC风险巨大潜力的非侵入性方法。在这里,我们通过基于质谱(MS)的蛋白质组学分析人母乳,以建立用于早期检测BC的生物标志物特征。来自8名女性的10份乳汁样本提供了5对组(癌症组与对照组)用于分析失调蛋白质:两组女性内部比较(患病乳房的乳汁与同一女性健康乳房的乳汁)和三组女性之间比较(患癌女性的乳汁与未患癌女性的乳汁)。尽管乳汁捐献与癌症诊断之间的时间跨度很大(癌症诊断发生在乳汁捐献前1个月至捐献后24个月之间),但在这5个比较组中的几个组中,癌症组和对照组之间某些蛋白质的水平存在显著差异。这些初步数据支持这样一种观点,即母乳的分子分析将识别出对早期检测和准确评估BC风险有意义的蛋白质,并值得进一步研究。数据可通过ProteomeXchange获得,标识符为PXD007066。