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血清糖组分析在肺癌诊断中的潜力:糖图谱研究。

Diagnostic Potential of Serum Glycome Analysis in Lung Cancer: A Glycopattern Study.

机构信息

Center for Clinical Mass Spectrometry, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China.

Department of Respiratory Medicine, Dushu Lake Hospital Affiliated to Soochow University, Suzhou, Jiangsu 215123, China.

出版信息

J Proteome Res. 2024 Jan 5;23(1):500-509. doi: 10.1021/acs.jproteome.3c00645. Epub 2023 Dec 14.

Abstract

Lung cancer is the leading cause of cancer-related death, with high morbidity and mortality rates due to the lack of reliable methods for diagnosing lung cancer at an early stage. Low-dose computed tomography can help detect abnormal areas in the lungs, but only 16% of cases are diagnosed early. Tests for lung cancer markers are often employed to determine genetic expression or mutations in lung carcinogenesis. Serum glycome analysis is a promising new method for early lung cancer diagnosis as glycopatterns exhibit significant differences in lung cancer patients. In this study, we employed a solid-phase chemoenzymatic method to systematically compare glycopatterns in benign cases, adenocarcinoma before and after surgery, and advanced stages of adenocarcinoma. Our findings indicate that serum high-mannose levels are elevated in both benign cases and adenocarcinoma, while complex N-glycans, including fucose and 2,6-linked sialic acid, are downregulated in the serum. Subsequently, we developed an algorithm that utilizes 16 altered N-glycans, 7 upregulated and 9 downregulated, to generate a score based on their intensity. This score can predict the stages of cancer progression in patients through glycan characterization. This methodology offers a potential means of diagnosing lung cancer through serum glycome analysis.

摘要

肺癌是癌症相关死亡的主要原因,由于缺乏可靠的早期肺癌诊断方法,其发病率和死亡率都很高。低剂量计算机断层扫描有助于检测肺部的异常区域,但只有 16%的病例能够早期诊断。肺癌标志物的检测通常用于确定肺癌发生过程中的基因表达或突变。血清糖组分析是一种很有前途的早期肺癌诊断新方法,因为肺癌患者的糖图谱表现出明显的差异。在这项研究中,我们采用固相化学酶法系统地比较了良性病例、手术前后的腺癌以及晚期腺癌的糖图谱。我们的研究结果表明,在良性病例和腺癌中,血清高甘露糖水平升高,而血清中复杂的 N-糖链,包括岩藻糖和 2,6-连接的唾液酸,则下调。随后,我们开发了一种算法,利用 16 种改变的 N-糖链,其中 7 种上调,9 种下调,根据其强度生成一个评分。通过糖链特征,该评分可以预测患者癌症进展的阶段。该方法为通过血清糖组分析诊断肺癌提供了一种潜在手段。

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