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