血清抗 CFL1、抗 EZR 和抗 CYPA 自身抗体作为卵巢癌的诊断标志物。

Serum anti-CFL1, anti-EZR, and anti-CYPA autoantibody as diagnostic markers in ovarian cancer.

机构信息

College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan Province, China.

Henan Key Laboratory of Tumor Epidemiology and State Key Laboratory of Esophageal Cancer Prevention and Treatment, Zhengzhou University, Zhengzhou, 450052, Henan Province, China.

出版信息

Sci Rep. 2024 Apr 29;14(1):9757. doi: 10.1038/s41598-024-60544-2.

Abstract

The purpose of this study was to identify novel autoantibodies against tumor-associated antigens (TAAs) and explore a diagnostic panel for Ovarian cancer (OC). Enzyme-linked immunosorbent assay was used to detect the expression of five anti-TAA autoantibodies in the discovery (70 OC and 70 normal controls) and validation cohorts (128 OC and 128 normal controls). Machine learning methods were used to construct a diagnostic panel. Serum samples from 81 patients with benign ovarian disease were used to identify the specificity of anti-TAA autoantibodies for OC. In both the discovery and validation cohorts, the expression of anti-CFL1, anti-EZR, anti-CYPA, and anti-PFN1 was higher in patients with OC than that in normal controls. The area under the receiver operating characteristic curve, sensitivity, and specificity of the panel containing anti-CFL1, anti-EZR, and anti-CYPA were 0.762, 55.56%, and 81.31%. The panel identified 53.06%, 53.33%, and 51.11% of CA125 negative, HE4 negative and the Risk of Ovarian Malignancy Algorithm negative OC patients, respectively. The combination of the three anti-TAA autoantibodies can serve as a favorable diagnostic tool for OC and has the potential to be a complementary biomarker for CA125 and HE4 in the diagnosis of ovarian cancer.

摘要

本研究旨在鉴定针对肿瘤相关抗原 (TAA) 的新型自身抗体,并探索用于卵巢癌 (OC) 的诊断组合。酶联免疫吸附试验用于检测发现队列(70 例 OC 和 70 例正常对照)和验证队列(128 例 OC 和 128 例正常对照)中五种抗 TAA 自身抗体的表达。使用机器学习方法构建诊断组合。使用来自 81 例良性卵巢疾病患者的血清样本来确定抗 TAA 自身抗体对 OC 的特异性。在发现队列和验证队列中,与正常对照组相比,OC 患者的抗 CFL1、抗 EZR、抗 CYPA 和抗 PFN1 表达更高。包含抗 CFL1、抗 EZR 和抗 CYPA 的组合的曲线下面积、敏感性和特异性分别为 0.762、55.56%和 81.31%。该组合分别鉴定出 CA125 阴性、HE4 阴性和卵巢恶性肿瘤风险算法阴性 OC 患者的 53.06%、53.33%和 51.11%。这三种抗 TAA 自身抗体的组合可作为 OC 的有利诊断工具,并且有可能作为 CA125 和 HE4 在卵巢癌诊断中的补充生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e456/11058243/2f5b73399d7b/41598_2024_60544_Fig1_HTML.jpg

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