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使用电荷改变肽分析血浆蛋白酶活性能够检测和分类胃肠道癌症。

Profiling plasma protease activity with charge-changing peptides enables detection and classification of gastrointestinal cancers.

作者信息

Suwatthanarak Thanawat, Goncalves Florian, Tanjak Pariyada, Thanormjit Kullanist, Chaiboonchoe Amphun, Acharayothin Onchira, Sonthi Phattarapon, Suwatthanarak Tharathorn, Parakonthun Thammawat, Swangsri Jirawat, Methasate Asada, Auewarakul Prasert, Wong Melissa H, Fischer Jared M, Chinswangwatanakul Vitoon

机构信息

Siriraj Cancer Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.

Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.

出版信息

Sci Rep. 2025 Sep 1;15(1):32184. doi: 10.1038/s41598-025-17915-0.

Abstract

Early detection of gastrointestinal (GI) cancers-including colorectal cancer (CRC), gastric cancer (GC), and esophagogastric junction cancer (EGJC)-is essential for improving patient outcomes. However, current diagnostic methods such as endoscopy and colonoscopy are invasive, costly, and not widely accessible. Proteases are elevated in many cancers and are detectable in peripheral blood, making them promising candidates for noninvasive diagnostic strategies. We employed a six-probe charge-changing peptide (CCP) panel to profile cancer-associated protease activity in human plasma. Each CCP undergoes a charge shift upon cleavage by a specific protease, enabling detection via gel electrophoresis. Plasma samples from GI cancer patients (CRC, GC, EGJC; N = 68) and healthy controls (HC; N = 31) were analyzed. Protease activity profiles were analyzed using statistical tests, principal component analysis, and binary logistic regression (LR) models trained on the most informative probes. Model performance was evaluated through repeated cross-validation. Distinct protease activity profiles were observed among CRC, upper GI cancers (UGIC; GC + EGJC), and HC groups. Probe designed to be cleaved by cathepsin B showed the strongest discrimination between cancer and control samples, while probes designed to be cleaved by ubiquitin-specific peptidase 15 and plasmin were identified as the most informative subtype-specific markers for UGIC and CRC, respectively. LR models built on these single probes demonstrated excellent diagnostic performance, with AUCs exceeding 0.95, and both sensitivity and specificity greater than 90%. Our findings highlight CCP-based protease profiling as a minimally invasive, accurate, and scalable method for GI cancer detection and classification. This platform holds strong potential for clinical application in cancer screening, pending further validation in larger, independent cohorts.

摘要

早期发现胃肠道(GI)癌症,包括结直肠癌(CRC)、胃癌(GC)和食管胃交界癌(EGJC),对于改善患者预后至关重要。然而,目前诸如内窥镜检查和结肠镜检查等诊断方法具有侵入性、成本高且无法广泛普及。蛋白酶在许多癌症中水平升高,并且可在外周血中检测到,这使其成为非侵入性诊断策略的有前景的候选物。我们采用了一个六探针电荷改变肽(CCP)面板来分析人血浆中与癌症相关的蛋白酶活性。每个CCP在被特定蛋白酶切割后会发生电荷转移,从而能够通过凝胶电泳进行检测。对来自胃肠道癌症患者(CRC、GC、EGJC;N = 68)和健康对照者(HC;N = 31)的血浆样本进行了分析。使用统计检验、主成分分析以及基于信息量最大的探针训练的二元逻辑回归(LR)模型来分析蛋白酶活性谱。通过重复交叉验证来评估模型性能。在CRC、上胃肠道癌症(UGIC;GC + EGJC)和HC组之间观察到了不同的蛋白酶活性谱。设计为由组织蛋白酶B切割的探针在癌症样本和对照样本之间显示出最强的区分能力,而设计为由泛素特异性肽酶15和纤溶酶切割的探针分别被确定为UGIC和CRC最具信息量的亚型特异性标志物。基于这些单个探针构建的LR模型显示出优异的诊断性能,曲线下面积(AUC)超过0.95,灵敏度和特异性均大于90%。我们的研究结果突出了基于CCP的蛋白酶谱分析作为一种用于胃肠道癌症检测和分类的微创、准确且可扩展的方法。在更大的独立队列中进行进一步验证之前,该平台在癌症筛查的临床应用中具有强大的潜力。

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