RRC ID 57763
著者 Kuwatani M, Kawakami H, Kubota Y, Kawakubo K, Ito YM, Togo S, Ikeda T, Kusama K, Kobayashi Y, Murata T, Sakamoto N.
タイトル Verification of the effectiveness of fucosylated haptoglobin as a pancreatic cancer marker in clinical diagnosis.
ジャーナル Pancreatology
Abstract BACKGROUND:Fucosylated haptoglobin detected by Pholiota squarrosa lectin (PhoSL) that had specificity for fucose α1-6 was reported as an effective biomarker for several gastrointestinal diseases. The aim of this study was to verify Fucosylated haptoglobin detected by Pholiota squarrosa lectin (PhoSL-HP) as a pancreatic cancer (PC) marker using a new method of PhoSL-ELISA.
METHODS:PhoSL-HP in sera from 98 PC patients and 158 non-PC samples including 32 intraductal papillary mucinous neoplasm (IPMN) patients, 21 chronic pancreatitis (CP) patients and 105 non-pancreatic disease controls (NPDC) were measured. We compared sensitivities, specificities and areas under the curves (AUC) of PhoSL-HP, CA19-9 and CEA as single markers. We also evaluated PhoSL-HP as combination marker by comparing AUC of CA19-9 combined with PhoSL-HP or CEA.
RESULTS:The sensitivities of PhoSL-HP, CA19-9 and CEA for PC were 58%, 76% and 42%, respectively. Although the specificity of PhoSL-HP for NPDC was inferior to both of CA19-9 and CEA, that for pancreatic diseases was higher than both of CA19-9 and CEA. Combined CA19-9 with PhoSL-HP, the AUC was significantly higher at 0.880 than single use of CA19-9 at 0.825 in case of distinguishing PC from other pancreatic diseases. In contrast, the AUC of CA19-9 was not elevated significantly when combined with CEA.
CONCLUSION:PhoSL-HP would be a useful marker for PC and have sufficient complementarity for CA19-9.
巻・号 19(4)
ページ 569-577
公開日 2019-6-1
DOI 10.1016/j.pan.2019.04.007
PII S1424-3903(19)30095-X
PMID 31031206
MeSH Adult Aged Aged, 80 and over Area Under Curve Biomarkers, Tumor / analysis* CA-19-9 Antigen / blood Carcinoembryonic Antigen / blood False Positive Reactions Female Fucose Haptoglobins / analysis* Humans Male Middle Aged Pancreatic Diseases / blood Pancreatic Diseases / diagnosis Pancreatic Neoplasms / blood* Pancreatic Neoplasms / diagnosis* Pancreatitis, Chronic / blood Pancreatitis, Chronic / diagnosis Reproducibility of Results Sensitivity and Specificity
IF 3.241
引用数 0
リソース情報
ヒト・動物細胞 Hep G2