A more recent version of this article appeared on October 1, 2005.
Submitted on February 25, 2005
Revised on June 1, 2005
Accepted on June 20, 2005
An approach to studying lung cancer-related proteins in human blood
Ting Xiao, Wantao Ying, Lei Li, Zhi Hu, Ying Ma, Liyan Jiao, Jinfang Ma, Yun Cai, Dongmei Lin, Suping Guo, Naijun Han, Xuebing Di, Min Li, Dechao Zhang, Kai Su, Jinsong Yuan, Hongwei Zheng, Meixia Gao, Jie He, Susheng Shi, Wuji Li, Ningzhi Xu, Husheng Zhang, Yan Liu, Kaitai Zhang, yanning Gao, Xiaohong Qian, and Shujun Cheng
Department of Chemical Etiology and Carcinogenesis, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100021
Corresponding Author: chengshj{at}263.net.cn
Early-stage lung cancer detection is the first step towards successful clinical therapy and increased patient survival. Clinicians monitor cancer progression by profiling tumor cell proteins in the blood plasma of afflicted patients. Blood plasma, however, is a difficult cancer protein assessment media, because it is rich in albumins and heterogeneous protein species. We report herein a method to detect the proteins released into the circulatory system by tumor cells. Initially, we analyzed the protein components in the conditional medium (CM) of lung cancer primary cell or organ cultures, and in the adjacent normal bronchus using 1-D PAGE and nano-ESI-MS/MS. We identified 299 proteins involved in key cellular process such as cell growth, organogenesis and signal transduction. We selected 13 interesting proteins from this list, and analyzed them in 628 blood plasma samples using ELISA. We detected 11 of these 13 proteins in the plasma of lung cancer patients and non-patient controls. Our results showed that plasma MMP1 levels were elevated significantly in late-stage lung cancer patients, and that the plasma levels of 14-3-3 sigma, beta and eta in the lung cancer patients were significantly lower than those in the control subjects. To our knowledge, this is the first time that fascin, ezrin, CD98, annexin A4, 14-3-3 sigma, 14-3-3 beta and 14-3-3 eta proteins have been detected in human plasma by ELISA. The preliminary results showed that a combination of CD98, fascin, PIGR/SC and 14-3-3 eta had a higher sensitivity and specificity than any single marker. In conclusion, we report a method to detect proteins released into blood by lung cancer. This pilot approach may lead to the identification of novel protein markers in blood and provide a new method of identifying tumor biomarker profiles for guiding both early detection and therapy of human cancer.

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Copyright © 2005 by the American Society for Biochemistry and Molecular Biology.
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