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Submitted on October 15, 2007
Revised on February 25, 2008
Accepted on March 13, 2008

Discovery and verification of head-and-neck cancer biomarkers by differential protein expression analysis using iTRAQ-labeling and multidimensional liquid chromatography and tandem mass spectrometry

Ranju Ralhan, Leroi V. DeSouza, Ajay Matta, Satyendra Chandra Tripathi, Shaun Ghanny, Siddartha Datta Gupta, Sudhir Bahadur, and K. W. Michael Siu

Chemistry, York University, Toronto, Ontario M3J 1P3

Corresponding Author: kwmsiu{at}yorku.ca

Multidimensional liquid chromatography – mass spectrometry (LC-MS/MS) has been used for the analysis of biological samples labeled with isobaric mass tags (iTRAQ) to identify proteins that are differentially expressed in human head-and-neck squamous-cell carcinomas(HNSCCs) in relation to non-cancerous head-and-neck tissues (control) for cancer biomarker discovery. Fifteen individual samples (cancer and non-cancerous tissues) were compared against a pooled non-cancerous control (prepared by pooling equal amounts of proteins from six non-cancerous tissues) in five sets by online and offline separation. We identified 811 non-redundant proteins in HNSCCs, including structural proteins, signaling components, enzymes, receptors, transcription factors and chaperones. A panel of proteins showing consistent differential expression in HNSCC relative to the non-cancerous controls was discovered. Some of the proteins include stratifin (14-3-3 sigma), YWHAZ (14-3-3 zeta), three calcium-binding proteins of the S100 family, S100A 2, S100A 7 (psoriasin) and S100A 11 (calgizarrin), prothymosin alpha (PTHA), L-lactate dehydrogenase A chain (LDH-A), glutathione S transferase-Pi, APC-binding protein EB1, and fascin. Peroxiredoxin2, carbonic anhydrase I, flavin reductase, histone H3 and polybromo-1D (BAF180) were underexpressed in HNSCCs. A panel of the three best-performing biomarkers – YWHAZ, stratifin and S100A7 - achieved a sensitivity of 0.92 and a specificity of 0.91 in discriminating cancerous from non-cancerous head-and-neck tissues. Verification of differential expression of YWHAZ, stratifin and S100A7 proteins in clinical samples of HNSCCs and paired and non-paired non-cancerous tissues by immunohistochemistry, immunoblotting, and RT-PCR confirmed their overexpression in head-and-neck cancer. Verification of YWHAZ, stratifin and S100A7 in an independent set of HNSCCs achieved a sensitivity of 0.92 and a specificity of 0.87 in discriminating cancerous from non-cancerous 3 head-and-neck tissues, thereby confirming their overexpressions and utility as credible cancer biomarkers.


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