基础医学与临床 ›› 2009, Vol. 29 ›› Issue (3): 287-291.

• 研究论文 • 上一篇    下一篇

WCX纳米磁珠在宫颈鳞癌血清蛋白质组中的应用及其临床意义

郑智国 夏婷 李永哲 高赟 牟瀚舟 许沈华 许洋   

  1. 浙江省肿瘤研究所 中国医学科学院 北京协和医学院 北京协和医院 中国医学科学院 北京协和医学院 检验医学研发中心
  • 收稿日期:2008-01-21 修回日期:2008-06-13 出版日期:2009-03-25 发布日期:2009-03-25
  • 通讯作者: 许洋

Application of WCX Magnetic Bead for Serum Proteome Profiling in Cervical Squamous Cell Carcinomas and Its Clinical Significance

Zhi-guo ZHENG, Ting XIA, Yong-zhe LI, Yun GAO, Han-zhou MOU, Shen-hua XU, Yang XU   

  1. Zhejiang Cancer Institute PUMC Hospital,CAMS&PUMC Center for Clinical Laboratory Development, CAMS&PUMC
  • Received:2008-01-21 Revised:2008-06-13 Online:2009-03-25 Published:2009-03-25
  • Contact: Yang XU

摘要: 目的 研究宫颈鳞癌患者血清蛋白,筛选差异蛋白并建立诊断模型,并探讨其临床意义。 方法 用WCX纳米磁珠联合基质辅助激光解析离子化飞行时间质谱检测77例宫颈鳞癌,13例宫颈上皮内瘤变Ⅲ级患者和52名健康人的血清。用Biomarker Wizard 软件分析并找出差异蛋白,再用Biomarker Patterns软件建立诊断模型。同时与SCC-Ag作比较。 结果 建立了由3974、3398和13732等差异蛋白峰组成的宫颈癌诊断模型,其敏感性为100%(32/32),特异性为93.8%(30/32)。扩大样本验证,其敏感性为77.8%(35/45),特异性为75%(15/20)。另外13例CINⅢ级患者有11例被检出,34例SCC-Ag阴性的患者中有30例被检出。结论 由3974、3398和13732三个差异蛋白组成的诊断模型有助于区分宫颈鳞癌,CINⅢ级患者与健康人。同时也能检出SCC-Ag阴性的宫颈鳞癌患者。

关键词: 宫颈癌, 基质辅助激光解析离子化飞行时间质谱, 纳米磁珠

Abstract: Objective To analyze the serum proteomic pattern of the cervical cancer patients,build diagnostic model and evaluate its clinic significance. Methods WCX magnetic bead and MALDI-TOF were used to detect the serum proteomic pattern of 77 patients with cervical squanmous cell carcinomas, 13 patients with CINⅢ and 52 healthy women. Biomarker Wizard software was used to detect protein peaks significantly different between cervical cancer and controls. The model was built by Biomarker Patterns software which was further valuated in blind test. Results A diagnostic pattern consisting of three differential protein peaks was established with 100%(32/32)sensitivity and 93.8%(30/32)specificity. A sensitivity of 77.8%(35/45)and a specificity of 75%(15/20)in blind test were obtained. The diagnostic model also could discriminate CINⅢ and SCC-Ag negative patients from controls. Conclusions The diagnostic pattern combining 3974,3398,13732m/z protein peaks can discriminate not only cervical squamous cell cancer but also CINⅢ and SCC-Ag negative patients from controls.

Key words: Cervical cancer, MALDI-TOF-MS, magnetic bead