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作 者:赵斌[1] 王东文[1] 马志方[1] 王东升[1] 双卫兵[1] 张利[1] 张剑[1]
机构地区:[1]山西医科大学第一医院泌尿外科,太原030001
出 处:《中华泌尿外科杂志》2009年第11期776-779,共4页Chinese Journal of Urology
摘 要:目的应用表面增强激光解析电离飞行时间质谱(SELDI—TOF—MS)检测前列腺癌患者的血清蛋白质指纹图谱,筛选特异性诊断标志物。方法以病理确诊的45例前列腺癌患者血清和45例BPH患者血清为研究对象。采用SELDI蛋白质芯片技术检测血清的蛋白表达图谱,用BiomarkerWizard软件分析差异蛋白,对所得蛋白进行初步诊断分析。结果应用IMAC—CU固相金属亲和芯片在未经治疗的前列腺癌和BPH患者血清中检测到9个差异蛋白质峰,其蛋白质含量差异有统计学意义(P〈0.01),其中7个差异蛋白(3771.14,3968.26,4050.39,4279.20,4464.03,4481.59,8919.34)在前列腺癌患者血清中呈高表达,2个差异蛋白(5440.68,6102.82)呈低表达。联合相对分子质量为3771.14和4481.59的2个差异蛋白诊断前列腺癌,其敏感性为86.7%(39/45),特异性为88.9%(40/45)。经蛋白质数据库搜索,找到6种与差异蛋白相对分子质量最接近的蛋白质,分别为Pepeide YY、Apolipoprotin C-Ⅱ、Glucagon like peptide(7-37)、uncharacterized protein C14orf128、Medin、Neuropeptide Y。结论SELDI蛋白质芯片技术可筛选出前列腺癌中相对特异的潜在标志蛋白,具有较好的临床应用前景。Objective To detect serum biomarkers in prostate cancer(PCa) patients and benign prostatic hyperplasia (BPH) patients by surface enhanced laser desorption/ionization-time of flight (SELDI-TOF) mass spectrometry. Methods Forty-five PCa patients and forty-five BPH patients serums were screened by SELDI-TOF mass spectrometry. The data of spectra were analyzed by bioinformatics tools, Biomarker Wizard. Results Compared with the spectra of BPH patients, there were 9 potential PCa markers detected in the spectra of the PCa patients. In PCa patients, the protein 3771.14,3968.26,4050.39,4279.20,4464.03,4481.59,8919.34 expression levels were higher and the protein 5440.68,6102. 82 expression levels were lower than in BPH patients. Using 2 biomarkers (3771.14 and 4481.59) to detect PCa resulted in a sensitivity of 86.7% (39/45) and specificity of 88.9% (40/45). After searching protein database, there were 6 proteins might be potential PCa bio markers, including Peptide YY, Apolipoprotin C Ⅱ, Glucagon like peptide(7-37), uncharacterized protein C14orf128, Medin and Neuropeptide Y. Conclusion SELDI-TOF mass spectrometry has great potentiality for exploring PCa tumor biomarkers for early diagnosis and screening.
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