孙珂焕, 吴正治, 曹美群. 甲状腺癌唾液蛋白质组诊断模型初步研究[J]. 中国肿瘤临床, 2011, 38(4): 207-210 . DOI: 10.3969/j.issn.1000-8179.2011.04.008
引用本文: 孙珂焕, 吴正治, 曹美群. 甲状腺癌唾液蛋白质组诊断模型初步研究[J]. 中国肿瘤临床, 2011, 38(4): 207-210 . DOI: 10.3969/j.issn.1000-8179.2011.04.008

甲状腺癌唾液蛋白质组诊断模型初步研究

  • 摘要: 目的:应用表面增强激光解析电离飞行时间质谱技术检测筛选甲状腺癌患者的唾液蛋白质标志物并构建诊断模型,为甲状腺癌的早期诊断提供简便易行的方法。方法:应用质谱技术检测45例甲状腺癌患者和43例健康者的唾液蛋白质指纹图谱,筛选甲状腺癌患者唾液中的特异性表达差异蛋白,并结合生物信息学方法建立诊断模型。结果:通过对检测出的两组唾液蛋白质指纹图谱数据比较, 共获得28个差异蛋白峰 (P<0.01)。其中M/Z 3 491.10、 3 642.28、4 315.10、7 424.63被选择用于构建最佳决策树模型, 该模型的测试组总准确率为81.8% (72/88), 灵敏度88.9% (40/45),特异性74.4% (32/43)。结论:初步建立了甲状腺癌的诊断模型,为甲状腺癌的早期诊断和术前诊断提供了一种灵敏度高、 特异性强的新方法,值得进一步研究和应用。

     

    Abstract: Saliva Proteomic Diagnostic Model for Thyroid CancerKehuan SUN1, ZhengzhiWU2,3, Meiqun CAO3Corresponding author: ZhengzhiWU, E-mail: szwzz001@163.com1Southern Medical University, Guangzhou 510515, China2Institute of Integrated Chinese andWestern Medicine, The First Affiliated Hospital to Shenzhen University, Shenzhen 518035, China3Shenzhen Institute of Gerontology, The Second Clinical Medical College to Ji'nan University, Shenzhen 518020, ChinaThis work was supported by the National Natural Science Foundation of China ( No. 30640071 ) and the Science and Technology Plan-ning Project of Guangdong Province ( No. 2010B030700005 )Abstract Objective: To explore the specific biomarkers in saliva of thyroid cancer patients using Surface enhanced laser desorp-tion ionization time of flight mass spectrometry ( SELDI-TOF-MS ) technique and to establish diagnostic model. Methods: The salivaprotein fingerprints of 45 thyroid cancer cases and 43 healthy controls were detected with SELDI-TOF-MS, then the specifically ex-pressed proteins in the saliva of thyroid cancer patients were used to establish the diagnostic model through bioinformatic methods. Re-sults: The saliva protein fingerprint data of the two groups were compared and 28 discrepant protein peaks were found ( P < 0.01 ). The4 peaks of M/Z3491.10, 3642.28, 4315.10 and 7424.63 were used to build the best decision tree model. The accuracy, sensitivity andspecificity of the diagnostic model were 81.8 % ( 72/88 ), 88.9 % ( 40/45 ) and 74.4 % ( 32/43 ), respectively. Conclusion: Diagnosticmodel with specifically expressed proteins in the saliva of thyroid cancer patients has high sensitivity and specificity for preoperative di-agnosis of thyroid cancer and is worthy of further exploration and application.Keywords Thyroid cancer; Saliva; Proteomics; Diagnostic model;Surface enhanced laser desorption ionization time of flight mass spectrometry

     

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