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Ovarian Blood Sampling Identifies Junction Plakoglobin as a Novel Biomarker of Early Ovarian Cancer

Weiland, F. (author)
Lokman, N. A. (author)
Klingler-Hoffmann, M. (author)
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Jobling, T. (author)
Stephens, A. N. (author)
Sundfeldt, Karin, 1962 (author)
Gothenburg University,Göteborgs universitet,Sahlgrenska Cancer Center,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology
Hoffmann, P. (author)
Oehler, M. K. (author)
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 (creator_code:org_t)
2020-09-25
2020
English.
In: Frontiers in Oncology. - : Frontiers Media SA. - 2234-943X. ; 10
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Ovarian cancer is the most lethal gynecologic malignancy. Early detection would improve survival, but an effective diagnostic test does not exist. Novel biomarkers for early ovarian cancer diagnosis are therefore warranted. We performed intraoperative blood sampling from ovarian veins of stage I epithelial ovarian carcinomas and analyzed the serum proteome. Junction plakoglobin (JUP) was found to be elevated in venous blood from ovaries with malignancies when compared to those with benign disease. Peripheral plasma JUP levels were validated by ELISA in a multicenter international patient cohort. JUP was significantly increased in FIGO serous stage IA+B (1.97-fold increase; p < 0.001; n = 20), serous stage I (2.09-fold increase; p < 0.0001; n = 40), serous stage II (1.81-fold increase, p < 0.001, n = 23) and serous stage III ovarian carcinomas (1.98-fold increase; p < 0.0001; n = 34) vs. normal controls (n = 109). JUP plasma levels were not increased in early stage breast cancer (p = 0.122; n = 12). In serous ovarian cancer patients, JUP had a sensitivity of 85% in stage IA+B and 60% in stage IA-C, with specificities of 76 and 94%, respectively. A logistic regression model of JUP and Cancer Antigen 125 (CA125) revealed a sensitivity of 70% for stage IA+B and 75% for stage IA-C serous carcinomas at 100% specificity. Our novel ovarian blood sampling – proteomics approach identified JUP as a promising new biomarker for epithelial ovarian cancer, which in combination with CA125 might fulfill the test criteria for ovarian cancer screening. © Copyright © 2020 Weiland, Lokman, Klingler-Hoffmann, Jobling, Stephens, Sundfeldt, Hoffmann and Oehler.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Keyword

abundance protein depletion
biomarker
early diagnosis
junction plakoglobin
mass spectrometry
ovarian cancer
proteomics
saturation labeling 2D-DIGE
biological marker
plakoglobin
adult
Article
biotinylation
blood sampling
cancer diagnosis
cancer screening
cancer staging
clear cell carcinoma
controlled study
endometrioid carcinoma
enzyme linked immunosorbent assay
female
human
image analysis
liquid chromatography-mass spectrometry
major clinical study
matrix assisted laser desorption ionization time of flight mass spectrometry
middle aged
ovary cancer
ovary cyst
prevalence
prospective study
protein analysis
tandem mass spectrometry
two dimensional difference gel electrophoresis

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ref (subject category)
art (subject category)

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