Added by |
jacques.colinge |
Group name |
EquipeJC |
Item Type |
Journal Article |
Title |
Detection of soluble biomarkers of pancreatic cancer in endoscopic ultrasound-guided fine-needle aspiration samples |
Creator |
Souche et al. |
Author |
Guillaume Tosato |
Author |
Benjamin Rivière |
Author |
Jean-Christophe Valats |
Author |
Antoine Debourdeau |
Author |
Nicolas Flori |
Author |
Didier Pourquier |
Author |
Jean-Michel Fabre |
Author |
Eric Assenat |
Author |
Jacques Colinge |
Author |
Andrei Turtoi |
Abstract |
BACKGROUND: Biomarkers are urgently needed for pancreatic ductal adenocarcinoma (PDAC). Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the cornerstone for diagnosing PDAC. We developed a method for discovery of PDAC biomarkers using the discarded EUS-FNA liquid.
METHODS: This retrospective study included 58 patients with suspected pancreatic lesions who underwent EUS-FNA. Protein extracts from EUS-FNA liquid were analyzed by mass spectrometry. Proteomic and clinical data were modeled by supervised statistical learning to identify protein markers and clinical variables that distinguish PDAC.
RESULTS: Statistical modeling revealed a protein signature for PDAC screening that achieved high sensitivity and specificity (0.92, 95?% confidence interval [CI] 0.79-0.98, and 0.85, 95?%CI 0.67-0.93, respectively). We also developed a protein signature score (PSS) to guide PDAC diagnosis. In combination with patient age, the PSS achieved 100?% certainty in correctly identifying PDAC patients?>?54 years. In addition, 3?/4 inconclusive EUS-FNA biopsies were correctly identified using PSS.
CONCLUSIONS: EUS-FNA-derived fluid is a rich source of PDAC proteins with biomarker potential. The PSS requires further validation and verification of the feasibility of measuring these proteins in patient sera. |
Publication |
Endoscopy |
Volume |
54 |
Issue |
5 |
Pages |
503-508 |
Date |
2022-05 |
Journal Abbr |
Endoscopy |
Language |
eng |
DOI |
10.1055/a-1550-2503 |
ISSN |
1438-8812 |
Library Catalog |
PubMed |
Extra |
PMID: 34448184 |
Tags |
Biomarkers, Carcinoma, Pancreatic Ductal, corresponding, Endoscopic Ultrasound-Guided Fine Needle Aspiration, Humans, Middle Aged, original, Pancreatic Neoplasms, phd, Retrospective Studies |
Date Added |
2022/07/29 - 09:14:08 |
Date Modified |
2024/09/08 - 17:08:21 |
Notes and Attachments |
PubMed entry (Attachment) |