摘要
Glycoproteins such as CA125 and CA153 were among first-identified biomarkers in cancer diagnosis and monitoring oftumor burden and relapse. However, glycoprotein biomarkers only have very limited value for non-small cell lung cancer(NSCLC). The aim of this study is to generate a precise map for MUC1 glycopeptides expressed by NSCLC patientswith a panel of monoclonal antibodies, and to develop a sandwich ELISA assay through capturing serum MUC1. Wefirst studied the O-glycans of banked non-small cancer cell carcinoma tissue, and identified four types of major O-glycanstructures. Focusing on 5 O-glycosylation sites of MUC1 tandem repeat, we tested 121 monoclonal antibody pairs in their binding to MUC1 secreted by NSCLC cells. A pair of monoclonal antibodies with strongest binding to all NSCLCMUC1 were selected. Banked serum samples from 198 lung cancer patients(Stages II-IV) were studied, in comparisonto 153 healthy control. Antibody pair specific for glyco-epitopes in MUC1 testing showed a sensitivity of 78.1% andspecificity of 66.2% respectively. When combined with CEA(>10 ng/ml), the sensitivity and specificity were increasedto 90.2% and 77.3% respectively. Our results indicate that secreted MUC1 glycopeptide epitopes might be a clinicallyvaluable cancer biomarker. The precision mapping of secreted MUC1 glycopeptide epitopes may lead to invention of critical technologies for early detection of NSCLC.
Glycoproteins such as CA125 and CA153 were among first-identified biomarkers in cancer diagnosis and monitoring oftumor burden and relapse. However, glycoprotein biomarkers only have very limited value for non-small cell lung cancer(NSCLC). The aim of this study is to generate a precise map for MUC1 glycopeptides expressed by NSCLC patientswith a panel of monoclonal antibodies, and to develop a sandwich ELISA assay through capturing serum MUC1. Wefirst studied the O-glycans of banked non-small cancer cell carcinoma tissue, and identified four types of major O-glycanstructures. Focusing on 5 O-glycosylation sites of MUC1 tandem repeat, we tested 121 monoclonal antibody pairs in their binding to MUC1 secreted by NSCLC cells. A pair of monoclonal antibodies with strongest binding to all NSCLCMUC1 were selected. Banked serum samples from 198 lung cancer patients(Stages II-IV) were studied, in comparisonto 153 healthy control. Antibody pair specific for glyco-epitopes in MUC1 testing showed a sensitivity of 78.1% andspecificity of 66.2% respectively. When combined with CEA(>10 ng/ml), the sensitivity and specificity were increasedto 90.2% and 77.3% respectively. Our results indicate that secreted MUC1 glycopeptide epitopes might be a clinicallyvaluable cancer biomarker. The precision mapping of secreted MUC1 glycopeptide epitopes may lead to invention of critical technologies for early detection of NSCLC.
引文