肺癌和前列腺癌骨转移血清蛋白质组学研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的应用蛋白质组学双向荧光差异凝胶电泳和质谱技术寻找并鉴定肺癌骨转移患者与对照组肺癌无骨转移患者血清之间的差异表达蛋白,探讨肺癌骨转移患者血清中可能与肺癌骨转移发生、发展相关的蛋白质,以期寻找肺癌骨转移血清标志物。
     方法收集男性肺癌伴骨转移、不伴骨转移各12例,女性肺癌伴骨转移、不伴骨转移各12例血清样本。同组血清等量混合,用除白蛋白试剂盒除去血清中的白蛋白,再经除盐浓缩后,将4组处理后的血清样品用不同的CyDye染料交叉标记后进行双向荧光差异凝胶电泳(2-D DIGE)。利用DeCyder软件分析,将肺癌伴骨转移与肺癌无骨转移比较的差异蛋白质点行基质辅助激光解析离子化飞行时间质谱(MALDI-TOF-MS)鉴定。
     结果双向荧光差异凝胶电泳显示,肺癌骨转移组血清蛋白中有16个斑点与肺癌无骨转移组有显著差异。肺癌骨转移患者血清中11个蛋白质表达水平显著增加,5个蛋白质表达水平显著下降。5个差异蛋白点进行胶内原位酶解、肽质指纹图谱分析,成功得到了个4蛋白质肽质指纹图,并查询数据库初步鉴定了该4个蛋白质分别为RBP-TTR、结合珠蛋白(Hp)、S-亚硝基血红蛋白(SNO- Hb)、desArg141 alpha Hb。
     结论双向荧光差异凝胶电泳结合质谱鉴定是血清差异蛋白质组学研究的可靠平台和有力工具。所鉴定出的蛋白质可能与肺癌骨转移的发生、发展有关,有助于肺癌骨转移发病机理的了解。
     目的应用蛋白质组学双向凝胶电泳和质谱技术寻找并鉴定前列腺癌骨转移患者与对照组前列腺癌无骨转移患者血清之间的差异表达蛋白,探讨前列腺癌骨转移患者血清中可能与前列腺癌骨转移发生、发展相关的蛋白质,以期寻找前列腺癌骨转移血清标志物。
     方法收集前列腺癌伴骨转移、不伴骨转移各5例血清样本。血清样品用除白蛋白试剂盒除去血清中的白蛋白后进行双向凝胶电泳, ImageMaster 2D Platinum软件分析,有意义的差异蛋白质点行基质辅助激光解析离子化飞行时间质谱(MALDI-TOF-MS)鉴定。
     结果双向凝胶电泳显示,前列腺癌骨转移组血清蛋白中有15个斑点与前列腺癌无骨转移组有显著差异。前列腺癌骨转移患者血清中10个蛋白质表达水平显著增加,5个蛋白质表达水平显著下降。5个差异蛋白点进行胶内原位酶解,肽质量指纹图谱分析成功得到了3个蛋白质肽质量指纹图谱,并查询数据库初步鉴定了该3个蛋白质分别为锌α2糖蛋白、结合珠蛋白和载脂蛋白CⅢ。
     结论双向凝胶电泳结合质谱鉴定是血清差异蛋白质组学研究的可靠平台和有力工具。所鉴定出的蛋白质与前列腺癌骨转移的发生、发展有关,可能是前列腺癌骨转移潜在的血清标志物。
Objective Using 2-D differential gel electrophoresis (2-D DIGE) and MS to screen serum biomarker candidates in lung cancer with bone metastases.
     Methods serum samples from 12 male lung cancer patients with bone metastases,12 male lung cancer patients without bone metastases,12 female lung cancer patients with bone metastases and 12 female lung cancer patients without bone metastases were obtained. Serum samples of the same group were pooled and the most abundant protein albumin was depleted in order to enrich low-abundance proteins and proteins with low molecular weight. Concentrated and desalted samples were labeled with three different CyDyes including one internal standard, pooled from all the samples, and separated with 2-D DIGE in triplicate experiments. Biological variations of the protein expression level were analyzed with DeCyder software and evaluated for reproducibility and statistical significance. The differentially expressed protein spots in sera from lung cancer patients with bone metastases were analyzed by peptide-fingerprinting with matrix-assisted laser desorption/ionization time of flight mass spectrometry(MALDI-TOF-MS).
     Results A total of 11 protein spot-features were found to be significantly increased and 5 significantly decreased in lung cancer with bone metastases serum samples.The identified proteins included RBP-TTR complex that was decreased, haptoglobin, SNO-Hb, desArg141 alpha Hb that were increased in lung cancer with bone metastases serum samples.
     Conclusions The combination of 2-D DIGE and mass spectrometry (MS) strategy is an ideal platform and powerful approach for differential proteomic analysis of human sera. 4 proteins might be involved in the process of lung cancer bone metastases and improve our understanding of the fundamental chang that contribute to the process of carcinogenesis and the formation of metastases in lung cancer with bone metastases..
     Objective Using the two-dimensional gel electrophoresis (2-DE) and mass spectromet ry to screen serum biomarker candidates in prostate cancer with bone metastases.
     Methods Serum samples from 5 prostate cancer patients with bone metastases,5 prostate cancer patients without bone metastases were obtained. The most abundant protein albumin in serum was depleted in order to enrich low-abundance proteins and proteins with low molecular weight. The samples were separated by two-dimensional electrophoresis (2-DE) and analyzed with ImageMaster 2D Platinum software.The differentially expressed protein spots in sera from prostate cancer patients with bone metastases were analyzed by peptide-fingerprinting with matrix-assisted laser desorption/ionization time of flight mass spectrometry(MALDI-TOF-MS).
     Results A total of 10 protein spot-features were found to be significantly increased and 5 significantly decreased in prostate cancer with bone metastases serum samples. The identified proteins included Zn-alpha2-glycoprotein(ZAG), haptoglobin and apolipop- roteinC-III that were increased in prostate cancer with bone metastases serum samples.
     Conclusion The combination of 2-D and mass spectrometry (MS) strategy is an ideal platform and powerful approach for differential proteomic analysis of human sera. 3 proteins might be involved in the process of prostate cancer bone metastases and improve our understanding of the fundamental chang that contribute to the process of carcinogenesis and the formation of metastases in prostate cancer with bone metastases.The proteins might be applied as biomarkers for bone metastases from prostate cancer.
引文
1.马寄晓,刘秀杰.实用临床核医学.北京:原子能出版社,2002,322.
    2. Coleman RE, Purohit OP. Osteoclast inhibition for the treatment of bone metastas es. Cancer Treat Rev, 1993, 19(1):79-103.
    3. Coleman RE. Metastatic bone disease: clinical features, pathophysiology and trea tment strategies. Cancer Treat Rev, 2001, 27:165-176.
    4.要洁,张湘茹,朱继庆,等.非小细胞肺癌骨转移的临床特点分析.实用癌症杂志,2004,19(4):392-395.
    5.王靖华,陈龙邦,龚涌灵,等.肺癌骨转移与其临床特点.河南肿瘤学杂志,20 05,14(1):48-49.
    6. Kagohashi K, Satoh H, Ishikawa H, et al. Bone metastasis as the first manifestation of lung cancer. Int J Clin Pract, 2003, 57(3):184-186.
    7. Cheran Sk, Herndon JE ,Patz EF Jr. Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer. Lung Cancer, 2004, 45(4):317-325.
    8. Erturan S, YamanM,Aydin G, et al.The role of whole-body bone scanning and clinical factors in detecting bone metastases in patients with non -small cell lung cancer. Chest, 2005,127(2):449-454.
    9. Wymenga LF, Boomsma JH, Groenier K, et al. Routine bone scans in patients with prostate cancer related to serum prostate specific antigen and alkaline phosphatese. BJU lnt ,2001, 88 (3) :226-230.
    10. Crippa F, Seregni E, Agresti R, et al. Bone scintigraphy in breast cancer: a ten years follow up study. J Nucl Biol Med ,1993,37:57–61.
    11.龙为红,李德仁,吴文.肺癌骨转移99mTc-MDP骨显像的临床价值及与CT、X-rays检查对比观察.中国肿瘤临床与康复.2002,9(2):9-11.
    12. Blomqvist C. Assessment of response to systemic therapy focusing on metastatic bonedisease. Cancer Treat Rev, 2001, 27 ( 3 ) :177-180.
    13. Wasinger VC,Cordwell SJ,Cerpa-Poljak A,et al. Progress with gene-product mapping of the Mollicutes: Mycoplasma genitalium. Electrophoresis, 1995, 16(7): 1090-1094.
    14. Chanin TD, Merrick DT, Franklin WA, et al. Recent developments in biomarkers for the early detection of lung cancer: perspectives based on publications 2003 to present. Curr Opin Pulm Med ,2004,10:242-247.
    15. Dowling P, O'Driscoll L, Meleady P, et al.2-D difference gel electrophoresis of the lung squamous cell carcinoma versus normal sera demonstrates consistent alterations in the levels of ten specific proteins. Electrophoresis, 2007,28(23):4302-10.
    16. Huang HL, Stasyk T, Morandell S,et al. Biomarker discovery in breast cancer serum using 2-D differential gel electrophoresis/ MALDI-TOF/TOF and data validation by routine clinical assays. Electrophoresis, 2006,27(8):1641-1650.
    17. Marchi N, Mazzone P, Fazio V,et al. ProApolipoprotein A1: a serum marker of brain metastases in lung cancer patients. Cancer, 2008,112(6):1313-1324.
    18. Gon?alves A, Esterni B, Bertucci F,et al. Postoperative serum proteomic profiles may predict metastatic relapse in high-risk primary breast cancer patients receiving adjuvant chemotherapy.Oncogene,2006,25(7):981-989
    19. Le L, Chi K, Tyldesley S,et al. Identification of serum amyloid A as a biomarker to distinguish prostate cancer patients with bone lesions. Clin Chem, 2005,51(4):695-707.
    20.李雅莉,杨德昌.肺癌的诊断及其进展.国外医学呼吸系统分册, 2005, 25 (2): 124-126.
    21. Janssen-Heijnen ML, Coebergh JW.The changing epidemiology of lung cancer in Europe. Lung Cancer, 2003, 41 (3) : 245-258.
    22. Roodman GD. Mechanisms of bone metastasis. N Engl J Med,2004, 350:1655–1664.
    23. Katakami N. Lung cancer with bone metastasis. Gan To Kagaku Ryoho, 2006, 33(8): 1049-1053.
    24. Aydinli U, Ozturk C, Bayram S, et al. Evaluation of lung cancer metastases to thespine.Acta Orthop Belg, 2006,72(5):592-597.
    25. Rozanas CR,Loyland SM.Capabilities using 2-D DIGE in proteomics research : the new gold standard for 2-D gel electrophoresis. Methods Mol Biol, 2008, 441:1-18.
    26. Anderson NL, Anderson NG. The human plasma proteome : history,character, and diagnostic prospects. Mol Cel Proteomics, 2002 ,1:845-867.
    27. O'Farrell PZ, Goodman HM. Resolution of simian virus 40 proteins in whole cell extracts by two-dimensional electrophoresis: heterogen eity of the major capsid protein. Cell,1976, 9(2):289-298.
    28. Unlu M, Morgan ME, Minden JS. Difference gel electrophoresis: a single gel method for detecting changes in protein extracts. Electrophoresis, 1997,18: 2071-2077.
    29. Freeman WM, Hemby SE. Proteomics for protein expression profiling in neuroscience. Neurochemical research, 2004, 29: 1065-1081.
    30. Gharbi S, Gaffney P, Yang A, et al. Evaluation of two-dimensional differential gel electrophoresis for proteomic expression analysis of a model breast cancer cell system.Molecular & cellular proteomics, 2002,1:91-98.
    31. Swatton JE, Prabakaran S, Karp NA, et al. Protein profiling of human postmortem brain using 2-dimensional fluorescence difference gel electrophoresis (2-D DIGE) Molecular psychiatry, 2004, 9: 128-143.
    32. Feng JT, Liu YK, Song HY, et al. Heat-shock protein 27: a potential biomarker for hepatocellular carcinoma identified. by serum proteome analysis. Proteomics, 2005, 5(17): 4581-4588
    33. Huang HL, Stasyk T, Morandell S,et al. Biomarker discovery in breast cancer serum using 2-D differential gel electrophoresis/ MALDI-TOF/TOF and data validation by routine clinical assays. Electrophoresis, 2006, 27(8):1641-1650.
    34.曾家伟,王世鑫,赵学峰,等.双向电泳-质谱技术筛选矽肺血清差异蛋白的研究.中华劳动卫生职业病杂志,2007,25(3):136-141.
    35. Ardekani AM, Liotta LA,Petricoin EF. Clinical potential of proteomics in diagnosis ofovarian cancer. Expert Rev Mol Diagn, 2002, 2:312-320.
    36. Bjorhall K, Miliotis T, Davidsson P. Comparison of different depletion strategies for improved resolution in proteomic analysis of human serum samples. Proteomics, 2005, 5(1) : 307-317.
    37. Chen Y, Lin S,Yeh YY, et al. A modified protein precipitation procedure for efficient removal of albumin from serum.Electrophoresis, 2005, 26:2117-2127
    38. Fosslien E. Biochemistry of cyclooxygenase (COX)-2 inhibitors and molecular pathology of (COX)-2 in neoplasia. Crit Rev Clin Lab Sci, 2000, 37:431-502.
    39. Cid MC, Grant DS, Hoffman GS, et al. Identification of haptoglobin as an angiogenic factor in sera from patients with systemic vasculitis. J Clin Invest, 1993, 91:977-985.
    40. De Kleijn DPV, Smeets MB, Kemmeren PPCW, et al. Acute-phase protein haptoglobin is a cell migration factor involved in arterial restructuring. FASEB J, 2002, 16 (9) : 1123-1125.
    41. Ye B, Cramer DW, Skates SJ, et al. Haptoglobin-alpha subunit as potential serum biomarker in ovarian cancer: identification and characterization using proteomic profiling and mass spectrometry. Clin Cancer Res, 2003, 9: 2904-29l1.
    42. Ang IL, Poon TC, Lai PB, et al. Study of serum haptoglobin and its glycoforms in the diagnosis of hepatocellular carcinoma: a glycoproteomic approach. J Proteome Res, 2006, 5:2691-2700.
    43. Bharti A , Ma PC , Maulik G, et al . Haptoglobin alpha- subunit and hepatocyte growth factor can potentially serve as serum tumor biomarkers in small cell lung cancer . Anticancer Res, 2004, 24 (2C):1031-1038.
    44. Fedorovych IP, Tymochko MF, Fedevych IuM,et al. Serum haptoglobin in lung cancer patients. Ukr Biokhim Zh, 1995, 67(2),103-105.
    45. Naylor HM,Newcomer ME.The structure of human retinol-bingding protein whit its carrier protein transthyretin reveals an interaction with the carboxy terminus of RBP.Biochemistry, 1999, 38:2647-2653.
    46. Raghu P, Sivakumar B.Interactions amongst plasma retinol-binding protein, transthyretin and their ligands: implications in vitamin A homeostasis and transthyretin amyloidosis. Biochim Biophys Acta, 2004,1703 (1):1-9.
    47. Lsrael H,odziemiec C,Balloww M. The effects of retinoics acid on immunoglobulin synthesis by human cord blood mononuclear cells. Clin Immunol Immunopathol, 1991, 59(3):417-425.
    48. Yin Li Marcia ID,Anissa A, et al. Regulation of RARβexpression by RAR-and RXR-selective retinoids in human lung cancer cell lines;Effect on growth inhibition and apoptosis induction . Int J Cancer, 1998, 75(1):88– 95.
    49. Xu X, Sozzi G, Lee JS, et al . Suppression of Retinoic acid receptorβin non-small-cell lung cancer in vivo: implications for lung cancer development. J Natl Cancer Institute,1997, 89(9):624-629.
    50. Edes TE, McDonald PS.Retinol and retinol-binding protein in lung cancer screening. Cancer Detect Prev, 1991,15:341-344.
    51. Muller T, Marshall RJ, Cooper EH, et al. The role of serum tumour markers to aid the selection of lung cancer patients for surgery and the assessment of prognosis. Eur J Cancer Clin Oncol, 1985, 21:1461-1466.
    52. Patz EF Jr, Campa MJ, Gottlin EB,et al. Panel of serum biomarkers for the diagnosis of lung cancer. J Clin Oncol, 2007, 25(35):5578-5583.
    53. Roberts D,Williams SJ, Cvetkovic D,et al.Decreased expression of retinol-binding proteins is associated with malignant transformation of the ovarian surface epithelium. DNA Cell Biol, 2002, 21:11-19.
    54. Chan NL, Rogers PH, Arnone A.Crystal structure of the S-nitroso form of liganded human hemoglobin. Biochemistry, 1998, 37(47): 16459-16464.
    55. Deem S, Kim JU, Manjula BN,et al. Effects of S-nitrosation and cross-linking of hemoglobin on hypoxic pulmonary vasoconstriction in isolated rat lungs Effects of S-Nitrosation and Cross-Linking of Hemoglobin on Hypoxic Pulmonary Vasoconst-riction in Isolated Rat Lungs. Circ Res, 2002, 91(7):626-632.
    56. Iwasaki T ,Higashiyama M, Kuriyama K, et al . N( G) - nitro - L– arginine methyl ester inhibits bone metastasis after modified intracardiac injection of human breast cancer cells in a nude mouse model. Jpn J Cancer Res,1997, 88 (4) : 861–866.
    57.汪礼坤,鲁智.一氧化氮与肿瘤血管形成及转移研究进展.中国中西医结合外科杂志,2006,12(2 ),170-172.
    58. Michel B, Igic R, Leray V, et al. Deddish and E.G. Erd?s, Removal of Arg141 from the alpha chain of human hemoglobin by carboxypeptidases N and M.Circ Res,1996,(78), 635–642.
    59. Kavanaugh JS, Chafin DR, Arnone A. Structure and oxygen affinity of crystalline desArg141 alpha human hemoglobin A in the T state. J MolBiol, 1995, 248: 136 -150.
    60. Nagae A, Abe M, Becker RP, et al. High concentration of carboxypeptidase M in lungs: presence of the enzyme in alveolar type I cells. Am J Respir Cell Mol Biol, 1993, 9(2):221-229.
    61. Dragovic T, Schraufnagel DE, Becker RP,et al. Carboxypeptidase M activity is increased in bronchoalveolar lavage in human lung disease. Am J Respir Crit Care Med, 1995,152: 760-764.
    62. Tsakiris I, Soos G, Nemes Z,et al.The presence of carboxypeptidase-M in tumour cells signifies epidermal growth factor receptor expression in lung adenocarcinomas : The coexistence predicts a poor prognosis regardless of EGFR levels. J Cancer Res Clin Oncol, 2008, 134(4): 439-451.
    63. Hadkar V, Sangsree S, Vogel SM,et al. Carboxypeptidase-mediated enhancement of nitric oxide production in rat lungs and microvascular endothelial cells.Am J Physiol Lung Cell Mol Physiol ,2004, 287(1):L35-45.
    64.李林法.现代骨转移瘤诊治学第1版.北京:科学出版社,2006,1221.
    65.杨全成,徐勇.前列腺癌骨转移的治疗进展.国外医学泌尿系统分册,2004, 24(2):153- 156.
    66. Burgi W, Schmid K. Preparation and properties of Zn-alpha 2-glycoprotein of normal human plasma. J Biol Chem ,1961, 236:1066–1074.
    67. Diez-Itza I, Sanchez L. M, Allende MT, et al. Zn- 2-glycoprotein levels in breast cancer cytosols and correlation with clinical, histological, and biochemical parameters. Eur J Cancer, 1993, 29A: 1256-1260.
    68. Hale LP, Price DT, Sanchez LM, et al. Zinc alpha-2-glycoprotein is expressed by malignant prostatic epithelium and may serve as a potential serum marker for prostate cancer. Clin Cancer Res ,2001,7:846-853.
    69. Henshall SM , Horvath LG, Quinn DI, et al. Zinc-alpha2-glycoprotein expression as a predictor of metastatic prostate cancer following radical prostatectomy J Natl Cancer Inst ,2006, 98(19): 1420-1424.
    70. Todorov PT, McDevitt TM, Meyer DJ, et al. Purification and characterization of a tumour lipid- mobilizing factor. Cancer Res ,1998, 58(11):2353–2358.
    71. Hale LP, Price DT, Sanchez LM, et al. Zinc alpha-2-glycoprotein is expressed by malignant prostatic epithelium and may serve as a potential serum marker for prostate cancer. Clin Cancer Res, 2001,7(4):846-853.
    72. Fujimura T, Shinohara Y, Tissot B, et al.Glycosylation status of haptoglobin in sera of patients with prostate cancer vs. benign prostate disease or normal subjects.Int J Cancer, 2008, 122(1):39-49.
    73.王革非.肿瘤病人的代谢特点.中国实用外科杂志2002,22(11):690-692.
    1 Coleman RE: The clinical use of bone resorption markers in patients with malignant bone disease. Cancer, 2002, 94: 2521-2533.
    2 Cook RJ, Coleman R, Brown J, et al. Markers of bone metabolism and survival in men with hormone-refractory metastatic prostate cancer. Clin Cancer Res, 2006, 12(11 Pt 1):3361-3367.
    3 Bajetta E, Martinetti A, Zilembo N, et al. Biological activity of anastrozole in postmenopausal patients with. advanced breast cancer: effects on estrogens and bone metabolism. Ann Oncol, 2002,13: 1059-1066.
    4 Koopmans N, de Jong IJ, Breeuwsma AJ, et al. Serum bone turnover markers (PINP and ICTP) for the early detection of bone metastases in patients with prostate cancer: a longitudinal approach. J Urol,2007,178(3 Pt 1):849-853.
    5 Ebert W, Muley T, Herb KP, et al. Comparison of bone scintigraphy with bone markers in the diagnosis of bone metastasis in lung carcinoma patients. Anticancer Res, 2004, 24(5B):3193–3201.
    6 Pollmann D, Siepmann S, Geppert R,et al. The amino-terminal propeptide (PINP) of type I collagen is a clinically valid indicator of bone turnover and extent of metastatic spread in osseous metastatic breast cancer. Anticancer Res,2007, 27(4A):1853-1862.
    7 Jukkola A, Bloigu R, Holli K,et al. Postoperative PINP in serum reflects metastatic potential and poor survival in node-positive breast cancer. Anticancer Res, 2001, 21:2873–2876.
    8 Diel IJ, Solomayer EF, Seibel MJ, et al. Serum bone sialoprotein in patients with primary breast cancer is a prognostic marker for subsequent bone metastasis. Clin Cancer Res,1999,5 (12) :3914-3919.
    9 Liubimova NV, Bronnikov IIu, Robins SP, et al. The biochemical markers of bone remodeling in cancer patients with skeletal involvement. Vopr Onkol, 2000, 46(3):290-297.
    10 Takahashi S. Evaluation of cancer-induced bone diseases by bone metabolic marker.Clin Calcium , 2006, 16(4):581- 590.
    11 Ylisirnio S, Hoyhtya M, Makitaro R, et al. Elevated serum levels of type I collagen degradation marker ICTP and tissue inhibitor of metalloproteinase (TIMP) 1 are associated with poor prognosis in lung cancer. Clin Cancer Res, 2001,7(6):1633-1637.
    12 Coleman RE, Major P, Lipton A, et al. Predictive value of bone resorption and formation markers in cancer patients with bone metastases receiving the bisphosphonate zoledronic acid. J Clin Oncol, 2005, 23(22): 4925-4935.
    13 Chao TY, Yu JC, Ku CH, et al. Tartrate-resistant acid phosphatase 5b is a useful serum marker for extensive bone metastasis in breast cancer patients. Clin Cancer Res, 2005,11(2 Pt 1):544–550.
    14 Capeller B, Caffier H, Sutterlin MW, et al. Evaluation of tartrate-resistant acid phosphatase (TRAP) 5b as serum marker of bone metastases in human breast cancer. Anticancer Res, 2003, 23(2A):1011–1015.
    15 Hegele A, Wahl HG, Varga Z,et al. Biochemical markers of bone turnover in patients with localized and metastasized prostate cancer. BJU Int,2007,99(2):330-334.
    16 Brown JM, Vessella RL, Kostenuik PJ, et al. Serum osteoprotegerin levels are increased in patients with advanced prostate cancer. Clin Cancer Res ,2001,7:2977–2983.
    17 Eaton CL, Wells JM, Holen I, et al. Serum osteoprotegerin (OPG) levels are associated with disease progression and response to androgen ablation in patients with prostate cancer. Prostate, 2004, 59:304–310.
    18 Jung K, Lein M, Stephan C,et al. Comparison of 10 serum bone turnover markers in prostate carcinoma patients with metastatic spread: diagnostic and prognostics implications. Int J Cancer, 2004, 111(5):783–791.
    19 Lipton A, Ali SM, Leitzel K, et al. Serum osteoprotegerin levels in healthy controls and cancer patients. Clin Cancer Res, 2002, 8(7):2306–2310.
    20 Martinetti A, Ripamonti C, Miceli R, et al. Short-term effects of pamidronate on bone turnover: can bone markers be considered predictive of the analgesic response? Oncol Rep, 2007,17(6):1533-1540.
    21 Body JJ, Facon T, Coleman RE,et al. A study of the biological receptor activator of nuclear factor-kappaB ligand inhibitor, denosumab, in patients with multiple myeloma or bone metastases from breast cancer. Cin Cancer Res,2006, 12(4):1221-1228.
    22 Leeming DJ, Koizumi M, Byrjalsen I, et al. The relative use of eight collagenous and noncollagenous markers for diagnosis of skeletal metastases in breast, prostate, or lung cancer patients. Cancer Epidemiol Biomarkers Prev, 2006, 15(1):32-38.
    23 Grimaud E, Soubigou L, Couillaud S, et al. Receptor activator of nuclear factor kappaB ligand (RANKL)/osteoprotegerin (OPG) ratio is increased in severe osteolysis. Am J Pathol ,2003,163(5): 2021-2031.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700