13 research outputs found

    Serum proteomics of glioma: methods and applications

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    The prognosis of patients with glioblastoma, the most malignant adult glial brain tumor, remains poor in spite of advances in treatment procedures, including surgical resection, irradiation and chemotherapy.Genetic heterogeneity of glioblastoma warrants extensive studies in order to gain a thorough understanding of the biology of this tumor. While there have been several studies of global transcript profiling of glioma with the identification of gene signatures for diagnosis and disease management, translation into clinics is yet to happen. Serum biomarkers have the potential to revolutionize the process of cancer diagnosis, grading, prognostication and treatment response monitoring. Besides having the advantage that serum can be obtained through a less invasive procedure, it contains molecules at an extraordinary dynamic range of ten orders of magnitude in terms of their concentrations. While the conventional methods, such as 2DE, have been in use for many years, the ability to identify the proteins through mass spectrometry techniques such as MALDI-TOF led to an explosion of interest in proteomics. Relatively new high-throughput proteomics methods such as SELDI-TOF and protein microarrays are expected to hasten the process of serum biomarker discovery. This review will highlight the recent advances in the proteomics platform in discovering serum biomarkers and the current status of glioma serum markers. We aim to provide the principles and potential of the latest proteomic approaches and their applications in the biomarker discovery process. Besides providing a comprehensive list of available serum biomarkers of glioma, we will also propose how these markers will revolutionize the clinical management of glioma patients

    Data from: An eighteen serum cytokine signature for discriminating glioma from normal healthy individuals

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    Glioblastomas (GBM) are largely incurable as they diffusely infiltrate adjacent brain tissues and are difficult to diagnose at early stages. Biomarkers derived from serum, which can be obtained by minimally invasive procedures, may help in early diagnosis, prognosis and treatment monitoring. To develop a serum cytokine signature, we profiled 48 cytokines in sera derived from normal healthy individuals (n = 26) and different grades of glioma patients (n = 194). We divided the normal and grade IV glioma/GBM serum samples randomly into equal sized training and test sets. In the training set, the Prediction Analysis for Microarrays (PAM) identified a panel of 18 cytokines that could discriminate GBM sera from normal sera with maximum accuracy (95.40%) and minimum error (4.60%). The 18-cytokine signature obtained in the training set discriminated GBM sera from normal sera in the test set as well (accuracy 96.55%; error 3.45%). Interestingly, the 18-cytokine signature also differentiated grade II/Diffuse Astrocytoma (DA) and grade III/Anaplastic Astrocytoma (AA) sera from normal sera very efficiently (DA vs. normal–accuracy 96.00%, error 4.00%; AA vs. normal–accuracy 95.83%, error 4.17%). Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis using 18 cytokines resulted in the enrichment of two pathways, cytokine-cytokine receptor interaction and JAK-STAT pathways with high significance. Thus our study identified an 18-cytokine signature for distinguishing glioma sera from normal healthy individual sera and also demonstrated the importance of their differential abundance in glioma biology

    Data from: An eighteen serum cytokine signature for discriminating glioma from normal healthy individuals

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    Glioblastomas (GBM) are largely incurable as they diffusely infiltrate adjacent brain tissues and are difficult to diagnose at early stages. Biomarkers derived from serum, which can be obtained by minimally invasive procedures, may help in early diagnosis, prognosis and treatment monitoring. To develop a serum cytokine signature, we profiled 48 cytokines in sera derived from normal healthy individuals (n = 26) and different grades of glioma patients (n = 194). We divided the normal and grade IV glioma/GBM serum samples randomly into equal sized training and test sets. In the training set, the Prediction Analysis for Microarrays (PAM) identified a panel of 18 cytokines that could discriminate GBM sera from normal sera with maximum accuracy (95.40%) and minimum error (4.60%). The 18-cytokine signature obtained in the training set discriminated GBM sera from normal sera in the test set as well (accuracy 96.55%; error 3.45%). Interestingly, the 18-cytokine signature also differentiated grade II/Diffuse Astrocytoma (DA) and grade III/Anaplastic Astrocytoma (AA) sera from normal sera very efficiently (DA vs. normal–accuracy 96.00%, error 4.00%; AA vs. normal–accuracy 95.83%, error 4.17%). Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis using 18 cytokines resulted in the enrichment of two pathways, cytokine-cytokine receptor interaction and JAK-STAT pathways with high significance. Thus our study identified an 18-cytokine signature for distinguishing glioma sera from normal healthy individual sera and also demonstrated the importance of their differential abundance in glioma biology

    An Eighteen Serum Cytokine Signature for Discriminating Glioma from Normal Healthy Individuals

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    <div><p>Glioblastomas (GBM) are largely incurable as they diffusely infiltrate adjacent brain tissues and are difficult to diagnose at early stages. Biomarkers derived from serum, which can be obtained by minimally invasive procedures, may help in early diagnosis, prognosis and treatment monitoring. To develop a serum cytokine signature, we profiled 48 cytokines in sera derived from normal healthy individuals (n = 26) and different grades of glioma patients (n = 194). We divided the normal and grade IV glioma/GBM serum samples randomly into equal sized training and test sets. In the training set, the <i>P</i>rediction <i>A</i>nalysis for <i>M</i>icroarrays (PAM) identified a panel of 18 cytokines that could discriminate GBM sera from normal sera with maximum accuracy (95.40%) and minimum error (4.60%). The 18-cytokine signature obtained in the training set discriminated GBM sera from normal sera in the test set as well (accuracy 96.55%; error 3.45%). Interestingly, the 18-cytokine signature also differentiated grade II/Diffuse Astrocytoma (DA) and grade III/Anaplastic Astrocytoma (AA) sera from normal sera very efficiently (DA vs. normal–accuracy 96.00%, error 4.00%; AA vs. normal–accuracy 95.83%, error 4.17%). <i>K</i>yoto <i>E</i>ncyclopedia of <i>G</i>enes and <i>G</i>enomes (KEGG) pathway analysis using 18 cytokines resulted in the enrichment of two pathways, cytokine-cytokine receptor interaction and JAK-STAT pathways with high significance. Thus our study identified an 18-cytokine signature for distinguishing glioma sera from normal healthy individual sera and also demonstrated the importance of their differential abundance in glioma biology.</p></div

    Serum cytokine levels, PCA and cross validated probabilities in test set.

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    <p><b>A.</b> Heat map of supervised one-way hierarchical clustering of 18 PAM-identified cytokines in normal and GBM sera of the test set. A dual-color code was used, with red and green indicating high and low abundance, respectively. The white line separates normal from GBM samples. <b>B.</b> PCA was performed using serum levels of 18 PAM-identified cytokines of normal and GBM sera in the test set. A scatter plot was generated using first three principal components for each sample. The color code of the samples is as indicated. <b>C.</b> The graph shows detailed probabilities of 10-fold cross-validation for the samples of test set based on the serum levels of 18 PAM-identified cytokines. The probability of a given sample as normal (green color) and GBM (red color) are shown. This was predicted by the PAM program, based on which type of sample (normal <i>vs</i>. GBM) probability is higher. The original histological type of the samples is indicated above the graph.</p

    Levels of 18 discriminatory cytokines in normal and GBM sera of the training set.

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    <p><sup><b>a</b></sup>Cytokine profiling (n = 48) was carried out using bead array method. The levels of 18 discriminatory cytokines of the training set was converted to differential log 2 ratio by dividing the individual sample value with mean of all normal samples for a given cytokine. In this table, median of differential log 2 ratio for a given cytokine and standard error are shown.</p><p><sup>#</sup>The abundance of cytokines in GBM sera when compared to normal sera. “High” refers to cytokine present in elevated levels and “Low” refers to cytokine present in lower levels in GBM sera when compared to normal sera.</p><p><sup><b>b</b></sup>The TCGA microarray data which is publically available was used to check the transcript levels of 18 differentially abundant cytokines. Non-parametric t-test was conducted with FDR correction using log 2 ratio of normal brain tissue and GBM tumor tissue to identify significant differentially regulated cytokines at transcript level. The regulation, p value and log 2 fold change are provided in the table. “Up” refers to up-regulated and “Down” refers to down-regulated in GBM when compared to normal brain.</p><p>NS refers to non-significant.</p><p>Levels of 18 discriminatory cytokines in normal and GBM sera of the training set.</p

    The diagnostic accuracy, sensitivity and specificity of 18-cytokine signature in different sample sets.

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    <p><sup><b>a</b></sup>Sensitivity = (the number of positive samples predicted)/(the number of true positives)</p><p><sup><b>b</b></sup>Specificity = (the number of negative samples predicted)/(the number of true negatives)</p><p><b>Note:</b> Values within the parentheses represents (number of samples predicted correctly)/(total number of samples)</p><p>The diagnostic accuracy, sensitivity and specificity of 18-cytokine signature in different sample sets.</p
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