Serum diagnosis of diffuse large B-cell lymphomas and further identification of response to therapy using SELDI-TOF-MS and tree analysis patterning

BMC Cancer. 2007 Dec 29:7:235. doi: 10.1186/1471-2407-7-235.

Abstract

Background: Currently, there are no satisfactory biomarkers available to screen for diffuse large B cell lymphoma (DLBCL) or to identify patients who do not benefit from standard anti-cancer therapies. In this study, we used serum proteomic mass spectra to identify potential serum biomarkers and biomarker patterns for detecting DLBCL and patient responses to therapy.

Methods: The proteomic spectra of crude sera from 132 patients with DLBCL and 75 controls were performed by SELDI-TOF-MS and analyzed by Biomarker Patterns Software.

Results: Nine peaks were considered as potential DLBCL discriminatory biomarkers. Four peaks were considered as biomarkers for predicting the patient response to standard therapy. The proteomic patterns achieved a sensitivity of 94% and a specificity of 94% for detecting DLBCL samples in the test set of 85 samples, and achieved a sensitivity of 94% and a specificity of 92% for detecting poor prognosis patients in the test set of 66 samples.

Conclusion: These proteomic patterns and potential biomarkers are hoped to be useful in clinical applications for detecting DLBCL patients and predicting the response to therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • B-Lymphocytes / pathology
  • Biomarkers, Tumor / blood*
  • Blood Proteins / analysis
  • Combined Modality Therapy
  • Decision Trees
  • Genetic Markers
  • Humans
  • Lymphoma, Large B-Cell, Diffuse / blood*
  • Lymphoma, Large B-Cell, Diffuse / diagnosis
  • Lymphoma, Large B-Cell, Diffuse / therapy*
  • Middle Aged
  • Models, Statistical
  • Neoplasm Proteins / blood*
  • Predictive Value of Tests
  • Prognosis
  • Protein Array Analysis / methods
  • Proteomics / methods*
  • Reference Values
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization*
  • Treatment Outcome

Substances

  • Biomarkers, Tumor
  • Blood Proteins
  • Genetic Markers
  • Neoplasm Proteins