A clinically feasible multiplex proteomic immunoassay as a novel functional diagnostic for pancreatic ductal

Kian-Huat Lim1, Emma Langley2, Feng Gao3

  • 1Division of Oncology, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Oncotarget
|April 28, 2017
PubMed

Insights

A novel proteomics platform, Collaborative Enzyme Enhanced Reactive-immunoassay (CEER™), shows high sensitivity for detecting signaling molecules in pancreatic ductal adenocarcinoma (PDAC) fine-needle aspiration samples, aiding treatment decisions.

Area of Science:

  • Oncology
  • Proteomics
  • Molecular Diagnostics

Background:

  • Targeted therapy for pancreatic ductal adenocarcinoma (PDAC) has limited clinical success.
  • Current genomic methods fail to capture dynamic tumor signaling and require large samples, which are challenging for PDAC patients.
  • A sensitive diagnostic tool is needed to guide PDAC treatment by assessing intra-tumoral signaling.

Purpose of the Study:

  • To evaluate the utility of a proteomics-based diagnostic platform, CEER™, for analyzing signaling events in PDAC.
  • To assess the feasibility of using fine-needle aspiration (FNA) samples for proteomic analysis in PDAC.
  • To identify potential proteomic biomarkers for PDAC diagnosis and prognosis.

Main Methods:

  • A highly sensitive proteomics platform, Collaborative Enzyme Enhanced Reactive-immunoassay (CEER™), was employed.
  • Fine-needle aspiration (FNA) samples were collected from 102 patients with pancreatic tumors.
  • Customized antibody arrays were used to detect total and phosphorylated signaling molecules in FNA specimens.

Main Results:

  • The CEER™ platform demonstrated high sensitivity in detecting multiple signaling molecules and their phosphorylated forms in FNA samples.
  • Marker intensities showed reasonable correlation between two FNA passes from the same patient.
  • Several markers were significantly elevated in PDAC compared to non-cancerous samples.
  • High total c-Met signal in PDAC samples correlated with poor patient survival, validated by tissue microarray analysis.

Conclusions:

  • The CEER™ proteomics platform is a sensitive tool for analyzing signaling pathways in PDAC using FNA samples.
  • This approach can provide valuable functional information to guide clinical treatment decisions for PDAC.
  • Elevated c-Met signaling may serve as a prognostic biomarker for PDAC.

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