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pmid:25778709
LC-MS/MS-based serum proteomics for identification of candidate biomarkers for hepatocellular carcinoma.
Tsung-Heng Tsai · Ehwang Song · Rui Zhu · Cristina Di Poto · Minkun Wang · Yue Luo · Rency S Varghese · Mahlet G Tadesse · Dina Hazem Ziada · Chirag S Desai · Kirti Shetty · Yehia Mechref · Habtom W Ressom
Proteomics · 2015 doi:10.1002/pmic.201400364
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Complete file
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In the present study, we analyzed sera from 205 patients recruited in the United States and Egypt for biomarker discovery using label-free proteomic analysis by LC-MS/MS. We performed untargeted proteomic analysis of sera to identify candidate proteins with statistically significant differences between hepatocellular carcinoma (HCC) and patients with liver cirrhosis. We further evaluated the significance of 101 proteins in sera from the same 205 patients through targeted quantitation by MRM on a triple quadrupole mass spectrometer. This led to the identification of 21 candidate protein biomarkers that were significantly altered in both the United States and Egyptian cohorts. Among the 21 candidates, ten were previously reported as HCC-associated proteins (eight exhibiting consistent trends with our observation), whereas 11 are new candidates discovered by this study. Pathway analysis based on the significant proteins reveals upregulation of the complement and coagulation cascades pathway and downregulation of the antigen processing and presentation pathway in HCC cases versus patients with liver cirrhosis. The results of this study demonstrate the power of combining untargeted and targeted quantitation methods for a comprehensive serum proteomic analysis, to evaluate changes in protein levels and discover novel diagnostic biomarkers. All MS data have been deposited in the ProteomeXchange with identifier PXD001171 (http://proteomecentral.proteomexchange.org/dataset/PXD001171).", "claims": [{"id": "claim-target-result", "statement": "The study combined untargeted LC-MS/MS with targeted MRM and used Welch’s test, a burden-of-illness test, and Benjamini–Hochberg false-discovery-rate correction for statistical screening, followed by t-tests for targeted quantification. It identified 21 candidate protein biomarkers significantly altered in both cohorts. 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