Novel Autoantibody Signatures in Sera of Patients with Pancreatic Cancer, Chronic Pancreatitis and Autoimmune Pancreatitis: A Protein Microarray Profiling Approach

Autor: Katrin Hufnagel, Oliver Strobel, Jörg D. Hoheisel, Christoph Eckert, Andrea S. Bauer, Hiromu Kutsumi, Jean Louis Frossard, Hans Acha-Orbea, Masaru Yoshida, Sahar Ghassem-Zadeh, Klaus Felix, Johannes Vey, Matthias Neulinger-Muñoz
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
pancreatic cancer
lcsh:Chemistry
0302 clinical medicine
antibodies
lcsh:QH301-705.5
Spectroscopy
Aged
80 and over

biology
General Medicine
Middle Aged
Computer Science Applications
030220 oncology & carcinogenesis
Protein microarray
Female
Antibody
autoimmune pancreatitis type 1 and type 2
Adult
Patients
Autoimmune Pancreatitis
Protein Array Analysis
microarray protein
Article
Catalysis
Autoimmune Diseases
Diagnosis
Differential

Inorganic Chemistry
chronic pancreatitis
03 medical and health sciences
Antigen
Pancreatitis
Chronic

Pancreatic cancer
medicine
Humans
Clinical significance
Physical and Theoretical Chemistry
Molecular Biology
Aged
Autoantibodies
Autoimmune pancreatitis
business.industry
Organic Chemistry
Autoantibody
medicine.disease
Pancreatic Neoplasms
030104 developmental biology
lcsh:Biology (General)
lcsh:QD1-999
Immunoglobulin G
Immunology
biology.protein
Pancreatitis
business
Zdroj: International Journal of Molecular Sciences
Volume 21
Issue 7
International Journal of Molecular Sciences, Vol 21, Iss 2403, p 2403 (2020)
ISSN: 1422-0067
DOI: 10.3390/ijms21072403
Popis: Identification of disease-associated autoantibodies is of high importance. Their assessment could complement current diagnostic modalities and assist the clinical management of patients. We aimed at developing and validating high-throughput protein microarrays able to screen patients&rsquo
sera to determine disease-specific autoantibody-signatures for pancreatic cancer (PDAC), chronic pancreatitis (CP), autoimmune pancreatitis and their subtypes (AIP-1 and AIP-2). In-house manufactured microarrays were used for autoantibody-profiling of IgG-enriched preoperative sera from PDAC-, CP-, AIP-1-, AIP-2-, other gastrointestinal disease (GID) patients and healthy controls. As a top-down strategy, three different fluorescence detection-based protein-microarrays were used: large with 6400, intermediate with 345, and small with 36 full-length human recombinant proteins. Large-scale analysis revealed 89 PDAC, 98 CP and 104 AIP immunogenic antigens. Narrowing the selection to 29 autoantigens using pooled sera first and individual sera afterwards allowed a discrimination of CP and AIP from PDAC. For validation, predictive models based on the identified antigens were generated which enabled discrimination between PDAC and AIP-1 or AIP-2 yielded high AUC values of 0.940 and 0.925, respectively. A new repertoire of autoantigens was identified and their assembly as a multiplex test will provide a fast and cost-effective tool for differential diagnosis of pancreatic diseases with high clinical relevance.
Databáze: OpenAIRE