Development and Preliminary Evaluation of a Multivariate Index Assay for Ovarian Cancer 英文参考文献.docVIP
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Development and Preliminary Evaluation of a Multivariate Index Assay for Ovarian Cancer 英文参考文献
DevelopmentandPreliminaryEvaluationofa
MultivariateIndexAssayforOvarianCancer
SurajD.Amonkar.,GregP.Bertenshaw.,Tzong-HaoChen,KatharineJ.Bergstrom,JinghuaZhao,
ParthaSeshaiah,PingYip,BrianC.Mansfield*
CorrelogicSystems,Inc.,Rockville,Maryland,UnitedStatesofAmerica
Abstract
Background: Mostwomenwithaclinicalpresentationconsistentwithovariancancerhavebenignconditions.Therefore
methodstodistinguishwomenwithovariancancerfromthosewithbenignconditionswouldbebeneficial.Wedescribethe
development and preliminary evaluation of a serum-based multivariate assay for ovarian cancer. This hypothesis-driven
studyexaminedwhetheraninformativepatterncouldbedetectedinstageIdiseasethatpersiststhroughlaterstages.
Methodology/Principal Findings: Sera, collected under uniform protocols from multiple institutions, representing 176
cases and 187 controls from women presenting for surgery were examined using high-throughput, multiplexed
immunoassays. All stages and common subtypes of epithelial ovarian cancer, and the most common benign ovarian
conditionswererepresented.Apanelof104antigens,44autoimmuneand56infectiousdiseasemarkerswereassayedand
informativecombinationsidentified.Usingatrainingsetof91stageIdatasets,representing61individualsamples,andan
equivalentnumberofcontrols,an11-analyteprofile,composedofCA-125,CA19-9,EGF-R,C-reactiveprotein,myoglobin,
apolipoprotein A1, apolipoprotein CIII, MIP-1a, IL-6, IL-18 and tenascin C was identified and appears informative for all
stagesandcommonsubtypesofovariancancer.Usingatestingsetof245samples,approximatelytwicethesizeofthe
modelbuildingset,theclassifierhad91.3%sensitivityand88.5%specificity.Whilethesepreliminaryresultsarepromising,
furtherrefinementandextensivevalidationoftheclassifierinaclinicaltrialisnecessarytodetermineifthetesthasclinical
value.
Conclusions/Significance: We describe a blood-based assay using 11 analytes that can distinguish women with ovarian
cancer from those with benign conditions. Preliminary evaluation of the classif
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