1. Circulating natural antibodies against 3’-sialyllactose complement the diagnostic performance of CA19-9 for the early detection of pancreatic ductal adenocarcinoma
- Author
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Hirohisa Nagahori, Keita Yamada, Koichi Saito, and Kiyoshi Higashi
- Subjects
Adult ,Male ,Cancer Research ,Glycan ,CA-19-9 Antigen ,Oligosaccharides ,Adenocarcinoma ,Malignancy ,Antibodies ,Pancreatic cancer ,Biomarkers, Tumor ,Genetics ,medicine ,Humans ,0501 psychology and cognitive sciences ,Stage (cooking) ,Pancreas ,Early Detection of Cancer ,Aged ,0505 law ,biology ,business.industry ,05 social sciences ,Cancer ,General Medicine ,Middle Aged ,Prognosis ,medicine.disease ,Oncology ,050501 criminology ,biology.protein ,Cancer research ,Biomarker (medicine) ,Female ,CA19-9 ,Antibody ,business ,Carcinoma, Pancreatic Ductal ,050104 developmental & child psychology - Abstract
Background Pancreatic ductal adenocarcinoma is a devastating malignancy with an extremely poor prognosis. Although the most widely used biomarker for pancreatic cancer is carbohydrate antigen CA19-9, it is elevated mainly in the late stage of pancreatic cancer. Some serum natural antibodies against carbohydrates have been shown to be possible diagnostic markers for cancer. Objective This study was conducted to determine whether the level of natural antibodies against carbohydrates fluctuates in pancreatic ductal adenocarcinoma. Methods Serum from pancreatic cancer subjects (n= 55) and 43 subjects free of malignant disease were studied. The contents of natural antibodies against sialyl glycans and CA19-9 in serum were determined by enzyme-linked immunosorbent assay. Results The level of serum anti-3'-sialyllactose antibodies in pancreatic cancer subjects was significantly lower than that in healthy controls. In contrast, the amounts of serum antibodies against other sialyl glycans were comparable between the two groups. Concentration of serum anti-3'-sialyllactose IgG provided excellent AUC of 0.86, with sensitivity 82%, specificity 81%, and accuracy 82%. The combination of serum anti-3'-sialyllactose IgG with CA19-9 improved the sensitivity of pancreatic cancer detection at an early stage. Conclusions Natural antibodies against 3'-sialyllactose constitute a promising biomarker for pancreatic cancer detection. The measurement of serum anti-3'-sialyllactose antibodies could play a supportive role in diagnostics and complement the performance of CA19-9 for the early detection of pancreatic ductal adenocarcinoma.
- Published
- 2019