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Identification of fucosylated Fetuin-A as a potential biomarker for cholangiocarcinoma
Journal article   Open access   Peer reviewed

Identification of fucosylated Fetuin-A as a potential biomarker for cholangiocarcinoma

Lucy Betesh, Mary Ann Comunale, Mengjun Wang, Hongyan Liang, Julie Hafner, Aykan Karabudak, Nasra H Giama, Catherine D Moser, Eiji Miyoshi, Lewis R Roberts, …
Proteomics. Clinical applications, v 11(9-10), pp 1600141-n/a
Sep 2017
PMID: 28561948
url
https://europepmc.org/articles/pmc6014737View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

alpha-2-HS-Glycoprotein - metabolism Bile Duct Neoplasms - blood Bile Duct Neoplasms - diagnosis Bile Duct Neoplasms - metabolism Biomarkers, Tumor - metabolism Cholangiocarcinoma - blood Cholangiocarcinoma - diagnosis Cholangiocarcinoma - metabolism Female Fucose - blood Fucose - metabolism Glycosylation Humans Male Middle Aged Proteomics
Cholangiocarcinoma (CCA) is a malignancy of the bile ducts. The purpose of this discovery study was to identify effective serum markers for surveillance of cholangiocarcinoma. Using a glycomic method, patients with CCA were determined to have increased levels of alpha-1,3 and alpha-1,6 linked fucosylated glycan. Proteomic analysis of the serum fucosylated proteome identified proteins such as alpha-2-macroglobulin, kininogen, hemopexin, fetuin-A, alpha-1 anti-trypsin, and ceruloplasmin as being hyperfucosylated in HCC. The levels of these glycoproteins in 109 patients with CCA, primary sclerosing cholangitis (PSC), and control patients were compared to the performance of CA-19-9, the current "gold standard" assay for cholangiocarcinoma. Fucosylated Fetuin-A (fc-Fetuin-A) had the best ability to differentiate CCA from PSC, with an AUROC of 0.812 or 0.8665 at differentiating CCA from those with PSC or other liver disease. CA-19-9 had poor ability to differentiate PSC from cholangiocarcinoma (AUROC of 0.625). Using glycomic and proteomic methods we identified a set of proteins that contain altered glycan in the sera of those with CCA. One of these proteins, fucosylated Fetuin-A may have value in the surveillance of people at risk for the development of cholangiocarcinoma.

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Collaboration types
Domestic collaboration
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Web of Science research areas
Biochemical Research Methods
Biochemistry & Molecular Biology
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