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Title:
Evaluation of serum MUC5AC in combination with CA19-9 for the diagnosis of pancreatic cancer | World Journal of Surgical Oncology
Description:
Background Pancreatic cancer (PC) is a highly aggressive tumor with a poor prognosis that lacks specific diagnostic markers. Mucin 5AC (MUC5AC) is a member of the mucin family, a heterogeneous group of high molecular weight, heavily glycosylated proteins that could be either membrane-bound or secreted. This multi-central study is to evaluate the performance of serum MUC5AC in combination with carbohydrate antigen 19-9 (CA19-9) for the diagnosis of PC in Asian. Methods Sixty-one patients with PC (comprised of early pancreatic cancer [n = 30] and late pancreatic cancer [n = 31] patients), 29 benign control, 35 choledocholithiasis, 25 chronic pancreatitis, and 34 healthy controls, were recruited from two hospitals. Serum levels of MUC5AC were evaluated by commercial ELISA kits. CA19-9 was measured by chemiluminescence immunoassay. The cutoff value of MUC5AC was determined based on optimal sensitivity and specificity. Results Serum MUC5AC in patients with PC (210.1 [100.5ā423.8] ng/mL) presented higher levels than those in controls. The combined biomarker panel (MUC5AC and CA19-9) presented better performance and improved specificity to differentiate PC from controls (AUC 0.894; 95% CI (0.844ā0.943), sensitivity 0.738, specificity 0.886) than CA19-9 (p = 0.043) or MUC5AC alone (p = 0.010); however, the latter two had no difference (p = 0.824). Conclusions Serum MUC5AC is a potential biomarker for PC. The combination with CA19-9 presents improved specificity and better performance.
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Keywords {š}
mucac, pancreatic, cancer, article, google, scholar, levels, serum, combination, study, diagnostic, patients, cas, controls, diagnosis, mucin, specificity, biomarkers, performance, sensitivity, ngml, clinical, data, biomarker, hospital, university, uml, early, potential, markers, benign, based, roc, fig, muc, zhang, evaluate, presented, higher, detection, expression, comparison, accuracy, jilin, china, curves, table, pancreas, oncol, pubmed,
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015\times \mathrm{muc}5\mathrm{ac}-3 frac{\mathrm{pp}}{1-\mathrm{pp}} heinrich-heine-universität düsseldorf trail-induced death pathways china-japan union hospital mass spectrometry-based pipeline multi-central caucasian population multi-central asian population article download pdf receiver operating characteristics early-stage pancreatic cancer late-stage pancreatic cancer muc5ac promoter activity benign hepatobiliary/pancreatic diseases privacy choices/manage cookies 006\times \mathrm{ca}199+0 post-therapy pc samples full access multi-center/ethnicity validation muc diagnostic model creative commons license fine diagnostic performance multi-central study benign pancreatic disease pancreatic ductal adenocarcinomas human pancreatic cancer mucinous cystic neoplasm clinical practice guidelines pancreatic cancer cells neutrophils-induced apoptosis [29] endoscopic retrograde cholangiopancreatography pancreatic cancer consortia post-therapy samples pancreatic ductal carcinoma mucin expression profiling high molecular weight heavily glycosylated proteins commercial elisa kits past decades witness written informed consent inter-assay cvs median [interquartile range] mathit{\ln}\left iacobuzio-donahue biochim biophys acta dig dis sci highly expressed genes rna interference suppression post-therapy levels differentiating malignant lesions
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headline:Evaluation of serum MUC5AC in combination with CA19-9 for the diagnosis of pancreatic cancer
description:Pancreatic cancer (PC) is a highly aggressive tumor with a poor prognosis that lacks specific diagnostic markers. Mucin 5AC (MUC5AC) is a member of the mucin family, a heterogeneous group of high molecular weight, heavily glycosylated proteins that could be either membrane-bound or secreted. This multi-central study is to evaluate the performance of serum MUC5AC in combination with carbohydrate antigen 19-9 (CA19-9) for the diagnosis of PC in Asian. Sixty-one patients with PC (comprised of early pancreatic cancer [n = 30] and late pancreatic cancer [n = 31] patients), 29 benign control, 35 choledocholithiasis, 25 chronic pancreatitis, and 34 healthy controls, were recruited from two hospitals. Serum levels of MUC5AC were evaluated by commercial ELISA kits. CA19-9 was measured by chemiluminescence immunoassay. The cutoff value of MUC5AC was determined based on optimal sensitivity and specificity. Serum MUC5AC in patients with PC (210.1 [100.5ā423.8] ng/mL) presented higher levels than those in controls. The combined biomarker panel (MUC5AC and CA19-9) presented better performance and improved specificity to differentiate PC from controls (AUC 0.894; 95% CI (0.844ā0.943), sensitivity 0.738, specificity 0.886) than CA19-9 (p = 0.043) or MUC5AC alone (p = 0.010); however, the latter two had no difference (p = 0.824). Serum MUC5AC is a potential biomarker for PC. The combination with CA19-9 presents improved specificity and better performance.
datePublished:2020-02-07T00:00:00Z
dateModified:2020-02-07T00:00:00Z
pageStart:1
pageEnd:7
license:http://creativecommons.org/publicdomain/zero/1.0/
sameAs:https://doi.org/10.1186/s12957-020-1809-z
keywords:
Biomarker
Carbohydrate antigen 19-9 (CA19-9)
Mucin 5AC (MUC5AC)
Pancreatic cancer (PC)
Surgical Oncology
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headline:Evaluation of serum MUC5AC in combination with CA19-9 for the diagnosis of pancreatic cancer
description:Pancreatic cancer (PC) is a highly aggressive tumor with a poor prognosis that lacks specific diagnostic markers. Mucin 5AC (MUC5AC) is a member of the mucin family, a heterogeneous group of high molecular weight, heavily glycosylated proteins that could be either membrane-bound or secreted. This multi-central study is to evaluate the performance of serum MUC5AC in combination with carbohydrate antigen 19-9 (CA19-9) for the diagnosis of PC in Asian. Sixty-one patients with PC (comprised of early pancreatic cancer [n = 30] and late pancreatic cancer [n = 31] patients), 29 benign control, 35 choledocholithiasis, 25 chronic pancreatitis, and 34 healthy controls, were recruited from two hospitals. Serum levels of MUC5AC were evaluated by commercial ELISA kits. CA19-9 was measured by chemiluminescence immunoassay. The cutoff value of MUC5AC was determined based on optimal sensitivity and specificity. Serum MUC5AC in patients with PC (210.1 [100.5ā423.8] ng/mL) presented higher levels than those in controls. The combined biomarker panel (MUC5AC and CA19-9) presented better performance and improved specificity to differentiate PC from controls (AUC 0.894; 95% CI (0.844ā0.943), sensitivity 0.738, specificity 0.886) than CA19-9 (p = 0.043) or MUC5AC alone (p = 0.010); however, the latter two had no difference (p = 0.824). Serum MUC5AC is a potential biomarker for PC. The combination with CA19-9 presents improved specificity and better performance.
datePublished:2020-02-07T00:00:00Z
dateModified:2020-02-07T00:00:00Z
pageStart:1
pageEnd:7
license:http://creativecommons.org/publicdomain/zero/1.0/
sameAs:https://doi.org/10.1186/s12957-020-1809-z
keywords:
Biomarker
Carbohydrate antigen 19-9 (CA19-9)
Mucin 5AC (MUC5AC)
Pancreatic cancer (PC)
Surgical Oncology
image:
https://media.springernature.com/lw1200/springer-static/image/art%3A10.1186%2Fs12957-020-1809-z/MediaObjects/12957_2020_1809_Fig1_HTML.png
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