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目的采用联合磁性微球和基质辅助的激光解吸/离子化-飞行时间(MALDI-TOF-MS)技术筛选肾细胞癌患者血清差异蛋白峰。方法"采用弱阳离子磁性微球从99份血清标本(肾细胞癌62份,肾脏良性占位病变37份)捕获血清蛋白,MALDI-TOF-MS质谱仪检测蛋白峰,Biomarker Wizard 3.1和Biomarker Patterns Software 5.0分析数据,以47例肾细胞癌及26例肾脏良性占位病变标本建立肾细胞癌诊断模型,15例肾细胞癌和11例肾脏良性占位病变标本进行盲法验证。结果"发现7个蛋白峰具有统计学差异(P<0.05),以质荷比2945.35 、15340.8、6984.51、5819.23的4个蛋白峰建立肾细胞癌诊断模型,该模型区分肾细胞癌与肾脏良性占位病变的敏感性为83.0%,特异性为84.6%;盲法验证,该模型诊断肾细胞癌的敏感性为80.0%,特异性为81.8%。 结论"采用磁性微球与MALDI-TOF-MS技术可以检测肾细胞癌血清中的差异蛋白峰,并建立敏感性、特异性较高的肾细胞癌诊断模型。

Objective To screen for the differential protein peaks of renal cell carcinoma (RCC) using magnetic beads-based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS). MethodsSerum proteins were profiled by magnetic beads (WCX) from 62 RCC patients and 37 patients with benign renal space-occupying lesions. Protein peaks were identified by MALDI-TOF-MS. Data were analyzed with Biomarker Wizard 3.1 and Biomarker Patterns Software 5.0. Diagnostic model for RCC was constructed based on 47 RCC cases and 26 patients with benign renal space-occupying lesions. The remaining 26 cases were evaluated with blind method. ResultsSeven differential protein peaks related to RCC were identified (P<0.05). The diagnostic model for RCC constructed by the differential protein peaks (m/z〖HT〗〖HJ〗〖HK〗〖CD10〗〖HT6,7.5〗基金项目:国家自然科学基金(30772165)和高等学校博士学科点专项科研基金(20070023069)Supported by the National Natural Sciences Foundation of China(30772165)and the Research Fund for the Doctoral Program of Higher Education of China(20070023069)〖HT〗〖HJ〗〖GK2!2〗2945.35, 15340.8, 6984.51, and 5819.23) generated excellent separation between the RCC and control groups, with a sensitivity of 83.0% and the specificity of 84.6%. As validated by blind method, the model had a sensitivity of 80.0 % and a specificity of 81.8%. ConclusionDifferential protein peaks for RCC can be identified in serum by magnetic beads-based MALDI-TOF-MS, which is also valuable for the establishment of a RCC diagnostic model with a high sensitivity and specificity."

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