Comprehensive proteomic profiling identifies serum proteomic signatures for detection of hepatocellular carcinoma and its subtypes

TC Poon, TT Yip, AT Chan, C Yip, V Yip, TS Mok, CC Lee, TW Leung, SK Ho, Philip Johnson

Research output: Contribution to journalArticle

229 Citations (Scopus)

Abstract

BACKGROUND: Detection of hepatocellular carcinoma (HCC) in patients with chronic liver disease (CLD) is difficult. We investigated the use of comprehensive proteomic profiling of sera to differentiate HCC from CLD. METHODS: Proteomes in sera from 20 CLD patients with alpha-fetoprotein (AFP) 500 microg/L, and postoperative sera from two HCC patients. RESULTS: Among 2384 common serum proteomic features, 250 were significantly different between the HCC and CLD cases. Two-way hierarchical clustering differentiated HCC and CLD cases. Most HCC cases with advanced disease were clustered together and formed two subgroups that contained significantly more cases with lymph node invasion or distant metastasis. For differentiation of HCC and CLD by an artificial network (ANN), the area under the ROC curve was 0.91 (95% confidence interval, 0.82-1.01; P
Original languageEnglish
Pages (from-to)752-760
Number of pages9
JournalClinical Chemistry
Volume49
Issue number5
DOIs
Publication statusPublished - 1 May 2003

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