2006
DOI: 10.1158/1055-9965.epi-05-0980
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Evaluation of Apolipoprotein A1 and Posttranslationally Modified Forms of Transthyretin as Biomarkers for Ovarian Cancer Detection in an Independent Study Population

Abstract: Background: Although overall 5-year survival rates for ovarian cancer are poor (10-30%), stage I/IIa patients have a 95% 5-year survival. New biomarkers that improve the diagnostic performance of existing tumor markers are critically needed. A previous study by Zhang et al. reported identification and validation of three biomarkers using proteomic profiling that together improved early-stage ovarian cancer detection. Methods: To evaluate these markers in an independent study population, postdiagnostic/pretreat… Show more

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Cited by 82 publications
(70 citation statements)
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References 21 publications
(28 reference statements)
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“…Zhang et al [3] clearly demonstrated that the levels of Apolipoprotein A-I and transthyretin are both down-regulated in patients with ovarian cancer, and inter-alpha trypsin inhibitor heavy chain H4 was up-regulated. Moore et al [16] was able to replicate these findings, and interestingly, in our study, the expression of chain D retinol-binding protein with transthyretin was also shown to be down-regulated. Roberts et al [17] reported that decreased levels of retinol binding protein have been shown to be associated with an increased rate of malignant transformation of the ovarian epithelium and expression may be lost as early as stage 1 and at high frequency.…”
Section: Discussionsupporting
confidence: 86%
“…Zhang et al [3] clearly demonstrated that the levels of Apolipoprotein A-I and transthyretin are both down-regulated in patients with ovarian cancer, and inter-alpha trypsin inhibitor heavy chain H4 was up-regulated. Moore et al [16] was able to replicate these findings, and interestingly, in our study, the expression of chain D retinol-binding protein with transthyretin was also shown to be down-regulated. Roberts et al [17] reported that decreased levels of retinol binding protein have been shown to be associated with an increased rate of malignant transformation of the ovarian epithelium and expression may be lost as early as stage 1 and at high frequency.…”
Section: Discussionsupporting
confidence: 86%
“…Our results, showing reduced expression of glutathionylated transthyretin in CRC patients in comparison to NC subjects, are thus in accordance with this theory. Moore et al (30) confirmed later the role of transthyretin, in combination with apolipoprotein A-I and CA-125, as potential biomarker of ovarian cancer (29,30).…”
Section: Discussionmentioning
confidence: 92%
“…Furthermore, increased expression of Apo A-I has been observed in liver metastases as well as, although to a lesser extent, in primary tumors of colorectal origin (35). The precise role of Apo A-I in colorectal cancer has to be determined but, taken into account the lower expression in other malignancies (29,30), we acknowledge that it is not disease specific and thus unlikely to be a selective biomarker with high specificity for colorectal cancer.…”
Section: Discussionmentioning
confidence: 98%
“…Previous studies have reported the diagnostic value of ApoA-1 and proApolipoprotein A1 (the precursor of ApoA-1) in tumor diagnosis. Decreased levels of ApoA-1 were found in a variety of cancers [18][19][20][21][22][23], but pro-ApoA-1 increased in breast cancer [24]. Marchi et al found that pro-ApoA-1 significantly increased (p<0.05) in lung cancer patients with brain metastases [25].…”
Section: Discussionmentioning
confidence: 99%