Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer

Background: Molecular features underlining the multistage progression of gastric lesions and development of early gastric cancer (GC) are poorly understood, restricting the ability to GC prevention and management. Methods: We portrayed proteomic landscape and explored proteomic signatures associated...

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Autores principales: Xue Li, Nai-Ren Zheng, Lin-Heng Wang, Zhong-Wu Li, Zong-Chao Liu, Hua Fan, Yi Wang, Jin Dai, Xiao-Tian Ni, Xin Wei, Ming-Wei Liu, Kai Li, Zhe-Xuan Li, Tong Zhou, Yang Zhang, Jing-Ying Zhang, Gaohaer Kadeerhan, Sha Huang, Wen-Hui Wu, Wei-Dong Liu, Xiu-Zhen Wu, Lan-Fu Zhang, Jian-Ming Xu, Markus Gerhard, Wei-Cheng You, Kai-Feng Pan, Wen-Qing Li, Jun Qin
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:9b4b3088f0d348368c3f1b99b54ae4de2021-11-24T04:32:01ZProteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer2352-396410.1016/j.ebiom.2021.103714https://doaj.org/article/9b4b3088f0d348368c3f1b99b54ae4de2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352396421005089https://doaj.org/toc/2352-3964Background: Molecular features underlining the multistage progression of gastric lesions and development of early gastric cancer (GC) are poorly understood, restricting the ability to GC prevention and management. Methods: We portrayed proteomic landscape and explored proteomic signatures associated with progression of gastric lesions and risk of early GC. Tissue proteomic profiling was conducted for a total of 324 subjects. A case-control study was performed in the discovery stage (n=169) based on populations from Linqu, a known high-risk area for GC in China. We then conducted two-stage validation, including a cohort study from Linqu (n = 56), with prospective follow-up for progression of gastric lesions (280–473 days), and an independent case-control study from Beijing (n = 99). Findings: There was a clear distinction in proteomic features for precancerous gastric lesions and GC. We derived four molecular subtypes of gastric lesions and identified subtype-S4 with the highest progression risk. We found 104 positively-associated and 113 inversely-associated proteins for early GC, with APOA1BP, PGC, HPX and DDT associated with the risk of gastric lesion progression. Integrating these proteomic signatures, the ability to predict progression of gastric lesions was significantly strengthened (areas-under-the-curve=0.88 (95%CI: 0.78–0.99) vs. 0.56 (0.36–0.76), Delong's P = 0.002). Immunohistochemistry assays and examination at mRNA level validated the findings for four proteins. Interpretation: We defined proteomic signatures for progression of gastric lesions and risk of early GC, which may have translational significance for identifying particularly high-risk population and detecting GC at an early stage, improving potential for targeted GC prevention. Funding: The funders are listed in the Acknowledgement.Xue LiNai-Ren ZhengLin-Heng WangZhong-Wu LiZong-Chao LiuHua FanYi WangJin DaiXiao-Tian NiXin WeiMing-Wei LiuKai LiZhe-Xuan LiTong ZhouYang ZhangJing-Ying ZhangGaohaer KadeerhanSha HuangWen-Hui WuWei-Dong LiuXiu-Zhen WuLan-Fu ZhangJian-Ming XuMarkus GerhardWei-Cheng YouKai-Feng PanWen-Qing LiJun QinElsevierarticleProteomicsPrecancerous gastric lesionsGastric cancerBiomarkerMedicineRMedicine (General)R5-920ENEBioMedicine, Vol 74, Iss , Pp 103714- (2021)
institution DOAJ
collection DOAJ
language EN
topic Proteomics
Precancerous gastric lesions
Gastric cancer
Biomarker
Medicine
R
Medicine (General)
R5-920
spellingShingle Proteomics
Precancerous gastric lesions
Gastric cancer
Biomarker
Medicine
R
Medicine (General)
R5-920
Xue Li
Nai-Ren Zheng
Lin-Heng Wang
Zhong-Wu Li
Zong-Chao Liu
Hua Fan
Yi Wang
Jin Dai
Xiao-Tian Ni
Xin Wei
Ming-Wei Liu
Kai Li
Zhe-Xuan Li
Tong Zhou
Yang Zhang
Jing-Ying Zhang
Gaohaer Kadeerhan
Sha Huang
Wen-Hui Wu
Wei-Dong Liu
Xiu-Zhen Wu
Lan-Fu Zhang
Jian-Ming Xu
Markus Gerhard
Wei-Cheng You
Kai-Feng Pan
Wen-Qing Li
Jun Qin
Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
description Background: Molecular features underlining the multistage progression of gastric lesions and development of early gastric cancer (GC) are poorly understood, restricting the ability to GC prevention and management. Methods: We portrayed proteomic landscape and explored proteomic signatures associated with progression of gastric lesions and risk of early GC. Tissue proteomic profiling was conducted for a total of 324 subjects. A case-control study was performed in the discovery stage (n=169) based on populations from Linqu, a known high-risk area for GC in China. We then conducted two-stage validation, including a cohort study from Linqu (n = 56), with prospective follow-up for progression of gastric lesions (280–473 days), and an independent case-control study from Beijing (n = 99). Findings: There was a clear distinction in proteomic features for precancerous gastric lesions and GC. We derived four molecular subtypes of gastric lesions and identified subtype-S4 with the highest progression risk. We found 104 positively-associated and 113 inversely-associated proteins for early GC, with APOA1BP, PGC, HPX and DDT associated with the risk of gastric lesion progression. Integrating these proteomic signatures, the ability to predict progression of gastric lesions was significantly strengthened (areas-under-the-curve=0.88 (95%CI: 0.78–0.99) vs. 0.56 (0.36–0.76), Delong's P = 0.002). Immunohistochemistry assays and examination at mRNA level validated the findings for four proteins. Interpretation: We defined proteomic signatures for progression of gastric lesions and risk of early GC, which may have translational significance for identifying particularly high-risk population and detecting GC at an early stage, improving potential for targeted GC prevention. Funding: The funders are listed in the Acknowledgement.
format article
author Xue Li
Nai-Ren Zheng
Lin-Heng Wang
Zhong-Wu Li
Zong-Chao Liu
Hua Fan
Yi Wang
Jin Dai
Xiao-Tian Ni
Xin Wei
Ming-Wei Liu
Kai Li
Zhe-Xuan Li
Tong Zhou
Yang Zhang
Jing-Ying Zhang
Gaohaer Kadeerhan
Sha Huang
Wen-Hui Wu
Wei-Dong Liu
Xiu-Zhen Wu
Lan-Fu Zhang
Jian-Ming Xu
Markus Gerhard
Wei-Cheng You
Kai-Feng Pan
Wen-Qing Li
Jun Qin
author_facet Xue Li
Nai-Ren Zheng
Lin-Heng Wang
Zhong-Wu Li
Zong-Chao Liu
Hua Fan
Yi Wang
Jin Dai
Xiao-Tian Ni
Xin Wei
Ming-Wei Liu
Kai Li
Zhe-Xuan Li
Tong Zhou
Yang Zhang
Jing-Ying Zhang
Gaohaer Kadeerhan
Sha Huang
Wen-Hui Wu
Wei-Dong Liu
Xiu-Zhen Wu
Lan-Fu Zhang
Jian-Ming Xu
Markus Gerhard
Wei-Cheng You
Kai-Feng Pan
Wen-Qing Li
Jun Qin
author_sort Xue Li
title Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
title_short Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
title_full Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
title_fullStr Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
title_full_unstemmed Proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
title_sort proteomic profiling identifies signatures associated with progression of precancerous gastric lesions and risk of early gastric cancer
publisher Elsevier
publishDate 2021
url https://doaj.org/article/9b4b3088f0d348368c3f1b99b54ae4de
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