Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer

Lung cancer is a highly prevalent type of cancer, accounting for 11.6% of all cancer incidences. Early detection and treatment can significantly improve the survival rate and quality of life of patients; however, there is no accurate, effective, and easy-to-use test for early lung cancer screening....

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Main Authors: Zhen Sun, Peng Li, Zhaojun Wu, Bin Li, Wenjing Li, Mingming Zhao, Xiaobin Zhou, Zeyao Wang, Zhongjie Yu, Wenna Liu, Wenshu Zhu, Haibo Wang, Yongjie Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Medical Technology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmedt.2022.982308/full
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author Zhen Sun
Peng Li
Zhaojun Wu
Bin Li
Wenjing Li
Mingming Zhao
Xiaobin Zhou
Zeyao Wang
Zhongjie Yu
Wenna Liu
Wenshu Zhu
Haibo Wang
Yongjie Wang
author_facet Zhen Sun
Peng Li
Zhaojun Wu
Bin Li
Wenjing Li
Mingming Zhao
Xiaobin Zhou
Zeyao Wang
Zhongjie Yu
Wenna Liu
Wenshu Zhu
Haibo Wang
Yongjie Wang
author_sort Zhen Sun
collection DOAJ
description Lung cancer is a highly prevalent type of cancer, accounting for 11.6% of all cancer incidences. Early detection and treatment can significantly improve the survival rate and quality of life of patients; however, there is no accurate, effective, and easy-to-use test for early lung cancer screening. In this study, flow cytometry was used to detect the presence of CD45+EpCAM+ cells in tumor tissues and peripheral blood mononuclear cells (PBMCs) in patients with lung cancer. Moreover, the proportion of CD45+EpCAM+ cells in PBMCs of patients with lung cancer was found to be significantly higher than that of healthy volunteers. Tumor-related serum markers level was also measured in the peripheral blood of these patients using an electrochemiluminescence assay. The correlation between CD45+EpCAM+ cells, carcinoembryonic antigen (CEA), and lung cancer was investigated using receiver operating characteristic (ROC) curve analysis, which showed the sensitivity and specificity of the CD45+EpCAM+ cell to be 81.58% and 88.89%, respectively. Further analysis yielded an area under the ROC curve (ROC/area under the curve [AUC]) of 0.845 in patients PBMCs with lung cancer, which was slightly higher than that of CEA (0.732). Therefore, the detection of CD45+EpCAM+ cells in PBMCs may be helpful for the early screening and auxiliary diagnosis of lung cancer.
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spelling doaj.art-1d8347259cd24abb974c8676952cddcd2022-12-22T03:46:59ZengFrontiers Media S.A.Frontiers in Medical Technology2673-31292022-09-01410.3389/fmedt.2022.982308982308Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancerZhen Sun0Peng Li1Zhaojun Wu2Bin Li3Wenjing Li4Mingming Zhao5Xiaobin Zhou6Zeyao Wang7Zhongjie Yu8Wenna Liu9Wenshu Zhu10Haibo Wang11Yongjie Wang12Qingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaDepartment of Thoracic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaQingdao Sino-Cell Biomed Co., Ltd., Qingdao, ChinaInstitute of Translational Research for Solid Tumor, Qingdao University, Qingdao, ChinaDepartment of Thoracic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaLung cancer is a highly prevalent type of cancer, accounting for 11.6% of all cancer incidences. Early detection and treatment can significantly improve the survival rate and quality of life of patients; however, there is no accurate, effective, and easy-to-use test for early lung cancer screening. In this study, flow cytometry was used to detect the presence of CD45+EpCAM+ cells in tumor tissues and peripheral blood mononuclear cells (PBMCs) in patients with lung cancer. Moreover, the proportion of CD45+EpCAM+ cells in PBMCs of patients with lung cancer was found to be significantly higher than that of healthy volunteers. Tumor-related serum markers level was also measured in the peripheral blood of these patients using an electrochemiluminescence assay. The correlation between CD45+EpCAM+ cells, carcinoembryonic antigen (CEA), and lung cancer was investigated using receiver operating characteristic (ROC) curve analysis, which showed the sensitivity and specificity of the CD45+EpCAM+ cell to be 81.58% and 88.89%, respectively. Further analysis yielded an area under the ROC curve (ROC/area under the curve [AUC]) of 0.845 in patients PBMCs with lung cancer, which was slightly higher than that of CEA (0.732). Therefore, the detection of CD45+EpCAM+ cells in PBMCs may be helpful for the early screening and auxiliary diagnosis of lung cancer.https://www.frontiersin.org/articles/10.3389/fmedt.2022.982308/fulllung cancerPBMCsCD45+ EpCAM+ cellsCEAdiagnosis
spellingShingle Zhen Sun
Peng Li
Zhaojun Wu
Bin Li
Wenjing Li
Mingming Zhao
Xiaobin Zhou
Zeyao Wang
Zhongjie Yu
Wenna Liu
Wenshu Zhu
Haibo Wang
Yongjie Wang
Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
Frontiers in Medical Technology
lung cancer
PBMCs
CD45+ EpCAM+ cells
CEA
diagnosis
title Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
title_full Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
title_fullStr Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
title_full_unstemmed Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
title_short Circulating CD45+EpCAM+ cells as a diagnostic marker for early-stage primary lung cancer
title_sort circulating cd45 epcam cells as a diagnostic marker for early stage primary lung cancer
topic lung cancer
PBMCs
CD45+ EpCAM+ cells
CEA
diagnosis
url https://www.frontiersin.org/articles/10.3389/fmedt.2022.982308/full
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