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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Frontiers Media S.A.
2022-09-01
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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. |
first_indexed | 2024-04-12T05:01:02Z |
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institution | Directory Open Access Journal |
issn | 2673-3129 |
language | English |
last_indexed | 2024-04-12T05:01:02Z |
publishDate | 2022-09-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Medical Technology |
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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