Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential

Type XIX collagen is a poorly characterized collagen associated with the basement membrane. It is abnormally regulated during breast cancer progression and the NC1 (XIX) domain has anti-tumorigenic signaling properties. However, little is known about the biomarker potential of collagen XIX in cancer...

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Main Authors: Jeppe Thorlacius-Ussing, Tina Manon-Jensen, Shu Sun, Diana J. Leeming, Jannie M. Sand, Morten Karsdal, Nicholas Willumsen
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/6/1510
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author Jeppe Thorlacius-Ussing
Tina Manon-Jensen
Shu Sun
Diana J. Leeming
Jannie M. Sand
Morten Karsdal
Nicholas Willumsen
author_facet Jeppe Thorlacius-Ussing
Tina Manon-Jensen
Shu Sun
Diana J. Leeming
Jannie M. Sand
Morten Karsdal
Nicholas Willumsen
author_sort Jeppe Thorlacius-Ussing
collection DOAJ
description Type XIX collagen is a poorly characterized collagen associated with the basement membrane. It is abnormally regulated during breast cancer progression and the NC1 (XIX) domain has anti-tumorigenic signaling properties. However, little is known about the biomarker potential of collagen XIX in cancer. In this study, we describe a competitive ELISA, named PRO-C19, targeting the C-terminus of collagen XIX using a monoclonal antibody. PRO-C19 was measured in serum of patients with a range of cancer types and was elevated in non-small cell lung cancer (NSCLC) (<i>p</i> < 0.0001), small cell lung cancer (<i>p</i> = 0.0081), breast (<i>p</i> = 0.0005) and ovarian cancer (<i>p</i> < 0.0001) compared to healthy controls. In a separate NSCLC cohort, PRO-C19 was elevated compared to controls when evaluating adenocarcinoma (AD) (<i>p</i> = 0.0003) and squamous cell carcinoma (SCC) (<i>p</i> < 0.0001) patients but was not elevated in chronic obstructive pulmonary disease patients. SCC also had higher PRO-C19 levels than AD (<i>p</i> = 0.0457). PRO-C19 could discriminate between NSCLC and healthy controls (AUROC:0.749 and 0.826 for AD and SCC, respectively) and maintained discriminatory performance in patients of tumor stages I+II (AUROC:0.733 and 0.818 for AD and SCC, respectively). Lastly, we confirmed the elevated type XIX collagen levels using gene expression data from The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) initiatives. In conclusion, type XIX collagen is released into circulation and is significantly elevated in the serum of cancer patients and PRO-C19 shows promise as a cancer biomarker.
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spelling doaj.art-c9c6860f2efe43299845ab62ff9580072023-11-20T03:20:55ZengMDPI AGCancers2072-66942020-06-01126151010.3390/cancers12061510Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker PotentialJeppe Thorlacius-Ussing0Tina Manon-Jensen1Shu Sun2Diana J. Leeming3Jannie M. Sand4Morten Karsdal5Nicholas Willumsen6Biomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkBiomarkers and Research, Nordic Bioscience A/S, 2730 Herlev, DenmarkType XIX collagen is a poorly characterized collagen associated with the basement membrane. It is abnormally regulated during breast cancer progression and the NC1 (XIX) domain has anti-tumorigenic signaling properties. However, little is known about the biomarker potential of collagen XIX in cancer. In this study, we describe a competitive ELISA, named PRO-C19, targeting the C-terminus of collagen XIX using a monoclonal antibody. PRO-C19 was measured in serum of patients with a range of cancer types and was elevated in non-small cell lung cancer (NSCLC) (<i>p</i> < 0.0001), small cell lung cancer (<i>p</i> = 0.0081), breast (<i>p</i> = 0.0005) and ovarian cancer (<i>p</i> < 0.0001) compared to healthy controls. In a separate NSCLC cohort, PRO-C19 was elevated compared to controls when evaluating adenocarcinoma (AD) (<i>p</i> = 0.0003) and squamous cell carcinoma (SCC) (<i>p</i> < 0.0001) patients but was not elevated in chronic obstructive pulmonary disease patients. SCC also had higher PRO-C19 levels than AD (<i>p</i> = 0.0457). PRO-C19 could discriminate between NSCLC and healthy controls (AUROC:0.749 and 0.826 for AD and SCC, respectively) and maintained discriminatory performance in patients of tumor stages I+II (AUROC:0.733 and 0.818 for AD and SCC, respectively). Lastly, we confirmed the elevated type XIX collagen levels using gene expression data from The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) initiatives. In conclusion, type XIX collagen is released into circulation and is significantly elevated in the serum of cancer patients and PRO-C19 shows promise as a cancer biomarker.https://www.mdpi.com/2072-6694/12/6/1510collagen XIXECMbiomarkerserumcancerNSCLC
spellingShingle Jeppe Thorlacius-Ussing
Tina Manon-Jensen
Shu Sun
Diana J. Leeming
Jannie M. Sand
Morten Karsdal
Nicholas Willumsen
Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
Cancers
collagen XIX
ECM
biomarker
serum
cancer
NSCLC
title Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
title_full Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
title_fullStr Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
title_full_unstemmed Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
title_short Serum Type XIX Collagen is Significantly Elevated in Non-Small Cell Lung Cancer: A Preliminary Study on Biomarker Potential
title_sort serum type xix collagen is significantly elevated in non small cell lung cancer a preliminary study on biomarker potential
topic collagen XIX
ECM
biomarker
serum
cancer
NSCLC
url https://www.mdpi.com/2072-6694/12/6/1510
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