A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia

<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) screening is key to CRC prevention and mortality reduction, but patient compliance with CRC screening is low. We previously reported a blood-based test for CRC that utilizes a seven-gene panel of biomarkers. T...

Full description

Bibliographic Details
Main Authors: Yip Kok-Thye, Das Prashanta K, Suria David, Lim Chun-Ren, Ng Guey-Hooi, Liew Choong-Chin
Format: Article
Language:English
Published: BMC 2010-09-01
Series:Journal of Experimental & Clinical Cancer Research
Online Access:http://www.jeccr.com/content/29/1/128
_version_ 1818541677601619968
author Yip Kok-Thye
Das Prashanta K
Suria David
Lim Chun-Ren
Ng Guey-Hooi
Liew Choong-Chin
author_facet Yip Kok-Thye
Das Prashanta K
Suria David
Lim Chun-Ren
Ng Guey-Hooi
Liew Choong-Chin
author_sort Yip Kok-Thye
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) screening is key to CRC prevention and mortality reduction, but patient compliance with CRC screening is low. We previously reported a blood-based test for CRC that utilizes a seven-gene panel of biomarkers. The test is currently utilized clinically in North America for CRC risk stratification in the average-risk North American population in order to improve screening compliance and to enhance clinical decision making.</p> <p>Methods</p> <p>In this study, conducted in Malaysia, we evaluated the seven-gene biomarker panel validated in a North American population using blood samples collected from local patients. The panel employs quantitative RT-PCR (qRT-PCR) to analyze gene expression of the seven biomarkers (ANXA3, CLEC4D, TNFAIP6, LMNB1, PRRG4, VNN1 and IL2RB) that are differentially expressed in CRC patients as compared with controls. Blood samples from 210 patients (99 CRC and 111 controls) were collected, and total blood RNA was isolated and subjected to quantitative RT-PCR and data analysis.</p> <p>Results</p> <p>The logistic regression analysis of seven-gene panel has an area under the curve (AUC) of 0.76 (95% confidence interval: 0.70 to 0.82), 77% specificity, 61% sensitivity and 70% accuracy, comparable to the data obtained from the North American investigation of the same biomarker panel.</p> <p>Conclusions</p> <p>Our results independently confirm the results of the study conducted in North America and demonstrate the ability of the seven biomarker panel to discriminate CRC from controls in blood samples drawn from a Malaysian population.</p>
first_indexed 2024-12-11T22:12:21Z
format Article
id doaj.art-d04c84d6e3ba41d78a3575672d0ff6bc
institution Directory Open Access Journal
issn 1756-9966
language English
last_indexed 2024-12-11T22:12:21Z
publishDate 2010-09-01
publisher BMC
record_format Article
series Journal of Experimental & Clinical Cancer Research
spelling doaj.art-d04c84d6e3ba41d78a3575672d0ff6bc2022-12-22T00:48:44ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662010-09-0129112810.1186/1756-9966-29-128A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in MalaysiaYip Kok-ThyeDas Prashanta KSuria DavidLim Chun-RenNg Guey-HooiLiew Choong-Chin<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) screening is key to CRC prevention and mortality reduction, but patient compliance with CRC screening is low. We previously reported a blood-based test for CRC that utilizes a seven-gene panel of biomarkers. The test is currently utilized clinically in North America for CRC risk stratification in the average-risk North American population in order to improve screening compliance and to enhance clinical decision making.</p> <p>Methods</p> <p>In this study, conducted in Malaysia, we evaluated the seven-gene biomarker panel validated in a North American population using blood samples collected from local patients. The panel employs quantitative RT-PCR (qRT-PCR) to analyze gene expression of the seven biomarkers (ANXA3, CLEC4D, TNFAIP6, LMNB1, PRRG4, VNN1 and IL2RB) that are differentially expressed in CRC patients as compared with controls. Blood samples from 210 patients (99 CRC and 111 controls) were collected, and total blood RNA was isolated and subjected to quantitative RT-PCR and data analysis.</p> <p>Results</p> <p>The logistic regression analysis of seven-gene panel has an area under the curve (AUC) of 0.76 (95% confidence interval: 0.70 to 0.82), 77% specificity, 61% sensitivity and 70% accuracy, comparable to the data obtained from the North American investigation of the same biomarker panel.</p> <p>Conclusions</p> <p>Our results independently confirm the results of the study conducted in North America and demonstrate the ability of the seven biomarker panel to discriminate CRC from controls in blood samples drawn from a Malaysian population.</p>http://www.jeccr.com/content/29/1/128
spellingShingle Yip Kok-Thye
Das Prashanta K
Suria David
Lim Chun-Ren
Ng Guey-Hooi
Liew Choong-Chin
A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
Journal of Experimental & Clinical Cancer Research
title A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
title_full A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
title_fullStr A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
title_full_unstemmed A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
title_short A case-controlled validation study of a blood-based seven-gene biomarker panel for colorectal cancer in Malaysia
title_sort case controlled validation study of a blood based seven gene biomarker panel for colorectal cancer in malaysia
url http://www.jeccr.com/content/29/1/128
work_keys_str_mv AT yipkokthye acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT dasprashantak acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT suriadavid acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT limchunren acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT nggueyhooi acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT liewchoongchin acasecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT yipkokthye casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT dasprashantak casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT suriadavid casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT limchunren casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT nggueyhooi casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia
AT liewchoongchin casecontrolledvalidationstudyofabloodbasedsevengenebiomarkerpanelforcolorectalcancerinmalaysia