A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2

Abstract Colorectal cancer (CRC) is the second‐leading cause of cancer‐related mortality worldwide, which may be effectively reduced by early screening. Colon cancer secreted protein‐2 (CCSP‐2) is a promising blood marker for CRC. An electric‐field effect colorectal sensor (E‐FECS), an ion‐sensitive...

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Main Authors: Minhong Jeun, Hyo Jeong Lee, Sungwook Park, Eun‐ju Do, Jaewon Choi, You‐Na Sung, Seung‐Mo Hong, Sang‐Yeob Kim, Dong‐Hee Kim, Ja Young Kang, Hye‐Nam Son, Jinmyoung Joo, Eun Mi Song, Sung Wook Hwang, Sang Hyoung Park, Dong‐Hoon Yang, Byong Duk Ye, Jeong‐Sik Byeon, Jaewon Choe, Suk‐Kyun Yang, Helen Moinova, Sanford D. Markowitz, Kwan Hyi Lee, Seung‐Jae Myung
Format: Article
Language:English
Published: Wiley 2019-06-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.201802115
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author Minhong Jeun
Hyo Jeong Lee
Sungwook Park
Eun‐ju Do
Jaewon Choi
You‐Na Sung
Seung‐Mo Hong
Sang‐Yeob Kim
Dong‐Hee Kim
Ja Young Kang
Hye‐Nam Son
Jinmyoung Joo
Eun Mi Song
Sung Wook Hwang
Sang Hyoung Park
Dong‐Hoon Yang
Byong Duk Ye
Jeong‐Sik Byeon
Jaewon Choe
Suk‐Kyun Yang
Helen Moinova
Sanford D. Markowitz
Kwan Hyi Lee
Seung‐Jae Myung
author_facet Minhong Jeun
Hyo Jeong Lee
Sungwook Park
Eun‐ju Do
Jaewon Choi
You‐Na Sung
Seung‐Mo Hong
Sang‐Yeob Kim
Dong‐Hee Kim
Ja Young Kang
Hye‐Nam Son
Jinmyoung Joo
Eun Mi Song
Sung Wook Hwang
Sang Hyoung Park
Dong‐Hoon Yang
Byong Duk Ye
Jeong‐Sik Byeon
Jaewon Choe
Suk‐Kyun Yang
Helen Moinova
Sanford D. Markowitz
Kwan Hyi Lee
Seung‐Jae Myung
author_sort Minhong Jeun
collection DOAJ
description Abstract Colorectal cancer (CRC) is the second‐leading cause of cancer‐related mortality worldwide, which may be effectively reduced by early screening. Colon cancer secreted protein‐2 (CCSP‐2) is a promising blood marker for CRC. An electric‐field effect colorectal sensor (E‐FECS), an ion‐sensitive field‐effect transistor under dual gate operation with nanostructure is developed, to quantify CCSP‐2 directly from patient blood samples. The sensing performance of the E‐FECS is verified in 7 controls and 7 CRC samples, and it is clinically validated on 30 controls, 30 advanced adenomas, and 81 CRC cases. The concentration of CCSP‐2 is significantly higher in plasma samples from CRC and advanced adenoma compared with controls (both P < 0.001). Sensitivity and specificity for CRC versus controls are 44.4% and 86.7%, respectively (AUC of 0.67), and 43.3% and 86.7%, respectively, for advanced adenomas (AUC of 0.67). CCSP‐2 detects a greater number of CRC cases than carcinoembryonic antigen does (45.6% vs 24.1%), and the combination of the two markers detects an even greater number of cases (53.2%). The E‐FECS system successfully detects CCSP‐2 in a wide range of samples including early stage cancers and advanced adenoma. CCSP‐2 has potential for use as a blood‐based biomarker for CRC.
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spelling doaj.art-e150f65f03bf4074ab12ca4c8a9e5ebf2022-12-22T01:47:17ZengWileyAdvanced Science2198-38442019-06-01611n/an/a10.1002/advs.201802115A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2Minhong Jeun0Hyo Jeong Lee1Sungwook Park2Eun‐ju Do3Jaewon Choi4You‐Na Sung5Seung‐Mo Hong6Sang‐Yeob Kim7Dong‐Hee Kim8Ja Young Kang9Hye‐Nam Son10Jinmyoung Joo11Eun Mi Song12Sung Wook Hwang13Sang Hyoung Park14Dong‐Hoon Yang15Byong Duk Ye16Jeong‐Sik Byeon17Jaewon Choe18Suk‐Kyun Yang19Helen Moinova20Sanford D. Markowitz21Kwan Hyi Lee22Seung‐Jae Myung23Center for Biomaterials Biomedical Research Institute Korea Institute of Science and Technology (KIST) 5 Hwarangno 14‐gil Seongbuk‐gu Seoul 02792 Republic of KoreaHealth Screening & Promotion Center Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaCenter for Biomaterials Biomedical Research Institute Korea Institute of Science and Technology (KIST) 5 Hwarangno 14‐gil Seongbuk‐gu Seoul 02792 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaCenter for Biomaterials Biomedical Research Institute Korea Institute of Science and Technology (KIST) 5 Hwarangno 14‐gil Seongbuk‐gu Seoul 02792 Republic of KoreaDepartment of Pathology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Pathology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaHealth Screening & Promotion Center Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Gastroenterology Asan Medical Center University of Ulsan College of Medicine 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaDepartment of Medicine and Case Comprehensive Cancer Center Case Western Reserve University 10900 Euclid Ave Cleveland OH USADepartment of Medicine and Case Comprehensive Cancer Center Case Western Reserve University 10900 Euclid Ave Cleveland OH USACenter for Biomaterials Biomedical Research Institute Korea Institute of Science and Technology (KIST) 5 Hwarangno 14‐gil Seongbuk‐gu Seoul 02792 Republic of KoreaAsan Institute for Life Sciences Asan Medical Center 88 Olympic‐ro 43‐gil Songpa‐gu Seoul 05505 Republic of KoreaAbstract Colorectal cancer (CRC) is the second‐leading cause of cancer‐related mortality worldwide, which may be effectively reduced by early screening. Colon cancer secreted protein‐2 (CCSP‐2) is a promising blood marker for CRC. An electric‐field effect colorectal sensor (E‐FECS), an ion‐sensitive field‐effect transistor under dual gate operation with nanostructure is developed, to quantify CCSP‐2 directly from patient blood samples. The sensing performance of the E‐FECS is verified in 7 controls and 7 CRC samples, and it is clinically validated on 30 controls, 30 advanced adenomas, and 81 CRC cases. The concentration of CCSP‐2 is significantly higher in plasma samples from CRC and advanced adenoma compared with controls (both P < 0.001). Sensitivity and specificity for CRC versus controls are 44.4% and 86.7%, respectively (AUC of 0.67), and 43.3% and 86.7%, respectively, for advanced adenomas (AUC of 0.67). CCSP‐2 detects a greater number of CRC cases than carcinoembryonic antigen does (45.6% vs 24.1%), and the combination of the two markers detects an even greater number of cases (53.2%). The E‐FECS system successfully detects CCSP‐2 in a wide range of samples including early stage cancers and advanced adenoma. CCSP‐2 has potential for use as a blood‐based biomarker for CRC.https://doi.org/10.1002/advs.201802115colorectal adenomascolorectal cancercolorectal cancer screeningelectric‐field effect colorectal sensortumor markers
spellingShingle Minhong Jeun
Hyo Jeong Lee
Sungwook Park
Eun‐ju Do
Jaewon Choi
You‐Na Sung
Seung‐Mo Hong
Sang‐Yeob Kim
Dong‐Hee Kim
Ja Young Kang
Hye‐Nam Son
Jinmyoung Joo
Eun Mi Song
Sung Wook Hwang
Sang Hyoung Park
Dong‐Hoon Yang
Byong Duk Ye
Jeong‐Sik Byeon
Jaewon Choe
Suk‐Kyun Yang
Helen Moinova
Sanford D. Markowitz
Kwan Hyi Lee
Seung‐Jae Myung
A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
Advanced Science
colorectal adenomas
colorectal cancer
colorectal cancer screening
electric‐field effect colorectal sensor
tumor markers
title A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
title_full A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
title_fullStr A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
title_full_unstemmed A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
title_short A Novel Blood‐Based Colorectal Cancer Diagnostic Technology Using Electrical Detection of Colon Cancer Secreted Protein‐2
title_sort novel blood based colorectal cancer diagnostic technology using electrical detection of colon cancer secreted protein 2
topic colorectal adenomas
colorectal cancer
colorectal cancer screening
electric‐field effect colorectal sensor
tumor markers
url https://doi.org/10.1002/advs.201802115
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