Altered desialylated plasma N-glycan profile in patients with non-small cell lung carcinoma

Cancer Biomark. 2011;10(3-4):145-54. doi: 10.3233/CBM-2012-0239.

Abstract

Successful therapy of the non-small cell lung carcinoma (NSCLC) depends on its early detection, and non-invasive detection methods are preferred. As plasma proteins are modified by N-linked glycosylation, we tested the importance of the N-glycan profile in diagnosing and prognosticating NSCLC. We analysed desialylated plasma samples from 75 NSCLC patients, and 71 healthy individuals by the high-throughput DNA sequencer-based carbohydrate analytical profiling technique. We detected alterations in the levels of several N-glycans in NSCLC patients. Total α-1,6-core fucosylated biantennaries (NGA2F, NG1A2F, NA2F) and total bisecting α-1,6-core fucosylated biantennaries (NGA2FB, NA2FB) were reduced in NSCLC patients, whereas the branching α-1,3-fucosylated triantennary N-glycan (NA3FB) was increased. Best diagnostic accuracy was identified for NG1A2F. NSCLC patients with TNM stage I stage did not show further differences, but patients with higher stages did (TNM II to IV). Those patients additionally had a reduced level in the α-1,6-core fucosylated structure NA2F with parallel increase in the non-fucosylated structure NA2. In this regard, NSCLC patients with a relatively low amount of NA2 per NA2F had a better three-year survival than patients with high amount. NSCLC patients show an altered N-glycan profile of plasma proteins that may be regarded as a supportive tool for cancer diagnosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Biomarkers, Tumor / blood*
  • Carcinoma, Non-Small-Cell Lung / blood*
  • Carcinoma, Non-Small-Cell Lung / diagnosis
  • Female
  • Glycomics / methods
  • Humans
  • Lung Neoplasms / blood*
  • Lung Neoplasms / diagnosis
  • Male
  • Middle Aged
  • N-Acetylneuraminic Acid / chemistry
  • Neoplasm Staging
  • Polysaccharides / blood*
  • Polysaccharides / chemistry
  • Prognosis
  • ROC Curve
  • Survival Analysis

Substances

  • Biomarkers, Tumor
  • Polysaccharides
  • N-Acetylneuraminic Acid