Parallel reaction monitoring with multiplex immunoprecipitation of N-glycoproteins in human serum for detection of hepatocellular carcinoma

Anal Bioanal Chem. 2019 May;411(14):3009-3019. doi: 10.1007/s00216-019-01775-5. Epub 2019 May 11.

Abstract

The N-glycosylation of proteins is one of the most important post-translational modifications relevant to various biological functions. The identification and quantification of N-glycoproteins in liquid chromatography-mass spectrometry (LC-MS) is challenging because of their low analytical sensitivity and selectivity. This is due to their microheterogeneity and the difficulty of synthesizing N-glycopeptides as an internal standard. Parallel reaction monitoring (PRM) is widely used in targeted LC-MS. The key advantage of LC-PRM is that it can identify N-glycopeptides using tandem mass spectrometry (MS/MS) fragmentation, even without an internal standard. We investigated the feasibility of analyzing N-glycoproteins using multiplex immunoprecipitation to improve sensitivity and selectivity. We targeted N-glycoproteins [α-fetoprotein (AFP), vitronectin (VTN), and α-1-antichymotrypsin (AACT)] that are abnormally glycosylated in hepatocellular carcinoma (HCC). Their tryptic N-glycopeptides were selected to determine the percentages of fucosylated N-glycopeptides using Y ions, which include glycopeptide fragments with amino acid sequences. Finally, we confirmed that the area under the receiver operating characteristic curve (AUC = 0.944) for the combination of AFP and VTN increased more so than for a single glycopeptide (AUC = 0.889 for AFP and 0.792 for VTN) with respect to discriminating between HCC and cirrhosis serum. This study shows that an LC-PRM method using multiplex N-glycoproteins immunoprecipitated from serum could be applied to develop and verify cancer biomarkers. Graphical abstract.

Keywords: Hepatocellular carcinoma; Immunoprecipitation; Internal standard; N-Glycopeptide; Parallel reaction monitoring.

MeSH terms

  • Amino Acid Sequence
  • Biomarkers, Tumor / blood*
  • Calibration
  • Carcinoma, Hepatocellular / blood
  • Carcinoma, Hepatocellular / diagnosis*
  • Case-Control Studies
  • Chromatography, Liquid / methods*
  • Feasibility Studies
  • Fucose / chemistry
  • Glycoproteins / blood*
  • Glycoproteins / chemistry
  • Glycoproteins / standards
  • Glycosylation
  • Humans
  • Immunoprecipitation / methods*
  • Limit of Detection
  • Liver Neoplasms / blood
  • Liver Neoplasms / diagnosis*
  • ROC Curve
  • Reference Standards
  • Tandem Mass Spectrometry / methods*
  • Vitronectin / blood
  • alpha 1-Antichymotrypsin / blood
  • alpha-Fetoproteins / metabolism

Substances

  • Biomarkers, Tumor
  • Glycoproteins
  • Vitronectin
  • alpha 1-Antichymotrypsin
  • alpha-Fetoproteins
  • Fucose