Revisiting biomarker discovery by plasma proteomics

被引:622
作者
Geyer, Philipp E. [1 ,2 ]
Holdt, Lesca M. [3 ]
Teupser, Daniel [3 ]
Mann, Matthias [1 ,2 ]
机构
[1] Max Planck Inst Biochem, Dept Prote & Signal Transduct, Martinsried, Germany
[2] Univ Copenhagen, NNF Ctr Prot Res, Fac Hlth Sci, Copenhagen, Denmark
[3] Univ Hosp, LMU Munich, Inst Lab Med, Munich, Germany
关键词
biomarkers; diagnostic; mass spectrometry; plasma proteomics; systems medicine; MASS-SPECTROMETRY; TARGETED PROTEOMICS; ABUNDANCE PROTEINS; CANCER BIOMARKERS; QUANTIFICATION; SERUM; VALIDATION; PEPTIDE; IDENTIFICATION; VERIFICATION;
D O I
10.15252/msb.20156297
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Clinical analysis of blood is the most widespread diagnostic procedure in medicine, and blood biomarkers are used to categorize patients and to support treatment decisions. However, existing biomarkers are far from comprehensive and often lack specificity and new ones are being developed at a very slow rate. As described in this review, mass spectrometry (MS)-based proteomics has become a powerful technology in biological research and it is now poised to allow the characterization of the plasma proteome in great depth. Previous "triangular strategies" aimed at discovering single biomarker candidates in small cohorts, followed by classical immunoassays in much larger validation cohorts. We propose a "rectangular" plasma proteome profiling strategy, in which the proteome patterns of large cohorts are correlated with their phenotypes in health and disease. Translating such concepts into clinical practice will require restructuring several aspects of diagnostic decision-making, and we discuss some first steps in this direction.
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页数:15
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