
Mark Baker
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Papers by Mark Baker
Current methods widely deployed for colorectal cancers (CRC) screening lack the necessary sensitivity and specificity required for populationbased
early disease
detection. Cancerspecific
protein biomarkers are thought to be produced either by the tumor itself or other tissues in response to the presence of cancers or
associated conditions. Equally, known examples of cancer protein biomarkers (e.g., PSA, CA125, CA199,
CEA, AFP) are frequently found in plasma at very low
concentration (pg/mLng/
mL). New sensitive and specific assays are therefore urgently required to detect the disease at an early stage when prognosis is good
following surgical resection. This study was designed to meet the longstanding unmet clinical need for earlier CRC detection by measuring plasma candidate
biomarkers of cancer onset and progression in a clinical stagespecific
manner. EDTA plasma samples (1 μL) obtained from 75 patients with Dukes’ staged CRC or
unaffected controls (age and sex matched with stringent inclusion/exclusion criteria) were assayed for expression of 92 human proteins employing the Proseek®
Multiplex Oncology I proximity extension assay. An identical set of plasma samples were analyzed utilizing the BioPlex
Pro™ human cytokine 27plex
immunoassay.
Results
Similar quantitative expression patterns for 13 plasma antigens common to both platforms endorsed the potential efficacy of Proseek as an immunebased
multiplex
assay for proteomic biomarker research. Proseek found that expression of Carcinoembryonic Antigen (CEA), IL8
and prolactin are significantly correlated with CRC
stage.
Conclusions
CEA, IL8
and prolactin expression were found to identify between control (unaffected), nonmalignant
(Dukes’ A + B) and malignant (Dukes’ C + D) stages.
source of useful diagnostic biomarkers and potentially therapeutic molecules, as it contains
many cytokines, peptide hormones, endogenous peptide products and potentially bioactive
fragments derived from the parent proteome. The small size of the peptides allows them
almost unrestricted vascular and interstitial access, and hence distribution across bloodbrain
barriers, tumour and other vascular permeability barriers. Therefore, the peptidome
may carry specific signatures or fingerprints of an individual’s health, wellbeing or disease
status. This occurs primarily because of the advantage the peptidome has in being readily
accessible in human blood and/or other biofluids.
However, the co-expression of highly abundant proteins (>10kDa) and other factors present
inherently in human plasma make direct analysis of the blood peptidome one of the most
challenging tasks faced in contemporary analytical biochemistry. A comprehensive
compendium of extraction and fractionation tools has been collected concerning the isolation
and micromanipulation of peptides. However, the search for a reliable, accurate and
reproducible single or combinatorial separation process for capturing and analysing the
plasma peptidome remains a challenge.
This review outlines current techniques used for the separation and detection of plasma
peptides and suggests potential avenues for future investigation.
Current methods widely deployed for colorectal cancers (CRC) screening lack the necessary sensitivity and specificity required for populationbased
early disease
detection. Cancerspecific
protein biomarkers are thought to be produced either by the tumor itself or other tissues in response to the presence of cancers or
associated conditions. Equally, known examples of cancer protein biomarkers (e.g., PSA, CA125, CA199,
CEA, AFP) are frequently found in plasma at very low
concentration (pg/mLng/
mL). New sensitive and specific assays are therefore urgently required to detect the disease at an early stage when prognosis is good
following surgical resection. This study was designed to meet the longstanding unmet clinical need for earlier CRC detection by measuring plasma candidate
biomarkers of cancer onset and progression in a clinical stagespecific
manner. EDTA plasma samples (1 μL) obtained from 75 patients with Dukes’ staged CRC or
unaffected controls (age and sex matched with stringent inclusion/exclusion criteria) were assayed for expression of 92 human proteins employing the Proseek®
Multiplex Oncology I proximity extension assay. An identical set of plasma samples were analyzed utilizing the BioPlex
Pro™ human cytokine 27plex
immunoassay.
Results
Similar quantitative expression patterns for 13 plasma antigens common to both platforms endorsed the potential efficacy of Proseek as an immunebased
multiplex
assay for proteomic biomarker research. Proseek found that expression of Carcinoembryonic Antigen (CEA), IL8
and prolactin are significantly correlated with CRC
stage.
Conclusions
CEA, IL8
and prolactin expression were found to identify between control (unaffected), nonmalignant
(Dukes’ A + B) and malignant (Dukes’ C + D) stages.
source of useful diagnostic biomarkers and potentially therapeutic molecules, as it contains
many cytokines, peptide hormones, endogenous peptide products and potentially bioactive
fragments derived from the parent proteome. The small size of the peptides allows them
almost unrestricted vascular and interstitial access, and hence distribution across bloodbrain
barriers, tumour and other vascular permeability barriers. Therefore, the peptidome
may carry specific signatures or fingerprints of an individual’s health, wellbeing or disease
status. This occurs primarily because of the advantage the peptidome has in being readily
accessible in human blood and/or other biofluids.
However, the co-expression of highly abundant proteins (>10kDa) and other factors present
inherently in human plasma make direct analysis of the blood peptidome one of the most
challenging tasks faced in contemporary analytical biochemistry. A comprehensive
compendium of extraction and fractionation tools has been collected concerning the isolation
and micromanipulation of peptides. However, the search for a reliable, accurate and
reproducible single or combinatorial separation process for capturing and analysing the
plasma peptidome remains a challenge.
This review outlines current techniques used for the separation and detection of plasma
peptides and suggests potential avenues for future investigation.