L3 Flashcards
Phases of biomarker development
- Experimental design
- discovery
- qualification
- verification
- validation and clinical assay development
Experimental design
sample selection, collection, processing and storage. Sample includes serum, plasma, saliva, urine etc
discovery involves?
identification of potential biomarkers. Using 2D-DIGE, LC-MS/MS, SELDI-TOF, protein arrays
Qualification involves
confirmation of differential abundance of potential biomarkers. Using LC-MS/MS, SELDI-TOF, high-throughput screening
Verification involves
assessing the specificity and selectivity of potential biomarkers. Using LC-MS/MS, SELDI-TOF, high throughput screening
Validation involves
establishing sensitivity and specificity; assay optimization using RIA/ELISA
Examples of tumor markers
- hormones
- enzymes
- proteins and glycoproteins
- oncofetal antigens
- receptors
examples of tumor marker hormones
hCG(human chorionic gonadotrophin), calcitonin, gastrin, prolactin, growth hormone
examples of tumor marker enzymes
acid phosphatase, alkaline phosphatase
examples of tumor marker proteins and glycoproteins
CA 125, CA 15.3, CA 19.9
Examples of tumor marker oncofetal antigens
CEA, AFP
Examples of tumor marker receptors
ER, PR, EGFR
Difference between proximal and distal biofluids
Proximal biofluids are those obtained from the vicinity of the affected area, while distal biofluids are collected from elsewhere in the body, often blood.
which is preferred for a final diagnostic test
Distal biofluids because it can provide systemic information and is relatively easy to collect compared to other biofluids.
Which is more attractive for biomarker discovery
Proximal fluids
what causes challenges with proteome analysis in distal fluids
complexity and depth of the proteome
what causes challenges with identifying protein biomarkers in distal fluids
specific markers may be present in low abundance compared to other proteins in the sample. This low abundance can make it difficult to detect and accurately quantify the biomarkers amidst the background of other proteins.
examples of proximal fluids
saliva, pancreatic juice
Why are proximal fluids better for biomarker discovery
They are sinks for proteins that come from diseased tissue. As a result, these fluids are enriched with potential disease biomarkers
Specific protocols for sample collection and storage
- specify what collection tubes to use
- defined collection and storage protocols
- define strict variables to preserve sample integrity
Resources that can be used for biomarker discovery and validation
- advanced bioinformatics
- mass-spectrometry-based profiling and identification
- liquid chromatography
- high-throughput technologies
Types of biomarkers
- diagnostic
- prognostic
- stratification
Diagnostic (screening) biomarker
A marker that is used to detect and identify a given type of cancer in an individual. These markers are expected to have high specificity and sensitivity
examples of biomarkers
Bence-Jones protein found in urine is a strong indicator of multiple myeloma, Prostrate specific antigen (PSA) is a biomarker for prostrate cancer
Prognostic biomarker
Is used once the disease status has been established. They predict the probable course of the disease including its recurrence, and they therefore have an important influence on the aggressiveness of therapy .