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Volume 139, Issue 5, Pages 1216-1223 (May 2010)


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Comparative glycomic profiling in esophageal adenocarcinoma

Zane T. Hammoud, MDaCorresponding Author Informationemail address, Yehia Mechref, PhDb, Ahmed Hussein, PhDb, Slavka Bekesova, PhDb, Min Zhang, PhDb, Kenneth A. Kesler, MDc, Milos V. Novotny, PhDb

Received 30 April 2009; received in revised form 26 September 2009; accepted 11 December 2009.

Objective

Aberrant glycosylation has been implicated in various types of cancers. Cancerous cells with altered glycosylation of their surface proteins shed such proteins into the circulating fluids. Glycomic profiling of such fluids shows the altered glycosylation. We performed glycomic profiling of serum from patients with no known disease, Barrett's without dysplasia, with high-grade dysplasia, and with esophageal adenocarcinoma in an attempt to delineate distinct differences in glycosylation among these groups.

Methods

Serum samples from patients with Barrett's metaplasia (N = 5), high-grade dysplasia (N = 11), and esophageal adenocarcinoma (N = 50) were collected; samples from 18 healthy volunteers were used as control. Serum N-glycans were enzymatically released and then applied to both C18 Sep-Pak (Waters, Milford, MA) cartridges and activated charcoal cartridges. N-glycans were permethylated and then spotted directly onto a matrix-assisted laser desorption ionization plate. Mass spectra were acquired using the Applied Biosystems 4800 MALDI TOF/TOF Analyzer (Applied Biosystems Inc, Framingham, Mass). The obtained matrix-assisted laser desorption ionization-mass spectrometry data were processed using DataExplorer files (Applied Biosystems Inc) listing m/z values and intensities.

Results

The intensities of 98 glycans were significantly different among the 3 groups; 26 of these corresponded to known glycan structures. Pairwise comparisons showed that 8 glycans were significantly different in all 3 pairwise comparisons.

Conclusion

We demonstrated that comparative glycomic profiling of esophageal adenocarcinoma reveals a subset of glycans that can be selected as candidate biomarkers. These markers can differentiate normal from high-grade dysplasia, normal from esophageal adenocarcinoma, and high-grade dysplasia from esophageal adenocarcinoma. Further validation will be necessary to determine the clinical utility of these glycan biomarkers.

CTSNet classification7, 29

a Cardiothoracic Surgery, Henry Ford Health System, Detroit, Mich

b Indiana University, Bloomington, Ind

c Indiana University School of Medicine, Indianapolis, Ind

Corresponding Author InformationAddress for reprints: Zane T. Hammoud, MD, Henry Ford Hospital, Cardiothoracic Surgery, K-14, 2799 W. Grand Blvd, Detroit, MI 48202.

 Disclosures: None.

PII: S0022-5223(10)00055-3

doi:10.1016/j.jtcvs.2009.12.045


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