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Development of a Chemiluminescence Immunoassay for Serum YB-1 and its Clinical Application as a Potential Diagnostic Marker for Hepatocellular Carcinoma.


ABSTRACT: BACKGROUND:Y-box binding protein 1 (YB-1) overexpression has been shown in various tumor cells including hepatocellular carcinoma (HCC); moreover, this protein can be actively secreted. OBJECTIVES:The aim of this study was to establish a method to quantify serum YB-1 and evaluate its clinical application in the clinical diagnosis of HCC. PATIENTS AND METHODS:Recombinant YB-1 and two populations of its antibodies were prepared. A monoclonal antibody was specific to the N-terminus of YB-1 amino acids 134-160; and another was a polyclonal antibody. A sandwich-type chemiluminescence immunoassay (CLIA) was developed and evaluated. Levels of YB-1 and alpha fetoprotein (AFP) in serum samples from 105 HCC patients, 25 hepatitis B virus patients, 25 cirrhosis patients, and 50 healthy donors were detected using the established method and an AFP electrochemiluminescence kit. RESULTS:The developed method was linear to 150 ?g/L of YB-1 with a minimum detection limit of 0.01 ?g/L. The average recoveries were between 93.9% and 109.0%. The mean intra- and inter-assay coefficients of variation (CVs) were 4.0-4.8% and 8.2-10.2%, respectively. The relationship between the concentration of diluted YB-1 and the dilution ratios gave a good linear correlation coefficient of 0.9986. The YB-1 concentration was increased in serum of HCC patients (33.0 ± 23.39 ?g/L) compared to healthy individuals (13.2 ± 5.29 ?g/L, P < 0.0001), patients with HBV (17.9 ± 7.49 ?g/L, P = 0.0003), and patients with HBV cirrhosis (20.7 ± 8.75 ?g/L, P < 0.05). Moreover, the combination of YB-1 and alpha-fetoprotein had a high sensitivity (89.5%) and reasonable specificity (62.0%) in identifying HCC. CONCLUSIONS:The established method has an acceptable performance in quantifying YB-1. In addition, serum YB-1 may aid in the diagnosis of HCC.

SUBMITTER: Pu L 

PROVIDER: S-EPMC3782250 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Development of a Chemiluminescence Immunoassay for Serum YB-1 and its Clinical Application as a Potential Diagnostic Marker for Hepatocellular Carcinoma.

Pu Li L   Jing Shi S   Bianqin Guo G   Ping Liu L   Qindong Liang L   Chenggui Liu L   Feng Cheng C   Wenbin Kuang K   Qin Wang W   Jinyu Dong D   Qianfeng Xia X   Yu Liu L   Zhiguang Tu T  

Hepatitis monthly 20130703 7


<h4>Background</h4>Y-box binding protein 1 (YB-1) overexpression has been shown in various tumor cells including hepatocellular carcinoma (HCC); moreover, this protein can be actively secreted.<h4>Objectives</h4>The aim of this study was to establish a method to quantify serum YB-1 and evaluate its clinical application in the clinical diagnosis of HCC.<h4>Patients and methods</h4>Recombinant YB-1 and two populations of its antibodies were prepared. A monoclonal antibody was specific to the N-ter  ...[more]

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