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Vitronectin and dermcidin serum levels predict the metastatic progression of AJCC I-II early-stage melanoma.

ABSTRACT: Like many cancers, an early diagnosis of melanoma is fundamental to ensure a good prognosis, although an important proportion of stage I-II patients may still develop metastasis during follow-up. The aim of this work was to discover serum biomarkers in patients diagnosed with primary melanoma that identify those at a high risk of developing metastasis during the follow-up period. Proteomic and mass spectrophotometry analysis was performed on serum obtained from patients who developed metastasis during the first years after surgery for primary tumors and compared with that from patients who remained disease-free for more than 10 years after surgery. Five proteins were selected for validation as prognostic factors in 348 melanoma patients and 100 controls by ELISA: serum amyloid A and clusterin; immune system proteins; the cell adhesion molecules plakoglobin and vitronectin and the antimicrobial protein dermcidin. Compared to healthy controls, melanoma patients have high serum levels of these proteins at the moment of melanoma diagnosis, although the specific values were not related to the histopathological stage of the tumors. However, an analysis based on classification together with multivariate statistics showed that tumor stage, vitronectin and dermcidin levels were associated with the metastatic progression of patients with early-stage melanoma. Although melanoma patients have increased serum dermcidin levels, the REPTree classifier showed that levels of dermcidin <2.98 ?g/ml predict metastasis in AJCC stage II patients. These data suggest that vitronectin and dermcidin are potent biomarkers of prognosis, which may help to improve the personalized medical care of melanoma patients and their survival.

SUBMITTER: Ortega-Martinez I

PROVIDER: S-EPMC5089559 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature

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Vitronectin and dermcidin serum levels predict the metastatic progression of AJCC I-II early-stage melanoma.

Ortega-Martínez Idoia I Gardeazabal Jesús J Erramuzpe Asier A Sanchez-Diez Ana A Cortés Jesús J García-Vázquez María D MD Pérez-Yarza Gorka G Izu Rosa R Luís Díaz-Ramón Jose J de la Fuente Ildefonso M IM Asumendi Aintzane A Boyano María D MD

International journal of cancer 20160611 7

Like many cancers, an early diagnosis of melanoma is fundamental to ensure a good prognosis, although an important proportion of stage I-II patients may still develop metastasis during follow-up. The aim of this work was to discover serum biomarkers in patients diagnosed with primary melanoma that identify those at a high risk of developing metastasis during the follow-up period. Proteomic and mass spectrophotometry analysis was performed on serum obtained from patients who developed metastasis ...[more]

PMID: 27216146

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Dataset Information

Vitronectin and dermcidin serum levels predict the metastatic progression of AJCC I-II early-stage melanoma.

Publications

Vitronectin and dermcidin serum levels predict the metastatic progression of AJCC I-II early-stage melanoma.

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