title: Identification of leptomeningeal metastasis-related proteins in cerebrospinal fluid of patients with breast cancer by a combination of MALDI-TOF, MALDI-FTICR and nanoLC-FTICR MS.
abstract: Leptomeningeal metastasis (LM) is a devastating complication occurring in 5% of breast cancer patients. However, the current 'gold standard' of diagnosis, namely microscopic examination of the cerebrospinal fluid (CSF), is false-negative in 25% of patients at the first lumbar puncture. In a previous study, we analyzed a set of 151 CSF samples (tryptic digests) by MALDI-TOF and detected peptide masses that were differentially expressed in breast cancer patients with LM. In the present study, we obtain for a limited number of samples exact masses for these peptides by MALDI-FTICR MS measurements. Identification of these peptides was performed by electrospray FTICR MS after separation by nano-scale LC. The database results were confirmed by targeted high mass accuracy measurements of the fragment ions in the FTICR cell. The combination of automated high-throughput MALDI-TOF measurements and analysis by FTICR MS leads to the identification of 17 peptides corresponding to 9 proteins. These include proteins that are operative in host-disease interaction, inflammation and immune defense (serotransferrin, alpha 1-antichymotrypsin, hemopexin, haptoglobin and transthyretin). Several of these proteins have been mentioned in the literature in relation to cancer. The identified proteins alpha1-antichymotrypsin and apolipoprotein E have been described in relation to Alzheimer's disease and brain cancer.
authors.affiliation: Institute of Inorganic and Analytical Chemistry, Analytical Chemistry - Justus Liebig University Giessen, Giessen, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Römpp
authors.forename: Lennard
authors.initials: L
authors.lastname: Dekker
authors.forename: Ioana
authors.initials: I
authors.lastname: Taban
authors.forename: Guido
authors.initials: G
authors.lastname: Jenster
authors.forename: Willem
authors.initials: W
authors.lastname: Boogerd
authors.forename: Hans
authors.initials: H
authors.lastname: Bonfrer
authors.forename: Bernhard
authors.initials: B
authors.lastname: Spengler
authors.forename: Ron
authors.initials: R
authors.lastname: Heeren
authors.forename: Peter Sillevis
authors.initials: PS
authors.lastname: Smitt
authors.forename: Theo M
authors.initials: TM
authors.lastname: Luider
mesh_terms: D001943:Breast Neoplasms / Q000134:cerebrospinal fluid*; D002853:Chromatography, Liquid; D017357:Cyclotrons; D005260:Female; D016650:Fluorescein-5-isothiocyanate; D006801:Humans; D008577:Meningeal Neoplasms / Q000134:cerebrospinal fluid / Q000556:secondary*; D036103:Nanotechnology; D009363:Neoplasm Proteins / Q000134:cerebrospinal fluid*; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
chemical_list: D009363:Neoplasm Proteins; D016650:Fluorescein-5-isothiocyanate