title: Serum adhesion molecule-1 (ICAM-1) as a potential prognostic marker for cholangiocarcinoma patients.
abstract: Cholangiocarcinoma (CCA) is a malignancy of bile ducts with a high incidence of invasion and metastasis. This disease is often detected in advanced stages because of the difficulties of early diagnosis, leading to a high mortality rate. However, biomarkers for early CCA detection are still lacking. In this study, to identify potential biomarker proteins, differential secretome analysis by the GeLC-MS/MS approach was applied with four CCA cell lines and a control immortalized cholangiocyte cell line. Among 78 up-regulated proteins, 53 including ICAM- 1 were exclusively expressed in four CCA secretomes but not in MMNK1. Based on this result, we measured ICAM-1 levels in serum samples of CCA patients and healthy controls and found significantly higher values in CCA patients' sera. Receiver operating characteristic curve analysis suggested that serum ICAM-1 level could be a discriminatory diagnostic marker for CCA and healthy controls (area under curve=0.829) with a sensitivity of 77% and a specificity of 70% at a cut off value of 167 ng/ml. Moreover, the serum ICAM-1 showed positive correlations with alkaline phosphatase and carcinoembryonic antigen levels. Comparison of ICAM-1 levels of paired pre- and post-operative sera of 12 cases revealed significant decrease after tumor resection. However, serum ICAM-1 levels were not significantly different between CCA and benign biliary diseases with mainly inflammatory features.
authors.affiliation: Centre Research and Development Medical Diagnostic, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Montira
authors.initials: M
authors.lastname: Janan
authors.forename: Siriporn
authors.initials: S
authors.lastname: Proungvitaya
authors.forename: Temduang
authors.initials: T
authors.lastname: Limpaiboon
authors.forename: Tanakorn
authors.initials: T
authors.lastname: Proungvitaya
authors.forename: Sittiruk
authors.initials: S
authors.lastname: Roytrakul
authors.forename: Chaisiri
authors.initials: C
authors.lastname: Wongkham
authors.forename: Patcharee
authors.initials: P
authors.lastname: Jearanaikoon
authors.forename: Siri
authors.initials: S
authors.lastname: Chur-in
authors.forename: Sopit
authors.initials: S
authors.lastname: Wongkham
mesh_terms: D001650:Bile Duct Neoplasms; D001653:Bile Ducts, Intrahepatic; D014408:Biomarkers, Tumor / Q000378:metabolism; D018281:Cholangiocarcinoma; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000378:metabolism; D053719:Tandem Mass Spectrometry
chemical_list: D014408:Biomarkers, Tumor; D018799:Intercellular Adhesion Molecule-1