PMID- 34917649 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211218 IS - 2296-889X (Print) IS - 2296-889X (Electronic) IS - 2296-889X (Linking) VI - 8 DP - 2021 TI - A Novel Diagnostic Biomarker, PZP, for Detecting Colorectal Cancer in Type 2 Diabetes Mellitus Patients Identified by Serum-Based Mass Spectrometry. PG - 736272 LID - 10.3389/fmolb.2021.736272 [doi] LID - 736272 AB - Background: Growing evidence has confirmed that populations with type 2 diabetes mellitus (T2DM) have an increasing risk of developing colorectal cancer (CRC). Thus, convenient and effective screening strategies for CRC should be developed for the T2DM population to increase the detection rate of CRC. Methods: Twenty serum samples extracted from five healthy participants, five T2DM patients, five CRC patients and five T2DM patients with CRC (T2DM + CRC) were submitted to data-independent acquisition mass spectrometry (DIA-MS) analysis to discover unique differentially altered proteins (DAPs) for CRC in patients with T2DM. Then, the diagnostic value of pregnancy zone protein (PZP) was validated by ELISA analysis in the validated cohort. Results: Based on DIA-MS analysis, we found eight unique proteins specific to T2DM patients with CRC. Among these proteins, four proteins showed different expression between the T2DM + CRC and T2DM groups, and PZP exhibited the largest difference. Next, the diagnostic value of serum PZP was validated by ELISA analysis with an AUC of 0.713. Moreover, the combination of PZP, CA199 and CEA exhibited encouraging diagnostic value, and the AUC reached 0.916. Conclusion: Overall, our current research implied that PZP could be regarded as a newfound serum biomarker for CRC medical diagnosis in T2DM patients. CI - Copyright (c) 2021 Yang, Fang, Wu, Tian, Gao, Yu, Chen, Weng, Zhu and Yang. FAU - Yang, Jiayue AU - Yang J AD - Department of Endocrinology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Fang, Weigang AU - Fang W AD - Department of Gastroenterology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Wu, Wenjun AU - Wu W AD - Department of Endocrinology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Tian, Zhen AU - Tian Z AD - Department of Clinical Laboratory, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Gao, Rong AU - Gao R AD - Department of Clinical Laboratory, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Yu, Lu AU - Yu L AD - Department of Endocrinology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Chen, Dayang AU - Chen D AD - Department of Gastroenterology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Weng, Xiaohua AU - Weng X AD - Department of Endocrinology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Zhu, Shengwei AU - Zhu S AD - Department of Endocrinology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Yang, Cheng AU - Yang C AD - Department of Gastroenterology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. LA - eng PT - Journal Article DEP - 20211130 PL - Switzerland TA - Front Mol Biosci JT - Frontiers in molecular biosciences JID - 101653173 PMC - PMC8670180 OTO - NOTNLM OT - PZP OT - biomarker OT - colorectal cancer OT - mass spectrum OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/12/18 06:00 MHDA- 2021/12/18 06:01 PMCR- 2021/01/01 CRDT- 2021/12/17 07:00 PHST- 2021/07/05 00:00 [received] PHST- 2021/11/16 00:00 [accepted] PHST- 2021/12/17 07:00 [entrez] PHST- 2021/12/18 06:00 [pubmed] PHST- 2021/12/18 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 736272 [pii] AID - 10.3389/fmolb.2021.736272 [doi] PST - epublish SO - Front Mol Biosci. 2021 Nov 30;8:736272. doi: 10.3389/fmolb.2021.736272. eCollection 2021.