Indian Journal of Respiratory Care

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VOLUME 12 , ISSUE 3 ( July-September, 2023 ) > List of Articles

Original Article

Evaluation of a Panel of Biomarkers in the Diagnosis of Lung Cancer: An Observational Study

Chahat Bhatia, Shivani Jaswal, Mandeep K Sodhi, Jasbinder Kaur, Phiza Aggarwal, Deepak Aggarwal, Varinder Saini, Ravinder Kaur

Keywords : Biomarkers, C-reactive protein, Lung cancer, Neuron-specific enolase

Citation Information : Bhatia C, Jaswal S, Sodhi MK, Kaur J, Aggarwal P, Aggarwal D, Saini V, Kaur R. Evaluation of a Panel of Biomarkers in the Diagnosis of Lung Cancer: An Observational Study. Indian J Respir Care 2023; 12 (3):244-247.

DOI: 10.5005/jp-journals-11010-1061

License: CC BY-NC-SA 4.0

Published Online: 30-10-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aims and background: Carcinoma of lung features is one of the most frequently encountered malignancies in the world, which accounts for most cancer deaths. To buckle down this deadly disease, novel tools for early diagnosis need to be explored. Biomarkers, being a simple and noninvasive method, are being researched all over the world for their role in screening, early detection, and confirmation of the diagnosis of specific types of cancer, as well as to predict the prognosis, monitor response to treatment, and detect recurrence. Materials and methods: The current study evaluated the values of neuron-specific enolase (NSE), cytokeratin fragment 19 (CYFRA 21-1), carcinoembryonic antigen-related cell adhesion molecule (CEACAM), C-reactive protein (CRP), and lactate dehydrogenase (LDH) were evaluated in 75 participants, 25 each of lung cancer, benign disease, and healthy controls respectively, both individually as well as together as a panel in various combinations of set of two/three/four/five biomarkers for diagnosis, accuracy, sensitivity, and specificity of all the different combinations was calculated. Results: Mean serum levels of all these biomarkers were elevated in patients with lung cancer vs normal healthy controls. It was inferred that the best panel was a combination of two biomarkers, CRP and NSE, together, which yielded a specificity of 94%, accuracy of 82.67%, and sensitivity of 60% (p-value of <0.001). Conclusion: Biomarkers, both individually and as a combination as a panel may serve as useful tools for early detection of this deadly disease.


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  1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68(6):394–424. DOI: 10.3322/caac.21492
  2. Peto R, Lopez AD, Boreham J, et al. Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet 1992;339(8804):1268–1278. DOI: 10.1016/0140-6736(92)91600-d
  3. Du Q, Li E, Liu Y, et al. CTAPIII/CXCL7: a novel biomarker for early diagnosis of lung cancer. Cancer Med 2018;7(2):325–335. DOI: 10.1002/cam4.1292
  4. Okamura K, Takayama K, Izumi M, et al. Diagnostic value of CEA and CYFRA 21-1 tumor markers in primary lung cancer. Lung Cancer 2013;80(1):45–49. DOI: 10.1016/j.lungcan.2013.01.002
  5. Zamay TN, Zamay GS, Kolovskaya OS, et al. Current and prospective protein biomarkers of lung cancer. Cancers (Basel) 2017;9(11). DOI: 10.3390/cancers9110155
  6. Isgrò MA, Bottoni P, Scatena R. Neuron-specific enolase as a biomarker: biochemical and clinical aspects. Adv Exp Med Biol 2015;867:125–143. DOI: 10.1007/978-94-017-7215-0_9
  7. Jurisic V, Radenkovic S, Konjevic G. The actual role of LDH as tumor marker, biochemical and clinical aspects. Adv Exp Med Biol 2015;867:115–124. DOI: 10.1007/978-94-017-7215-0_8
  8. Shrotriya S, Walsh D, Bennani-Baiti N, et al. C-Reactive Protein Is an Important Biomarker for Prognosis Tumor Recurrence and Treatment Response in Adult Solid Tumors: A Systematic Review. PLoS One 2015;10(12):e0143080. DOI: 10.1371/journal.pone.0143080
  9. Mohan A, Garg A, Gupta A, et al. Clinical profile of lung cancer in North India: a 10-year analysis of 1862 patients from a tertiary care center. Lung India 2020;37(3):190–197. DOI: 10.4103/lungindia.lungindia_333_19
  10. Barlési F, Gimenez C, Torre JP, et al. Prognostic value of combination of CYFRA 21-1, CEA and NSE in patients with advanced non-small cell lung cancer. Respir Med 2004;98(4):357–362. DOI: 10.1016/j.rmed.2003.11.003
  11. Yu Z, Chen XZ, Cui LH, et al. Prediction of lung cancer based on serum biomarkers by gene expression programming methods. Asian Pac J Cancer Prev 2014;15(21):9367–9373. DOI: 10.7314/apjcp.2014.15.21.9367
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