2020
DOI: 10.18632/oncotarget.27664
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Correction of the NSE concentration in hemolyzed serum samples improves its diagnostic accuracy in small-cell lung cancer

Abstract: Neuron-specific enolase (NSE) is a well-known biomarker for the diagnosis, prognosis and treatment monitoring of small-cell lung cancer (SCLC). Nevertheless, its clinical applicability is limited since serum NSE levels are influenced by hemolysis, leading to falsely elevated results. Therefore, this study aimed to develop a hemolysis correction equation and evaluate its role in SCLC diagnostics. Two serum pools were spiked with increasing amounts of hemolysate obtained from multiple individuals. A hemolysis co… Show more

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Cited by 10 publications
(9 citation statements)
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“…Blood NSE is currently considered as a reliable tumor marker of SCLC as far as diagnosis, prognosis, and follow up is concerned [85,86]. Increased NSE is also reported in NSCLC [87,88].…”
Section: Discussionmentioning
confidence: 99%
“…Blood NSE is currently considered as a reliable tumor marker of SCLC as far as diagnosis, prognosis, and follow up is concerned [85,86]. Increased NSE is also reported in NSCLC [87,88].…”
Section: Discussionmentioning
confidence: 99%
“…Clinical samples of lung cancer patients were pooled and used for assay comparison. The samples were selected from a clinical study (lung marker study NL9146, ICTRP Search Portal (who.int)) described elsewhere [16,[23][24][25], ethically approved by the Medical Research Ethics Committees United (NL58985.100.16).…”
Section: Study Design and Participantsmentioning
confidence: 99%
“…Improved diagnostic value was observed by combining NSE detection with the assessment of other protein tumor markers such as cytokeratin fragment 21-1 [8][9][10][11][12]. Nevertheless, the clinical applicability of NSE quantification using the traditional sandwich immunoassays is hampered by the lack of concordance between assays and the falsely elevated concentrations caused by hemolysis [13][14][15][16]. Above all, the inability to separately quantify the αγ and γγ dimers limits the opportunity to investigate their individual added value in lung cancer diagnostics.…”
Section: Introductionmentioning
confidence: 99%
“…Among them, CEA was first reported in gastrointestinal carcinoma in 1965 and it has since been found to be upregulated in colorectal and lung cancer [ 3 ]. CYFRA21-1 and NSE were expressed in lung cancer and could be biomarkers of small cell lung cancer [ 4 , 5 ]. Carcinoma diagnosis needs histopathological confirmation.…”
Section: Introductionmentioning
confidence: 99%
“…CEA, NSE, CYFRA21-1, and Hsp90α were tumor markers, which can be used as diagnostic tools. However, in order to improve the diagnostic efficiency, multiple tumor markers are usually detected and analyzed at the same time [ 3 5 ].…”
Section: Introductionmentioning
confidence: 99%