SERPINB5 is a novel serum diagnostic biomarker for gastric high-grade intraepithelial neoplasia and plays a role in regulation of macrophage phenotypes

Copyright © 2023. Published by Elsevier Inc..

BACKGROUND: Gastric cancer (GC) develops from gastric precancerous lesions (GPL), and early diagnosis and treatment at the premalignant stage may achieve a higher benefit‒cost ratio with a reduced necessity for surgery. However, reliable noninvasive screening biomarkers of GPL are currently lacking.

METHODS: The marker genes of GPL encoding extracellular proteins were identified by bioinformatics analysis and further verified by immunofluorescence and immunohistochemistry assays. Serum samples were collected to measure the levels of SERPINB5, the diagnostic efficacy of which was assessed by the area under the receiver operating characteristic (ROC) curve (AUC). Finally, the effect of SERPINB5 on the phenotypic conversion of macrophages was verified by public data and in vitro experiments.

RESULTS: SERPINB5 was identified as an extracellular biomarker of GPL that had good diagnostic efficacy. High expression of SERPINB5 was observed in the epithelial cells and adjacent extracellular matrix on sections of gastric high-grade intraepithelial neoplasia (HGIN). Importantly, SERPINB5 determined in serum was significantly increased in the HGIN group, and the AUC for discriminating between HGIN and chronic gastritis or low-grade intraepithelial neoplasia was 0.9936 and 0.9750, respectively. Moreover, SERPINB5 expression was positively correlated with macrophage infiltration, and M1 marker NOS2 expression, but negatively correlated with M2 marker CSF1R expression. In THP-1-derived macrophages, SERPINB5 upregulated expression of M1-related cytokines TNF-α and IL-12, and M1 marker CD86, but suppressed production of M2-related cytokines TGF-β and IL-10.

CONCLUSIONS: Our study provides evidence that SERPINB5 may serve as a promising noninvasive serum biomarker for gastric HGIN screening and regulate macrophage phenotype conversion.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Translational oncology - 37(2023) vom: 02. Nov., Seite 101757

Sprache:

Englisch

Beteiligte Personen:

Huang, Xiuhong [VerfasserIn]
Xie, Xiaoli [VerfasserIn]
Kang, Ning [VerfasserIn]
Qi, Ran [VerfasserIn]
Zhou, Xue [VerfasserIn]
Wang, Yijun [VerfasserIn]
Jiang, Huiqing [VerfasserIn]

Links:

Volltext

Themen:

Biomarker
Gastric precancerous lesions
Journal Article
Macrophages
Noninvasive
SERPINB5

Anmerkungen:

Date Revised 16.09.2023

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.tranon.2023.101757

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360732046