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Prospective evaluation of 92 protein biomarkers for early detection of endometrial cancer
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany.
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Department of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Makerere University School of Public Health, Kampala, Uganda.
Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
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2025 (English)In: International Journal of Cancer, ISSN 0020-7136, E-ISSN 1097-0215Article in journal (Refereed) Epub ahead of print
Abstract [en]

The human epididymis protein 4 (HE4) remains the best available endometrial cancer (EC) biomarker; however, its discrimination between cases and cancer-free individuals is limited and might be improved when combined with other protein markers. We evaluated the discrimination capacity of 92 proteins as potential early detection biomarkers for EC in nested case–control studies in the European Prospective Investigation into Cancer and Nutrition (EPIC) (63 cases, 123 controls) and Janus (75 cases, 146 controls) cohorts, evaluating blood samples taken ≤2 years prior to diagnosis. Proteins were measured with the Olink Target 96 Oncology II panel assays. Areas under the receiver operating characteristic curves (AUCs) were calculated using logistic regression. The discrimination between cases and controls of top-performing proteins was modest (EPIC: HE4, CA125, CAIX, and S100A4; Janus: HE4, CA125, FURIN, CXCL13, and IL6; AUC range: 0.65 [S100A4], 0.76 [HE4, EPIC] within 0 to <12 months of blood collection) and decreased as the time between blood draw and cancer diagnosis increased (12–24 months AUC range: 0.49 [S100A4], 0.69 [CA125, Janus]). The combination of these other markers with HE4 did not improve discrimination. HE4 and other candidate proteins had limited discrimination between EC cases and controls and hence do not appear to be useful for early detection of this disease in women at average population risk.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025.
Keywords [en]
biomarkers, early detection, endometrial cancer
National Category
Cancer and Oncology Gynaecology, Obstetrics and Reproductive Medicine
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URN: urn:nbn:se:umu:diva-237588DOI: 10.1002/ijc.35428PubMedID: 40177982Scopus ID: 2-s2.0-105002132473OAI: oai:DiVA.org:umu-237588DiVA, id: diva2:1952023
Available from: 2025-04-14 Created: 2025-04-14 Last updated: 2025-04-14

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Israelsson, Pernilla

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