Evidence map›Paper›PMID 26990679›Full record

ArticleJournal of clinical laboratory analysis2016

The Establishment of an HE4-CLIA Method and the Combined Analysis of HE4 and CA125 in Ovarian Cancer.

Qiong Zhang, Cong-Rong Wang, Juan-Ping Yu, Qiang Ma, Wei-Wen Xu

Open access · bronzeAbstract read
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Article in Journal of clinical laboratory analysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Qiong ZhangInstitute of Antibody Engineering School of Biotechnology, Southern Medical University, Guangdong, Guangzhou, PR China.
Cong-Rong WangDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, PR China.
Juan-Ping YuInstitute of Antibody Engineering School of Biotechnology, Southern Medical University, Guangdong, Guangzhou, PR China.
Qiang MaInstitute of Antibody Engineering School of Biotechnology, Southern Medical University, Guangdong, Guangzhou, PR China.
Wei-Wen XuInstitute of Antibody Engineering School of Biotechnology, Southern Medical University, Guangdong, Guangzhou, PR China. xu_sandy2006@126.com.
Southern Medical University · CNNanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe human epididymal secretory protein 4 (HE4) is a novel, verified biomarker for the early diagnosis of ovarian cancer.

methodsMagnetic beads were coated with capture antibodies and were used with acridinium ester labeled detection antibodies in a sandwich-type immunoassay. The patient's HE4 serum levels were measured simultaneously with the chemiluminescence immunoassay (CLIA) kit we developed and electrochemiluminescence immunoassay (ECLIA) kit from Roche (Mannheim, Germany). CA125 was also detected by time-resolved fluoroimmunoassay. The diagnostic value was analyzed.

resultsThe assay demonstrated a linear range from 2.5 to 2,000 pmol/l, with an analytical sensitivity of 2.5 pmol/l. The reproducibility, recovery, and specificity of the immunoassay were demonstrated to be acceptable. Compared with the ECLIA kit from Roche in 124 serum samples (40 patients with ovarian cancer, 35 patients with benign gynecological diseases, and 49 health controls), there is a satisfied correlation coefficient of 0.875. The area under the receiver-operating curve (ROC-AUC) was 0.903 (95% CI was 0.839-0.966, P < 0.001) for HE4, 0.787 (95% CI was 0.694-0.879, P < 0.001) for CA125, and 0.914 (95% CI was 0.866-0.962, P < 0.001) for combined analysis of HE4 and CA125.

conclusionsA quantitative method (HE4-CLIA) for detecting HE4 in serum was successfully established. Preliminary clinical sample analysis showed HE4-CLIA has a certain clinical value in the screening and diagnosis of ovarian cancer. Moreover, in distinguishing benign from malignant ovarian lesions, HE4 has higher demonstrated accuracy than CA125.

Indexed as

AdultBiomarkers, TumorCA-125 AntigenCalibrationCross ReactionsFemaleHumansImmunoassayLuminescent MeasurementsMiddle AgedOvarian NeoplasmsProteinsReference StandardsReproducibility of ResultsROC CurveSensitivity and SpecificityBiomarkers, TumorCA-125 AntigenProteinsWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, humanCA125chemiluminescence immunoassayHE4ovarian cancer

Identifiers

PMID26990679
PMCPMC6807179
OpenAlexW2297860814

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.