Evidence map›Paper›PMID 27867087›Full record

ArticleClinical biochemistry2017

A quantitative immunoassay for lung cancer biomarker CIZ1b in patient plasma.

Dawn Coverley, Gillian Higgins, Daniel West, Oliver T Jackson, Adam Dowle, Aidan Haslam, Eve Ainscough, Rebecca Chalkley, John White

Abstract readComparative Study
In one paragraph

Article in Clinical biochemistry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

7 citing papers in PubMed.

  1. Trial
  2. IsoProDB: an integrated map of human protein isoforms for accelerated research.Database : the journal of biological databases and curation · 2026
    Article
  3. Article
  4. Review
  5. Article
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4 · The record

Corrections and comments

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

9 authors.

Dawn CoverleyCizzle Biotech, University of York, YO10 5DD, UK; Department of Biology, University of York, YO10 5YW, UK. Electronic address: dc17@york.ac.uk.
Gillian HigginsCizzle Biotech, University of York, YO10 5DD, UK; Department of Biology, University of York, YO10 5YW, UK.
Daniel WestCizzle Biotech, University of York, YO10 5DD, UK.
Oliver T JacksonDepartment of Biology, University of York, YO10 5YW, UK; Hull-York Medical School, University of Hull, HU6 7RX, UK.
Adam DowleDepartment of Biology, University of York, YO10 5YW, UK.
Aidan HaslamDepartment of Biology, University of York, YO10 5YW, UK.
Eve AinscoughCizzle Biotech, University of York, YO10 5DD, UK; Department of Biology, University of York, YO10 5YW, UK.
Rebecca ChalkleyCizzle Biotech, University of York, YO10 5DD, UK; Department of Biology, University of York, YO10 5YW, UK.
John WhiteDepartment of Respiratory Medicine, York Teaching Hospital NHS Foundation Trust, YO31 8HE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNon-invasive tests for early detection of lung cancer are an important unmet clinical need. CIZ1b plasma biomarker can discriminate stage 1 lung cancer from within high-risk groups with clinically useful accuracy, with ROC AUCs in excess of 0.9 for two independent retrospective cohorts, and could therefore meet this need. Our aim was to characterise the native state of the biomarker and develop a quantitative immunoassay. DESIGN AND

methodsSelective denaturation, preparative electrophoresis and mass spectrometry of human plasma were used to characterise the biomarker and interaction partners. A sandwich ELISA was generated, and specificity for CIZ1b biomarker tested on lung cancer patient plasma.

resultsCIZ1b biomarker is a denaturation-resistant complex between a C-terminal fragment of CIZ1 bearing the CIZ1b epitope specified by alternative splicing of exon14, and fibrinogen alpha chain. Reconstitution of the biomarker epitope with purified fibrinogen and CIZ1b, but not CIZ1a (non-alternatively spliced exon 14) confirmed the specificity of the results. The endogenous complex is highly stable in lung cancer plasma and can be quantified by pairing of a CIZ1b exon-junction specific antibody with detection of fibrinogen. Application of this sandwich ELISA to a prospectively collected development set of plasmas reveals the same level of accuracy as the western blot used to validate the discriminatory capability of the biomarker.

conclusionsUnexpected and unusual molecular structure of CIZ1b in native plasma has complicated immunoassay design, and delayed translation of this promising biomarker. However, CIZ1b can now be measured using a high-throughput, hospital-friendly sandwich ELISA format, overcoming an important barrier to further clinical development and application of this blood test for early stage lung cancer.

Indexed as

Alternative SplicingArea Under CurveBiomarkers, TumorBlotting, WesternCase-Control StudiesChromatography, LiquidEnzyme-Linked Immunosorbent AssayGene Expression Regulation, NeoplasticHumansImmunoassayLung NeoplasmsNuclear ProteinsProspective StudiesRetrospective StudiesTandem Mass SpectrometryBiomarkers, TumorCiz1 protein, humanNuclear ProteinsBiomarkerBlood testCIZ1bImmunoassayLung cancer

Identifiers

PMID27867087
PMCPMC5441127

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Registered trials

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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.