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Proteomic analysis of expressed differentially proteins involved in human colorectal cancer、adenoma and normal colonic mucosa Lei Hi, MD, Tao Deng, MD, Shi-Yun Tan, MD Address correspondence and reprint request to: Dr. Lei He, Department of Gastroenterology, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan 430060, P.R.China. Tel. +86(27)88041911. Fax. +86(27)88042292. E-mail: [email protected] ABSTRACT Objectives: To study the differentially expressed proteins in colorectal carcinoma tissues, colorectal adenoma tissues and the normal colonic mucosa by proteomics techniques. Methods: Tissue samples from colorectal carcinoma patients、colorectal adenoma patients and healthy controls were analyzed by SELDI-TOF-MS using WCX magnetic beads(MB-WCX). The resulting SELDI-TOF-MS spectral data were analyzed using the Biomarker WizardTM to find differential proteins. The differential proteins were identified by searching the Swiss-Prot and TrEMBL. Results: A total of 16 mass peaks were identified. The levels of five peaks at mass: charge ratios(m/z) of 4904、7602、7705、14990 and 15708 were significantly higher in the patients with colorectal carcinoma than that in patients with colorectal adenoma and healthy controls(P﹤0.01); Compared with healthy controls, the level of peaks at mass: charge ratios(m/z) of 4904 in patients with colorectal adenoma was statistically significant, while the others were not(P﹥0.05). Database search revealed that the five peaks corresponded to Carcinoembryonic antigen (CEA), p53R2, HCG2020031, Kallikrein-11 (hk11) and CD99 respectively. As we know, CEA is a commonly used tumor marker in clinic. Other four kinds of differential proteins might have the potential as a new tumor marker. Conclusion: Proteomic analysis can identify the proteins with variance among colorectal carcinoma, colorectal adenoma tissues and normal colonic mucosa as well as providing probable new biomarkers correlated with biological behavior of colorectal carcinoma. Colorectal cancer is a very common malignant tumor in China, the morbidity and mortality has increased gradually in recent years (1, 2). Colorectal carcinogenesis is a well-known multistep process. Colorectal adenoma is now recognized as the most important precancerous lesion, and the carcinogenic process often need 10 to 15 years, if the main premalignant lesion-adenoma is detected and removed before invasion occurs, colorectal cancer might be effectively controlled (3, 4). To make progress in cancer biology, it is important to explore the differential protein expression pattern between tumor and paired normal tissue. Such proteomic study not only contributes to elucidating the underlying molecular carcinogenesis but also provides a robust tool to identify novel biomarkers in cancer. Traditional proteomics is based on two-dimensional gel electrophoresis (2D-PAGE) and mass spectrometry as the representative technology roadmap. Because of the complicated detection process, large samples and low lever of distinguish small molecular protein, the application of which is limited (5, 6). However, SELDI-TOF-MS technology, also known as protein fingerprint technology, can make up above disadvantages, it does not need dissolve and stain, high sensitivity, and not limited by protein solubility and Ph value (7, 8), so which is widely used in proteomics research gradually. In this study, we used SELDI-TOF-MS technology to screen different proteins among tissues of colorectal cancer, adenoma and normal colorectal mucosa, in order to search new targeting markers for diagnosis and therapy of colorectal cancer. Materials and Methods. Tissue Samples. We collected 21 colorectal cancers patients, which were surgical resection and diagnosed by pathologic manifestations at the general surgery department of Renmin Hospital of Wuhan University between March 2011 and December 2012. There were 13 males and 8 females, age from 51 to 78, median age was 64. None had received preoperative radiochemotherapy. According to the TNM classification, stage Ⅰ-Ⅱ were 16 cases, Ⅲ and Ⅳ were 5 cases. Normal colorectal mucosa was taken from adjacent tissue (at least 10 cm) as control group. Colorectal adenoma tissues were endoscopic resected and diagnosed by histopathology from the digestive endoscopy center of Renmin Hospital of Wuhan University. There were 17 samples (14 males and 3 females, age from 25 to 72, median age was 41.7) in this study. All samples were kept at -80℃. The present study was approved by the Ethics Committee of Wuhan University. Consent was received from all patients and all clinical investigations were performed according to the principles of the Declaration of Helsinki. Reagent. Carbamide, acetonitrile, Tris-HCL, CHAPS, DTT, NaAc, HPLC H2O, and sinapinic acid (SPA) were obtained from Sigma; MB-WCX was obtained from Beijing Biock Bio-Technology Co., Ltd; Protein Chip Biomarker SystemⅡc (PBS-Ⅱ c) mass spectrometry was purchased from Ciphergen; BCA protein assay kit was purchased from Beyotime institute of biotechnology. Process of samples. Taken 50 mg tissue of each sample to grind to powder under liquid nitrogen, then added 400 µl lysate and mixed, hatched 1h at 37 centigrade, centrifugalized (14000 r/min) 3 min at 4 centigrade, draw supernatant which was total protein (9), then used BCA protein assay kit to detect the concentration of protein. Magnetic beads and Elution. Add 100 µl handled samples into centrifuge tube which had installed MB-WCX, hatched 30 min in magnetic beads processor, then remove the liquid. Add 100 µl MB binding buffer (50 mmol/L NaAc, Ph 4.0~4.3) into centrifuge tube with installed MB-WCX, hatched 2 min in magnetic beads processor, remove the liquid, repeat twice. 10µl 5% TFA eluant was added, after 2 min, draw 5µl supernate into another centrifuge tube, and then 5 µL SPA saturated solution was added and mixed well, draw 1µl mixed solution on Au chip, then detected when it’s dry (10). Data collection. Magnetic beads which had handled above were implanted into protein fingerprint apparatus (type PBS-Ⅱc) to proteome analysis. Before reading data, we use NP20 chip with all-in-one protein marker to revise protein fingerprint apparatus to make sure molecular weight error < 0.1%. Setting main parameters as follows: strength of laser 150, sensitivity 8, molecular weight range 1500~20000Da. Range of data acquisition 20~80, collection point 100. Setting program of film reading with Ciphergen ProteinChip 3.2, computer can map up protein mass spectrum according to primary data accurately. Y-axis was intensity of peaks (the relative contents of protein) and X-axis was mass-to-charge ratio (M/Z) (the relative molecular weight of protein). Mass-to-charge ratio of protein. Protein combined SPA was ionized by laser in SELDI-TOF-MS helium-neon laser lasers. In the action of accelerating field, the flight time of different mass-to-charge ratio of protein was different in vacuum tube, the mass-to-charge ratio of protein is in proportion to the square of ions of the time of flight. E=UZ=1/2mv2 and t=L/A can deduce M/Z=Kt2=(2U/L2)×t2. Z represents number of ionic charge, U represents voltage, V as flight time, L as accelerated flight of electric field voltage, K as constant. Relative molecular weight. The protein ion beam with positive charge arrive at the detector, electron multiplier will generate transient current, which are conversed into the relative molecular weight of protein. Repeatability test. Repeat 8 spot test in same sample at same time and select 3 peaks randomly, calculating the coefficient of variation of peak, if coefficient of variation< 10%, indicates protein pattern has well repeatability. Statistical analysis. All data were presented as the mean±SD. Results from Biomarker Wizard (Ciphergen) were analyzed by SPSS version 17.0 (SPSS, Inc., Chicago, IL, USA) and one-way ANOVA (multiple comparisons) and t-tests (two groups comparisons) were performed accordingly. P﹤0.05 was considered to indicate a statistically significant difference. Results. Screening differential protein. All magnetic beads were read on SELDI-TOF-MS (type PBS- Ⅱ c), the results showed that the peak pattern of mass-to-charge ratio was distinctly different among tissue of colorectal carcinoma, adenoma and normal colorectal mucosa. We screen 16 differential proteins by Biomarker Wizard. M/Z of 3398 and 9187 expressed higher in normal colorectal mucosa, and other 14 differential proteins low expressed compared with tissue of colorectal cancer. Compared with the normal colorectal mucosa, the expression is higher at 4904 in colorectal adenoma. In addition, the protein peak intensity at M/Z of 4904, 7602, 7705, 14990 and 15708 in colorectal cancer is significantly higher than colorectal adenoma and normal colorectal mucosa (Table 1). Table 1- Differential expressed proteins among colorectal cancer、adenoma and normal colonic mucosa. Control Colorectal adenoma Colorectal cancer M/Z P value Mean SD Mean SD Mean SD 3398 11.92 0.01 4.86 0.02 1.54 0.06 0.004 3576 3.44 0.07 0.82 0.01 23.79 0.05 0.009 3973 4.62 0.05 1.9 0.03 32.72 0.01 0.004 4904 0.46 0.03 5.04 0.03 25.31 0.02 0.008 5126 4.07 0.04 4.37 0.06 12.32 0.09 0.007 5498 0.27 0.04 0.93 0.07 11.21 0.06 0.005 7602 13.42 0.01 19.4 0.02 49.18 0.07 0.005 7705 3.33 0.06 3.95 0.04 9.89 0.03 0.006 7969 8.12 0.05 6.33 0.05 19.56 0.03 0.004 9514 0.27 0.09 0.75 0.01 5.45 0.05 0.003 9187 12.64 0.01 5.87 0.03 4.31 0.04 0.007 10075 3.24 0.02 2.45 0.03 9.702 0.02 0.008 10808 0.79 0.02 2.25 0.05 22.55 0.01 0.003 14990 16.09 0.04 23.26 0.02 61.02 0.05 0.002 15181 5.34 0.03 6.31 0.04 19.52 0.07 0.001 15708 7.96 0.05 8.74 0.03 23.28 0.01 0.001 Database retrieval. Input peak mass-to-charge ratios of 16 marked differential proteins to protein data banks (http://web.expasy.org/tagident), retrieval conditions: OS/OC/OX: homo sapiens, eukaryote, 9606; error range of M/Z <0.01; database selection: Swiss-Prot and TrEMBL. Finally, we retrieve 5 proteins which may be related to peak mass-to-charge ratios, the M/Z is 4904, 7602, 7705, 14990 and 15708, respectively, and the corresponding proteins were CEA, p53R2, HCG2020031, Kallikrein-11(hk11) and CD99 (Table 2, Fig.1). Table 2- Five different proteins information based on database retrieval. M/Z 4904 7602 7705 14990 15708 Swiss-Prot/TrEMBL ID Q14081 Q7LG56 Q8WYR6 Q9UBX7 Q8TCZ2 Gene names Protein names Carcinoembryonic antigen(CEA) P53R2 p53R2 hcG_2020031 HCG2020031 KLK11 Kallikrein-11(hk11) CD99L2 CD99 Figure 1- Retrieved protein profiles of the five different proteins. Discussion. Colorectal cancer is one common digestive cancer, In the process of development, invasion and metastasis, the mutation, abnormal transcription and translation can lead to abnormal protein expression. Proteomics has become a new channel to research pathogenesis, early diagnosis, treatment and prognosis of colorectal cancer (11). Gao et al had screened out multiple abnormal expressed protein in the local lymphatic metastasis of colorectal cancer using SELDI-TOF-MS technology, and preliminary build classification tree model, which can identify whether local lymphatic metastasis or not in colorectal cancer patients (12). In this study, we detected 16 differential proteins, 14 of which express highly in tissue of colorectal cancer, the mass-to-charge ratios were 3576, 3973, 4904, 5126, 5498, 7602, 7705, 7969, 9514, 10075, 10808, 14990, 15181 and 15708. On the contrary, at mass-to-charge ratio of 3398 and 9187, the mass peak of which high expresses in normal tissue of colorectal mucosa and low in tissue of colorectal carcinoma and adenoma. Most differential proteins modest lever express in tissue of colorectal adenoma, it indicate that differential proteins may play an important role in carcinogenic process. Swiss-Prot and TrEMBL databases are the most universal protein sequence databases. In this study, we detected 5 proteins that might relate to the development and progression of colorectal cancer through the expert protein analysis system (ExPASy). Mass-to-charge ratio of 4904 is CEA, a common tumor marker in colorectal carcinoma. M/Z of 15708 is CD99, one cellular adhesion molecule, which participates in cell adhesion, apoptosis, cell invasion and metastasis and plays an important role in tumor generation (13). It reported that CD99 express anomaly in various cancers, such as gastric cancer, glioma (14) and small cell lung cancer (15), but it does not reported in colorectal carcinoma. Yamada et al found 3 tumor antigen genes, which encoded products HCG2020031 express highly in HLA-24+ lung cancer patients, indicated that HCG2020031 is a candidate protein of cancer vaccine (16). We also found HCG2020031 expressed in colorectal carcinoma, but not significant. Yu et al discovered the expression of hk11 is higher than control group in 126 rectal cancer patients (17). It inferred that hk11 can be as a prognosis biomarker of low rectal cancer. Similarly, in this study, the hk11 expressed higher in tissue of colorectal carcinoma than colorectal adenoma or normal colorectal mucosa. In addition, p53R2 is a subtribe of human ribonucleotide reductase (RR). It plays an important role in DNA repair, mtDNA synthesis, protecting against oxidative and so on (18). Liu et al (19, 20) discovered that p53R2 expressed high in tissue of colorectal carcinoma and inhibition cell invasion, it has be association with prognosis of the patients with colorectal cancer, in this study, the result is in line with the above report, which further validated our speculation. Proteomic technology provides an effective method to study tumor-related proteins. This study screens 5 potential proteins in relation to colorectal cancer through proteomic fingerprint and database retrieval. Except CEA, the other 4 proteins may be act a new targeting marker for diagnosis and therapy of colorectal cancer. Reference 1. Chen WQ, Zeng HM, Zheng RS, Zhang SW, He J. Cancer incidence and mortality in China, 2007. Chin J Cancer Res 2012; 24: 1-8. 2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61:69-90. 3. Zhai XH, Yu JK, Yang FQ, Zheng S. Identification of a new protein biomarker for colorectal cancer diagnosis. 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