Low level anti-Hu reactivity: A risk marker for small cell lung cancer?

Abstract Background : Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC); there are no estimates of the association between anti-Hu and SCLC using a population-based design. Methods : We used s...

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Published in:Cancer detection and prevention Vol. 32; no. 4; pp. 292 - 299
Main Authors: Tsou, Jeffrey A., PhD, Kazarian, Meleeneh, BS, Patel, Ankur, Galler, Janice S., MS, Laird-Offringa, Ite A., PhD, Carpenter, Catherine L., PhD, MPH, London, Stephanie J., MD
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Published: England Elsevier Ltd 01-01-2009
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Abstract Abstract Background : Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC); there are no estimates of the association between anti-Hu and SCLC using a population-based design. Methods : We used stored plasma specimens to evaluate anti-Hu reactivity in relationship to small cell lung cancer in a population-based case–control study. Using Western Blot analysis, we measured anti-Hu reactivity against recombinant Hu family member, HuD, in plasma samples from 41 SCLC cases and 79 controls individually matched for age, race, sex, and smoking status (never, past, current). We analyzed the association between anti-Hu reactivity and SCLC using conditional logistic regression. Results : Anti-Hu reactivity was associated with SCLC, both before and after adjustment for amount of smoking. We observed a smoking-adjusted odds ratio of 3.2 (95% confidence interval from 0.98 to 13.4) comparing subjects above 1800 units (the lower limit of the second tertile of the distribution among antibody positive controls) to subjects with lower reactivity. We also found suggestive evidence in follow-up of our cases that anti-Hu above 1800 units was related to longer-term survival from SCLC. The present research is the first report of anti-Hu reactivity and SCLC in a population-based study. Conclusions : Given the suggestive evidence in this study, prospective analyses to examine whether anti-Hu reactivity might predict risk of developing SCLC, or whether anti-Hu reactivity could serve as an early marker for SCLC, may be warranted.
AbstractList Abstract Background : Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC); there are no estimates of the association between anti-Hu and SCLC using a population-based design. Methods : We used stored plasma specimens to evaluate anti-Hu reactivity in relationship to small cell lung cancer in a population-based case–control study. Using Western Blot analysis, we measured anti-Hu reactivity against recombinant Hu family member, HuD, in plasma samples from 41 SCLC cases and 79 controls individually matched for age, race, sex, and smoking status (never, past, current). We analyzed the association between anti-Hu reactivity and SCLC using conditional logistic regression. Results : Anti-Hu reactivity was associated with SCLC, both before and after adjustment for amount of smoking. We observed a smoking-adjusted odds ratio of 3.2 (95% confidence interval from 0.98 to 13.4) comparing subjects above 1800 units (the lower limit of the second tertile of the distribution among antibody positive controls) to subjects with lower reactivity. We also found suggestive evidence in follow-up of our cases that anti-Hu above 1800 units was related to longer-term survival from SCLC. The present research is the first report of anti-Hu reactivity and SCLC in a population-based study. Conclusions : Given the suggestive evidence in this study, prospective analyses to examine whether anti-Hu reactivity might predict risk of developing SCLC, or whether anti-Hu reactivity could serve as an early marker for SCLC, may be warranted.
Background: Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC); there are no estimates of the association between anti-Hu and SCLC using a population-based design. Methods: We used stored plasma specimens to evaluate anti-Hu reactivity in relationship to small cell lung cancer in a population-based case–control study. Using Western Blot analysis, we measured anti-Hu reactivity against recombinant Hu family member, HuD, in plasma samples from 41 SCLC cases and 79 controls individually matched for age, race, sex, and smoking status (never, past, current). We analyzed the association between anti-Hu reactivity and SCLC using conditional logistic regression. Results: Anti-Hu reactivity was associated with SCLC, both before and after adjustment for amount of smoking. We observed a smoking-adjusted odds ratio of 3.2 (95% confidence interval from 0.98 to 13.4) comparing subjects above 1800 units (the lower limit of the second tertile of the distribution among antibody positive controls) to subjects with lower reactivity. We also found suggestive evidence in follow-up of our cases that anti-Hu above 1800 units was related to longer-term survival from SCLC. The present research is the first report of anti-Hu reactivity and SCLC in a population-based study. Conclusions: Given the suggestive evidence in this study, prospective analyses to examine whether anti-Hu reactivity might predict risk of developing SCLC, or whether anti-Hu reactivity could serve as an early marker for SCLC, may be warranted.
Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC); there are no estimates of the association between anti-Hu and SCLC using a population-based design. We used stored plasma specimens to evaluate anti-Hu reactivity in relationship to small cell lung cancer in a population-based case-control study. Using Western Blot analysis, we measured anti-Hu reactivity against recombinant Hu family member, HuD, in plasma samples from 41 SCLC cases and 79 controls individually matched for age, race, sex, and smoking status (never, past, current). We analyzed the association between anti-Hu reactivity and SCLC using conditional logistic regression. Anti-Hu reactivity was associated with SCLC, both before and after adjustment for amount of smoking. We observed a smoking-adjusted odds ratio of 3.2 (95% confidence interval from 0.98 to 13.4) comparing subjects above 1800 units (the lower limit of the second tertile of the distribution among antibody positive controls) to subjects with lower reactivity. We also found suggestive evidence in follow-up of our cases that anti-Hu above 1800 units was related to longer-term survival from SCLC. The present research is the first report of anti-Hu reactivity and SCLC in a population-based study. Given the suggestive evidence in this study, prospective analyses to examine whether anti-Hu reactivity might predict risk of developing SCLC, or whether anti-Hu reactivity could serve as an early marker for SCLC, may be warranted.
Author Laird-Offringa, Ite A., PhD
Kazarian, Meleeneh, BS
Carpenter, Catherine L., PhD, MPH
Tsou, Jeffrey A., PhD
Patel, Ankur
London, Stephanie J., MD
Galler, Janice S., MS
AuthorAffiliation 2 Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, North Carolina, 27709, USA
1 Departments of Biochemistry and Molecular Biology and of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089-9176, USA
3 Center for Human Nutrition, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
AuthorAffiliation_xml – name: 2 Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, North Carolina, 27709, USA
– name: 1 Departments of Biochemistry and Molecular Biology and of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089-9176, USA
– name: 3 Center for Human Nutrition, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
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Issue 4
Keywords PEM/SN
Carcinoma
Autoantibodies
Case–control studies
Small cell
Paraneoplastic encephalomyelitis
Survival
HuD antigen
Language English
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Snippet Abstract Background : Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small...
Background: Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung...
Previous experimental and laboratory studies have implicated antibodies against Hu proteins (anti-Hu) as a potential marker for small cell lung cancer (SCLC);...
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Publisher
StartPage 292
SubjectTerms African Americans
Aged
Antibody Formation
Autoantibodies
Autoantibodies - blood
Biomarkers, Tumor - blood
Biomarkers, Tumor - immunology
Carcinoma
Case-Control Studies
ELAV Proteins - blood
ELAV Proteins - immunology
European Continental Ancestry Group
Female
Follow-Up Studies
Hematology, Oncology and Palliative Medicine
HuD antigen
Humans
Lung Neoplasms - blood
Lung Neoplasms - immunology
Lung Neoplasms - mortality
Male
Middle Aged
Paraneoplastic encephalomyelitis
PEM/SN
Risk Factors
Small cell
Small Cell Lung Carcinoma - blood
Small Cell Lung Carcinoma - immunology
Small Cell Lung Carcinoma - mortality
Smoking - blood
Smoking - immunology
Survival
Survival Analysis
Title Low level anti-Hu reactivity: A risk marker for small cell lung cancer?
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0361090X08001281
https://dx.doi.org/10.1016/j.cdp.2008.06.006
https://www.ncbi.nlm.nih.gov/pubmed/19070439
https://pubmed.ncbi.nlm.nih.gov/PMC2952929
Volume 32
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