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@ARTICLE{Cooley:300255,
author = {V. Cooley$^*$ and R. T. Fortner$^*$ and T. Mukama$^*$ and
S. Naudin and V. Pala and L. Dossus and I. T. Gram and K. S.
Olsen and M.-J. Sánchez and P. Israelsson and N. Allen and
H. Langseth and R. Kaaks$^*$},
title = {{P}rospective evaluation of 92 protein biomarkers for early
detection of endometrial cancer.},
journal = {International journal of cancer},
volume = {157},
number = {3},
issn = {0020-7136},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2025-00716},
pages = {480-489},
year = {2025},
note = {#EA:C020#LA:C020# / 2025 Aug 1;157(3):480-489},
abstract = {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.},
keywords = {biomarkers (Other) / early detection (Other) / endometrial
cancer (Other)},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40177982},
doi = {DOI:10.1002/ijc.35428},
url = {https://inrepo02.dkfz.de/record/300255},
}