RT Journal Article T1 Prospective evaluation of 92 serum protein biomarkers for early detection of ovarian cancer. A1 Mukama, Trasias A1 Fortner, Renée Turzanski A1 Katzke, Verena A1 Hynes, Lucas Cory A1 Petrera, Agnese A1 Hauck, Stefanie M A1 Johnson, Theron A1 Schulze, Matthias A1 Schiborn, Catarina A1 Rostgaard-Hansen, Agnetha Linn A1 Tjønneland, Anne A1 Overvad, Kim A1 Sanchez-Perez, Maria-Jose A1 Crous-Bou, Marta A1 Chirlaque, María-Dolores A1 Amiano, Pilar A1 Ardanaz, Eva A1 Watts, Eleanor L A1 Travis, Ruth C A1 Sacerdote, Carlotta A1 Grioni, Sara A1 Masala, Giovanna A1 Signoriello, Simona A1 Tumino, Rosario A1 Gram, Inger T A1 Sandanger, Torkjel M A1 Sartor, Hanna A1 Lundin, Eva A1 Idahl, Annika A1 Heath, Alicia K A1 Dossus, Laure A1 Weiderpass, Elisabete A1 Kaaks, Rudolf A2 https://www.nature.com/articles/s41416-021-01697-z, AB CA125 is the best available yet insufficiently sensitive biomarker for early detection of ovarian cancer. There is a need to identify novel biomarkers, which individually or in combination with CA125 can achieve adequate sensitivity and specificity for the detection of earlier-stage ovarian cancer. In the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, we measured serum levels of 92 preselected proteins for 91 women who had blood sampled ≤18 months prior to ovarian cancer diagnosis, and 182 matched controls. We evaluated the discriminatory performance of the proteins as potential early diagnostic biomarkers of ovarian cancer. Nine of the 92 markers; CA125, HE4, FOLR1, KLK11, WISP1, MDK, CXCL13, MSLN and ADAM8 showed an area under the ROC curve (AUC) of ≥0.70 for discriminating between women diagnosed with ovarian cancer and women who remained cancer-free. All, except ADAM8, had shown at least equal discrimination in previous case-control comparisons. The discrimination of the biomarkers, however, was low for the lag-time of >9-18 months and paired combinations of CA125 with any of the 8 markers did not improve discrimination compared to CA125 alone. Using pre-diagnostic serum samples, this study identified markers with good discrimination for the lag-time of 0-9 months. However, the discrimination was low in blood samples collected more than 9 months prior to diagnosis, and none of the markers showed major improvement in discrimination when added to CA125. PB Nature YR 2022 FD 2022-01-14 LK http://hdl.handle.net/10668/19522 UL http://hdl.handle.net/10668/19522 LA en NO Mukama T, Fortner RT, Katzke V, Hynes LC, Petrera A, Hauck SM, et al. Prospective evaluation of 92 serum protein biomarkers for early detection of ovarian cancer. Br J Cancer. 2022 May;126(9):1301-1309 DS RISalud RD Apr 9, 2025