Construction of a multiple myeloma diagnostic model by magnetic bead-based MALDI-TOF mass spectrometry of serum and pattern recognition software

Anat Rec (Hoboken). 2009 Apr;292(4):604-10. doi: 10.1002/ar.20871.

Abstract

A diagnosis of multiple myeloma (MM) is difficult to make on the basis of any single laboratory test result. Accurate diagnosis of MM generally results from a number of costly and invasive laboratory tests and medical procedures. The aim of this work is to find a new, highly specific and sensitive method for MM diagnosis. Serum samples were tested in groups representing MM (n = 54) and non-MM (n = 108). These included a subgroup of 17 plasma cell dyscrasias, a subgroup of 17 reactive plasmacytosis, 5 B cell lymphomas, and 7 other tumors with osseus metastasis, as well as 62 healthy donors as controls. Bioinformatic calculations associated with MM were performed. The decision algorithm, with a panel of three biomarkers, correctly identified 24 of 24 (100%) MM samples and 46 of 49 (93.88%) non-MM samples in the training set. During the masked test for the discriminatory model, 26 of 30 MM patients (sensitivity, 86.67%) were precisely recognized, and all 34 normal donors were successfully classified; patients with reactive plasmacytosis were also correctly classified into the non-MM group, and 11 of the other patients were incorrectly classified as MM. The results suggested that proteomic fingerprint technology combining magnetic beads with MALDI-TOF-MS has the potential for identifying individuals with MM. The biomarker classification model was suitable for preliminary assessment of MM and could potentially serve as a useful tool for MM diagnosis and differentiation diagnosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Algorithms
  • Biomarkers, Tumor / blood
  • Blood Proteins / analysis
  • Computational Biology
  • Female
  • Humans
  • Magnetics / methods*
  • Male
  • Middle Aged
  • Molecular Diagnostic Techniques / methods*
  • Multiple Myeloma / blood*
  • Multiple Myeloma / diagnosis*
  • Neoplasm Proteins / analysis
  • Neoplasm Proteins / blood
  • Neural Networks, Computer
  • Pattern Recognition, Automated / methods*
  • Prognosis
  • Proteome / analysis
  • Proteomics / methods
  • Sensitivity and Specificity
  • Software / trends
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization / methods*

Substances

  • Biomarkers, Tumor
  • Blood Proteins
  • Neoplasm Proteins
  • Proteome