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399221

A Novel Non- Invasive Index for Thyroid Cancer Diagnosis Based on Nuclear Matrix Protein-1, Angiogenic Factor-1, and Hyaluronic Acid

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Last updated: 24 Dec 2024

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Abstract

Background: The most typical endocrine cancer is thyroid cancer. Tumor biomarkers are genetic or protein-level compounds or specific evaluable traits. They assist in improving patient management. The goal of this study was to assess the ability of individual and combined potential markers (hyaluronic acid (HA), nuclear matrix protein (NMP-1), and angiopoietin-1) for thyroid cancer diagnosis.  Patients and methods:  This study registered 145 people (n=145), including 60 thyroid cancer, 65 benign group and 20 healthy controls.  According to fine-needle aspiration (FNA) biopsy, Histopathological findings were divided into benign and thyroid cancer groups. The latter was further staged using the TNM approach, where (T) stands for tumor size and local invasion, (N) for nodal metastases, and (m) for distant metastases. We used biochemical routine profile tests like Total triiodoyhyronine (T3), Total thyroxine (T4), free Triiodothyronine (FT3), Free thyroxine (FT4), and thyroid-stimulating hormone (TSH). These measurements were done using Mini Vidas, Biomerieux, and ST-200 plus electrolyte analyzer (ELFA). We also measured HA, NMP-1 and ANG-1 by using Sandwich Enzyme-Linked Immunosorbent Assay (ELISA) technique .Results: The diagnostic performances of single and combined markers were evaluated using area under Roc curve. An area under the Roc curve of 0.81, 0.62, and 0.67, respectively, was observed for hyaluronic acid, NMP, and ANG. The best marker for identifying thyroid is HA, A three-marker index called thyroid markers (hyaluronic acid, NMP, ANG) was developed. The thyroid mark's diagnostic performance at a selected cutoff index of 6.2. The thyroid marker's AUC was 0.87, its sensitivity was 86%, and its specificity was 80% when it came to distinguishing thyroid cancer from benign conditions. When distinguishing thyroid cancer from healthy individuals, the thyroid mark's AUC was 0.96, its sensitivity was 96%, and its specificity was 100%. Conclusion: HA, NMP-1 and ANG-1 are effective biomarkers to distinguish between thyroid cancer and benign with acceptable sensitivity and specifity.

DOI

10.21608/eajbsc.2024.399221

Keywords

Thyroid Cancer, Diagnosis, Blood markers, Hyaluronic acid, nuclear matrix protein-1, and angiogenic factor-1

Authors

First Name

Basima

Last Name

Hassan

MiddleName

-

Affiliation

Biochemistry division, Chemistry Department, Faculty of Science, Mansoura University, Egypt.

Email

-

City

Egypt

Orcid

-

First Name

Mohamed

Last Name

Omran

MiddleName

M.

Affiliation

Biochemistry division, Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt.

Email

drmmomran@yahoo.com

City

Egypt

Orcid

-

First Name

Magdy

Last Name

Youssef

MiddleName

M.

Affiliation

Biochemistry division, Chemistry Department, Faculty of Science, Mansoura University, Egypt.

Email

mmm_youssef@mans.edu.eg

City

Egypt

Orcid

-

First Name

Amr

Last Name

Abouzid

MiddleName

-

Affiliation

Department of Surgical Oncology, Oncology center, Mansoura University (OCMU).

Email

amrahmedabouzid@mans.edu.eg

City

Egypt

Orcid

-

First Name

Tarek

Last Name

Emran

MiddleName

M.

Affiliation

Clinical Pathology Department, Faculty of Medicine, Al-Azhar University, New Damietta 34517, Egypt;

Email

drtarekemran@yahoo.com

City

Egypt

Orcid

-

First Name

Manar

Last Name

Refaat

MiddleName

-

Affiliation

Biochemistry division, Chemistry Department, Faculty of Science, Mansoura University, Egypt.

Email

manar_refaat@mans.edu.eg

City

Egypt

Orcid

-

Volume

16

Article Issue

2

Related Issue

48899

Issue Date

2024-12-01

Receive Date

2024-11-21

Publish Date

2024-12-27

Page Start

473

Page End

481

Print ISSN

2090-0767

Online ISSN

2090-083X

Link

https://eajbsc.journals.ekb.eg/article_399221.html

Detail API

https://eajbsc.journals.ekb.eg/service?article_code=399221

Order

399,221

Type

Original Article

Type Code

673

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology

Publication Link

https://eajbsc.journals.ekb.eg/

MainTitle

A Novel Non- Invasive Index for Thyroid Cancer Diagnosis Based on Nuclear Matrix Protein-1, Angiogenic Factor-1, and Hyaluronic Acid

Details

Type

Article

Created At

24 Dec 2024