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Cancer Epidemiology Biomarkers & Prevention Vol. 15, 1014-1020, May 2006
© 2006 American Association for Cancer Research

Mesothelin Variant 1 Is Released from Tumor Cells as a Diagnostic Marker

Ingegerd Hellstrom1, John Raycraft2, Sandra Kanan1, Niranjan Y. Sardesai3, Thorsten Verch3, Yi Yang1 and Karl Erik Hellstrom1

1 Department of Pathology, Harborview Medical Center, University of Washington, Seattle, Washington; 2 CombiMatrix Corporation, Mukilteo, Washington; and 3 Fujirebio Diagnostics, Inc., Malvern, Pennsylvania

Requests for reprints: Ingegerd Hellstrom, Department of Pathology, Harborview Medical Center, University of Washington, 325 9th Avenue, Box 35 99 39, Seattle, WA 98104. Phone: 206-341-5908; Fax: 206-341-5909. E-mail: ihellstr{at}u.washington.edu

The mesothelin family comprises (at least) three variants and includes the precursor for megakaryocyte potentiating factor (MPF). Assaying soluble mesothelin-related protein (SMRP) molecules in serum and other body fluids from patients with certain cancers can provide diagnostically useful information. We have constructed fusion proteins of mesothelin variants 1, 2, and 3, made monoclonal antibodies, and investigated the binding specificity of these and three previously generated monoclonal antibodies to each of the three mesothelin variants. According to flow cytometry, the molecule that is most frequently expressed at the surface of cells from ovarian carcinomas and certain other tumors is mesothelin variant 1. Similarly, SMRP released into ascites from a patient with ovarian carcinoma was shown to have a molecular weight of ~40 kDa and, according to sequencing, to be variant 1. A published sandwich ELISA was shown to detect variants 1 and 3 and to be much more sensitive than a newly constructed ELISA, which detects only variant 3, the former being positive in 28 of 41 (68%) sera from patients with ovarian cancer as compared with 6 of 41 sera (15%). A standard curve was constructed to measure SMRP with a limit of detection of 200 pg/mL to facilitate future quantitative studies. (Cancer Epidemiol Biomarkers Prev 2006;15(5):1014–20) (Cancer Epidemiol Biomarkers Prev 2006;15(5):1014-1019)




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