Comparison of diagnostic and prognostic performance of two assays measuring thymidine kinase 1 activity in serum of breast cancer patients
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Benjamin Nisman
, Tanir Allweis
, Luna Kadouri , Bela Mali , Tamar Hamburger , Mario Baras , Simon Gronowitz und Tamar Peretz
Abstract
Background: We compared two recently developed immunoassays for serum thymidine kinase 1 (TK1) activity: one manual assay (DiviTum, Biovica®) and one fully automated assay (Liaison, Diasorin®).
Methods: The study included 368 women: 149 healthy blood donors (control), 59 patients with benign breast disease (BBD) and 160 patients with primary breast cancer (BC).
Results: A regression analysis of the Liaison (y) and DiviTum (x) assays for all three groups yielded the equation y=3.93+0.03x (r=0.85, n=368). The r-value in BC was higher than in control and BBD (0.90 vs. 0.81 and 0.64). The correlation between the two assays for TK1 values above the cut-off was higher compared to that below (0.88 and 0.59). Breakdown of the BBD group into subgroups with proliferative and non-proliferative lesions was effective only with the measurement of TK1 with DiviTum assay (p=0.03). The TK1 activity determined preoperatively in BC patients with DiviTum and Liaison assays was significantly associated with T-stage (for both p=0.01), presence of vascular invasion (p=0.002 and p=0.02), lack of estrogen receptor (ER) (p=0.001 and p=0.01) and progesterone receptor (PR) (p=0.01 and p=0.03) expression. Only TK1 analyzed with the DiviTum assay was associated with tumor grade and molecular subtype of BC (p=0.02 and p=0.003). Multivariate Cox proportional hazards analyses demonstrated that T-stage, PR status and TK1 activity measured by both methods (DiviTum, RR=3.0, p=0.02 and Liaison, RR=3.1, p=0.01) were independent predictors of disease recurrence.
Conclusions: In spite of differences observed between TK1 activity measured by the DiviTum and Liaison assays, both of them may be used for recurrence prediction in preoperative evaluation of BC patients.
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Artikel in diesem Heft
- Letters to the Editor
- Performance evaluation of three different immunoassays for detection of antibodies to hepatitis B core
- Serum homocysteine concentrations in Chinese children with autism
- Interchangeability of venous and capillary HbA1c results is affected by oxidative stress
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- An automated technique for the measurement of the plasma glutathione reductase activity and determination of reference limits for a healthy population
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- Evidence-based approach to reducing perceived wasteful practices in laboratory medicine
- Masthead
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- Testing volume is not synonymous of cost, value and efficacy in laboratory diagnostics
- Lessons from controversy: biomarkers evaluation
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- Trials and tribulations in lupus anticoagulant testing
- Reviews
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- Cooperation experience in a multicentre study to define the upper limits in a normal population for the diagnostic assessment of the functional lupus anticoagulant assays
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