CN109557311A - The testing product and its application of diagnosis of colorectal carcinoma marker and colorectal cancer - Google Patents

The testing product and its application of diagnosis of colorectal carcinoma marker and colorectal cancer Download PDF

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CN109557311A
CN109557311A CN201811524741.4A CN201811524741A CN109557311A CN 109557311 A CN109557311 A CN 109557311A CN 201811524741 A CN201811524741 A CN 201811524741A CN 109557311 A CN109557311 A CN 109557311A
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albumen
concentration
colorectal cancer
tenascin
serum
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CN109557311B (en
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陈永恒
周敏泽
李茂玉
陈主初
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Xiangya Hospital of Central South University
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
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    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
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    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
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    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57484Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites
    • GPHYSICS
    • G01MEASURING; TESTING
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    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
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    • G01N2333/4746Cancer-associated SCM-recognition factor, CRISPP
    • GPHYSICS
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    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/06Gastro-intestinal diseases
    • G01N2800/065Bowel diseases, e.g. Crohn, ulcerative colitis, IBS

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Abstract

The present invention relates to a kind of diagnosis of colorectal carcinoma marker and the testing products and its application of colorectal cancer.The diagnosis of colorectal carcinoma marker, including a variety of secretory proteins, a variety of secretory proteins include one or both of S100A9 albumen and tenascin-c albumen and CEA albumen.Have the characteristics that high sensitivity, high specificity, the roc area under the curve of diagnostic model are 0.902, diagnostic result confidence level significantly larger than uses individual protein marker, is of great significance for diagnosis of colorectal carcinoma and treatment.The testing product of the colorectal cancer, including Colon and rectum diagnosis marker described above.The present invention also proposes application of the Colon and rectum diagnosis marker in the product that preparation is used for auxiliary diagnosis colorectal cancer.

Description

The testing product and its application of diagnosis of colorectal carcinoma marker and colorectal cancer
Technical field
The present invention relates to the detections of pharmaceutical technology field more particularly to a kind of diagnosis of colorectal carcinoma marker and colorectal cancer Product and its application.
Background technique
Colorectal cancer is one of most common malignant tumor of digestive tract in the whole world, in the past 20 years the disease incidence of colon cancer and dead Dying rate, most countries are all in rising trend in the world, and most of colorectal cancer patients discovery has been advanced stage, and prognosis is poor.Mesh The method of preceding screening and diagnosis for colon cancer be all it is aggressive, Sigmoidoscope is still the goldstandard of its sieving and diagnosis.In recent years Come, stool occult blood test is in colorectal cancer screening using most common non-intrusive inspection method, still, sensitivity and spy Different degree is lower.If simple serum detection can be applied to its early diagnosis, it will help the prevention and prognosis of colon cancer. The widely used colon tumor marker of Present clinical substantially increases the diagnosis of colon cancer, reduces the death rate and recurrence rate, but Their sensitivity and specificity are not high.Therefore, they are very limited as the effect of the marker of colon cancer early diagnosis. On this basis, it is therefore desirable to be able to explore and develop more tumor markers relevant to colon cancer.
Ulcerative colitis and inflammatory intestinal polyp are often considered as one of the high risk factor of Colorectal Cancer, are examined using colonoscopy It surveys and check is invasive inspection, patient is very inconvenient during detecting progression of disease.Therefore, it is necessary to a kind of detection sides Method, can it is noninvasive tracking disease progress, early detection and diagnosis colorectal cancer, instruct the treatment of colorectal cancer patients.
Summary of the invention
Technical problem to be solved by the invention is to provide the detections of a kind of diagnosis of colorectal carcinoma marker and colorectal cancer Product and its application.
The present invention proposes a kind of diagnosis of colorectal carcinoma marker, including S100A9 albumen and the (abbreviation of tenascin-c albumen For TNC albumen) one or both of and CEA albumen.
Furthermore the answering in the testing product of preparation detection colorectal cancer the invention also provides Colon and rectum diagnosis marker With.
In addition, the present invention also proposes a kind of testing product of colorectal cancer, including Colon and rectum diagnostic markers described above Object.
Preferably, the testing product is diagnostic kit.
Preferably, the serum and at least one non-knot that the testing product is used to distinguish at least one colorectal cancer patients are directly The serum of patients with bowel cancer and/or the testing product are used to distinguish the serum and a health of at least one colorectal cancer patients The serum of individual and/or the testing product are used to distinguish the serum and at least one ulcer of at least one colorectal cancer patients The serum of property colitis disease.
Preferably, the testing product further includes the serum for distinguishing at least one colorectal cancer patients and at least one First regression model of the serum of non-colorectal cancer patients, the identification function that first regression model establishes P is P=1/ { 1 + exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is The concentration of S100A9 albumen, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value is critical Value is 0.62;
And/or the testing product further includes serum for distinguishing at least one colorectal cancer patients and at least one Second regression model of the serum of healthy individuals, second regression model establish P identification function be P=1/ 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is S100A9 egg White concentration, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value critical value is 0.71;
And/or the testing product further includes serum for distinguishing at least one colorectal cancer patients and at least one The third regression model of the serum of patients of ulcerative colitis, the identification function that the third regression model establishes P is P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is The concentration of S100A9 albumen, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value is critical Value is 0.67.
Further, further include computer readable carrier, record program in the computer readable carrier, when the meter When the readable carrier of calculation machine is executed by processor, perform the steps of
The concentration of CEA albumen, the concentration of S100A9 albumen and tenascin-c albumen in interpretation person under test's peripheral blood blood plasma Concentration;
The concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen is led Enter identification function P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein P value critical value is 0.62;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein P value critical value It is 0.71;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value It is 0.67;Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.
The invention also includes the product for detecting S100A9 albumen and/or the products for detecting tenascin-c albumen Application in product of the preparation for auxiliary diagnosis colorectal cancer.
Further, the invention also includes the product for detecting tenascin-c albumen and/or for detecting S100A9 One or both of product of albumen and product for detecting CEA albumen and computer readable carrier are assisted in preparation Diagnose the application in the product of colorectal cancer, wherein program is recorded in the computer readable carrier, when the computer can When reading carrier is executed by processor, perform the steps of
The concentration of CEA albumen, the concentration of S100A9 albumen and tenascin-c albumen in interpretation person under test's peripheral blood blood plasma Concentration;
The concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen is led Enter identification function P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein P value critical value is 0.62;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein P value critical value It is 0.71;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value It is 0.67;
Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.
The beneficial effect of the present invention compared with the prior art includes: that diagnosis of colorectal carcinoma marker proposed by the present invention is being examined In disconnected colorectal cancer, have the characteristics that high sensitivity, high specificity, roc area under the curve (the area under of diagnostic model The curve, AUC) it is 0.902, diagnostic result confidence level significantly larger than uses individual protein marker, for colorectal cancer Diagnosing and treating is of great significance.The testing product of colorectal cancer including Colon and rectum diagnosis marker is for distinguishing at least one The serum and/or the testing product of the serum of a colorectal cancer patients and at least one non-colorectal cancer patients are for distinguishing The serum and/or the testing product of the serum of at least one colorectal cancer patients and healthy individuals are for distinguishing at least The serum of one colorectal cancer patients and the serum of at least one patients of ulcerative colitis.
Detailed description of the invention
The features and advantages of the present invention will be more clearly understood by referring to the accompanying drawings, and attached drawing is schematically without that should manage Solution is carries out any restrictions to the present invention, in the accompanying drawings:
Fig. 1 be three kinds of albumen individually and the ROC curve figure of combined diagnosis colorectal cancer.
Specific embodiment
In order to make the foregoing objectives, features and advantages of the present invention clearer and more comprehensible, with reference to the accompanying drawing to the present invention Specific embodiment be described in detail.Embodiment below facilitates a better understanding of the present invention, but does not limit the present invention. Experimental method in following embodiments is unless otherwise specified conventional method.Test material as used in the following examples, It unless otherwise specified, is to be commercially available from routine biochemistry reagent shop.Quantitative test in following embodiment, is respectively provided with two Hole repeats to test, and results are averaged.
The goldstandard of diagnosis of colorectal carcinoma is pathological examination result.
Embodiment
Peripheral blood serum sample collection method: early morning acquires the periphery 10mL blood vains sample on an empty stomach, and it is small to be stored at room temperature two When, speed is that 1000g is centrifuged 15min at 4 DEG C, separates upper plasma, and save backup in -80 DEG C.
The number for detecting the Elisa kit of Tenascin-c is CSB-E13125h;
The number for detecting the Elisa kit of S100A9 is CSB-E11834h;
The number for detecting the Elisa kit of CEA is CSB-E04767h.
Research object
Collection Xiangya Hospital, Central-South China Univ. has passed through pathological examination in March, -2018 in 2017 and has been diagnosed as colorectal cancer Peripheral blood 258 of patient.Wherein, male 148, women 110.Informed consent agreement and search procedure obtain ethics committee The approval of member's meeting, and agree to that all patients for participating in this research and healthy volunteer sign informed consent form.
Determine protein marker
In the present embodiment, the proteomics research of colon cancer is carried out early period, has passed through detection wind lidar (LCM), the combination research colorectal cancer different phase of iTRAQ label and two-dimensional liquid chromatography-tandem mass spectrum (2D LC-MS/MS) Stroma protein group, altogether screening obtain 222 differentially expressed proteins.By analysis and immunohistochemistry is verified, it is thus identified that S100A9 and tenascin-c is the biggish secretory protein of differential expression, and the clinical tumor of alternatively colon cancer marks Object.
S100A9 (Chinese calbindin S100A9, English name protein S100-A9, gi | 4506773);
Tenascin-c (Chinese tenascin Tenascin-c, English name protein Tenascin-c, gi | 1842130, abbreviation TNC);
By this two kinds of markers and clinical common tumor markers CEA joint-detection.
ELISA detection verifying
Take above-mentioned Patients with Colorectal Cancer periphery blood plasma 258, human normal plasma 103, benign colorectal diseases patient blood 99, slurry, is carried out according to kit specification detection, and EDTA or heparin is used to collect blood plasma as anticoagulant.After collecting blood plasma 30 minutes in 1000 × g, 2-8 DEG C is centrifuged 15 minutes, measures immediately, obtains the concentration of three kinds of albumen of 460 samples. (specific method kit specification is described)
Critical value determines
Using spss software carry out logistic regression analysis, colorectal cancer patients are named as " 1 ", by control group (Healthy People or/ With Sigmoid Colon inflammation patient) it is named as " 0 ", S100A9 is accordingly inputted, the concentration of TNC, CEA set disease type in spss For " dependent variable ", " independent variable " is set by the concentration of three, three formula about P value are obtained by logic analysis.Analysis Show that (P value is the value that logic analysis obtains to P value, and the concentration value of the CEA of each case, S100A9, TNC are different, p value Difference can be considered one " detected value " calculated according to our model) after, ROC curve production is carried out, maximum diagnosis effect is obtained Critical value when rate, the critical value are a specific P value, are considered as " positive " higher than this value, are considered as " feminine gender " lower than this value, point Not Fen Xi cancer sample and inflammation (benign Colon and rectum patient, be also possible to patients of ulcerative colitis) sample P value it is critical Value, the P value critical value of cancer sample and Healthy People sample, the P value critical value of cancer sample and non-cancer sample.It is more than or equal to Cutoff value is illness (i.e. positive), lower than as negative findings.It should be noted that non-cancer includes Healthy People and inflammation Disease.Three formula about P value are as follows:
Distinguish the formula about P value of Healthy People and cancer patient are as follows:
P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] } (cutoff:p >=0.71);It is more than or equal to 0.71 is cancer patient, is Healthy People less than 0.71;
Distinguish the formula about P value of inflammatory patients and cancer patient are as follows:
P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] } (cutoff:p >=0.67);It is more than or equal to 0.67 is cancer patient, is inflammatory patients less than 0.67;
Distinguish the formula about P value of cancer patient and non-cancer are as follows:
P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] } (cutoff:p >=0.62);It is more than or equal to 0.62 is cancer patient, is non-cancer less than 0.62.
Table 1 be three kinds of albumen individually and the specificity and susceptibility of combined diagnosis colorectal cancer
CEA S100A9 TNC Diagnostic model
Colorectal cancer patients VS Healthy People 3.23 18.74 3.87 -
Youden index 0.35 0.56 0.5 0.69
Sensitivity (%) 44.2 64.7 57 78.3
Specificity (%) 90.3 91.3 93.2 90.3
The benign Colon and rectum patient of colorectal cancer patients vs 3.36 17.06 2.43 -
Youden index 0.39 0.56 0.5 0.68
Sensitivity (%) 44.2 68.2 70.9 81.8
Specificity (%) 94.9 87.9 79.8 85.9
Table 2 is three kinds of albumen area individually and under the ROC curve of combined diagnosis colorectal cancer
Variable AUC SEa 95%Clb
CEA 0.736 0.0227 0.693 to 0.776
S100A9 0.831 0.0186 0.793 to 0.864
TNC 0.728 0.0232 0.685 to 0.769
model 0.902 0.0142 0.872 to 0.928
From table 1 it is known that the sensitivity for the diagnostic model that three kinds of protein combinations are established is 81.9%, specificity is 85.9%.It is better than the sensitivity that three kinds of albumen individually detect.Sensitivity and specificity are clinically difficult to take into account, and are promoting spirit While sensitivity, specificity will certainly be lowered, and youden index can be used as the comprehensive standard for measuring diagnosis efficiency, can from table 1 To find out the youden index highest of the diagnostic model of three kinds of protein combinations foundation.From Fig. 1 and table 2 it is known that three kinds of protein groups The AUC value for building vertical diagnostic model jointly is 0.902, hence it is evident that higher than the AUC value that three kinds of albumen individually detect, diagnostic result confidence level Individual protein marker is significantly larger than used, is of great significance for diagnosis of colorectal carcinoma and treatment.
Therefore, the present embodiment proposes a kind of diagnosis of colorectal carcinoma marker, including S100A9 albumen and tenascin-c egg One or both of white and CEA albumen.
Furthermore, it is also proposed that a kind of testing product of colorectal cancer, including Colon and rectum diagnosis marker described above.
Preferably, the testing product is diagnostic kit.
Preferably, the serum and at least one non-knot that the testing product is used to distinguish at least one colorectal cancer patients are directly The serum of patients with bowel cancer and/or the testing product are used to distinguish the serum and a health of at least one colorectal cancer patients The serum of individual and/or the testing product are used to distinguish the serum and at least one ulcer of at least one colorectal cancer patients The serum of property colitis disease.
The testing product further includes straight for distinguishing the serum of at least one colorectal cancer patients and at least one non-knot First regression model of the serum of patients with bowel cancer, first regression model establish P identification function be P=1/ 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is S100A9 egg White concentration, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value critical value is 0.62;
And/or the testing product further includes serum for distinguishing at least one colorectal cancer patients and at least one Second regression model of the serum of healthy individuals, second regression model establish P identification function be P=1/ 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is S100A9 egg White concentration, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value critical value is 0.71;
And/or the testing product further includes serum for distinguishing at least one colorectal cancer patients and at least one The third regression model of the serum of patients of ulcerative colitis, the identification function that the third regression model establishes P is P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein X is the concentration of CEA albumen, unit ng/mL;Y is The concentration of S100A9 albumen, unit ng/mL;Z is the concentration of tenascin-c albumen, unit ng/mL;Wherein, P value is critical Value is 0.67.The testing product can by one of three kinds of models or it is a variety of differentiated, obtain a kind of differentiation result or A variety of differentiation results.
The present embodiment further includes application of the Colon and rectum diagnosis marker in the testing product of preparation detection colorectal cancer.
In addition, the present embodiment also proposes product for detecting S100A9 albumen and/or for detecting tenascin-c egg Application of the white product in the product that preparation is used for auxiliary diagnosis colorectal cancer.
Finally, the present embodiment also proposes product for detecting tenascin-c albumen and/or for detecting S100A9 egg One or both of white product and product for detecting CEA albumen and computer readable carrier are examined in preparation auxiliary Application in the product of disconnected colorectal cancer, wherein program is recorded in the computer readable carrier, when described computer-readable When carrier is executed by processor, perform the steps of
The concentration of CEA albumen, the concentration of S100A9 albumen and tenascin-c albumen in interpretation person under test's peripheral blood blood plasma Concentration;
The concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen is led Enter identification function P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein P value critical value is 0.62;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein P value critical value It is 0.71;
And/or by the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen Concentration imports identification function P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value It is 0.67;Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.The concentration of three kinds of albumen can be directed through in three kinds of identification functions It is one or more differentiated, obtain a kind of differentiation result or a variety of differentiation results.
Unless otherwise defined, all technical and scientific terms used herein and belong to technical field of the invention The normally understood meaning of technical staff is identical.Term as used herein in the specification of the present invention is intended merely to description tool The purpose of the embodiment of body, it is not intended that in the limitation present invention.Each technical characteristic of embodiment described above can carry out arbitrarily Combination, for simplicity of description, it is not all possible to each technical characteristic in above-described embodiment combination be all described, so And as long as there is no contradiction in the combination of these technical features, it all should be considered as described in this specification.
Although the embodiments of the invention are described in conjunction with the attached drawings, but those skilled in the art can not depart from this hair Various modifications and variations are made in the case where bright spirit and scope, such modifications and variations are each fallen within by appended claims Within limited range.

Claims (9)

1. a kind of diagnosis of colorectal carcinoma marker, which is characterized in that including one in S100A9 albumen and tenascin-c albumen Kind or two kinds and CEA albumen.
2. application of the Colon and rectum diagnosis marker described in claim 1 in the testing product of preparation detection colorectal cancer.
3. a kind of testing product of colorectal cancer, which is characterized in that including Colon and rectum diagnosis marker described in claim 1.
4. the testing product of colorectal cancer according to claim 3, which is characterized in that the testing product is diagnostic reagent Box.
5. the testing product of colorectal cancer according to claim 3, which is characterized in that the testing product is for distinguishing extremely The serum of few colorectal cancer patients and the serum of at least one non-colorectal cancer patients and/or the testing product are used for The serum of at least one colorectal cancer patients and the serum of healthy individuals and/or the testing product are distinguished for distinguishing The serum of at least one colorectal cancer patients and the serum of at least one patients of ulcerative colitis.
6. the testing product of colorectal cancer according to claim 5, which is characterized in that the testing product further includes being used for Distinguish the first regression model of the serum of at least one colorectal cancer patients and the serum of at least one non-colorectal cancer patients, institute Stating the first regression model and establishing the identification function of P is P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46* Z)] }, P value critical value is 0.62;
And/or the testing product further includes for distinguishing the serum of at least one colorectal cancer patients and at least one health Individual serum the second regression model, second regression model establish P identification function be P=1/ 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)], wherein P value critical value is 0.71;
And/or the testing product further includes for distinguishing the serum of at least one colorectal cancer patients and at least one ulcer Property colitis disease serum third regression model, the third regression model establish P identification function be P=1/ { 1+ Exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value is 0.67;
Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.
7. the testing product of colorectal cancer according to claim 3, which is characterized in that it further include computer readable carrier, Program is recorded in the computer readable carrier, when the computer readable carrier is executed by processor, realizes following step It is rapid:
The concentration of CEA albumen in interpretation person under test's peripheral blood blood plasma, the concentration of S100A9 albumen and tenascin-c albumen it is dense Degree;
The concentration importing of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen is sentenced Other functional expression P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein P value critical value is 0.62;
And/or by the concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen It imports identification function P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein P value critical value is 0.71;
And/or by the concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen It imports identification function P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value is 0.67;
Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.
8. the product for detecting S100A9 albumen and/or the product for detecting tenascin-c albumen are in preparation for assisting Diagnose the application in the product of colorectal cancer.
9. one of the product for detecting tenascin-c albumen and/or the product for detecting S100A9 albumen or two Kind and the product for detecting CEA albumen and computer readable carrier are in the product of preparation auxiliary diagnosis colorectal cancer Using, wherein program is recorded in the computer readable carrier, when the computer readable carrier is executed by processor, It performs the steps of
The concentration of CEA albumen in interpretation person under test's peripheral blood blood plasma, the concentration of S100A9 albumen and tenascin-c albumen it is dense Degree;
The concentration importing of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen is sentenced Other functional expression P=1/ { 1+exp [- (- 4.3762+0.3*X+0.16*Y+0.46*Z)] }, wherein P value critical value is 0.62;
And/or by the concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen It imports identification function P=1/ { 1+exp [- (- 3.7801+0.22*X+0.17*Y+0.5*Z)] }, wherein P value critical value is 0.71;
And/or by the concentration of the concentration of the CEA albumen, the concentration of the S100A9 albumen and the tenascin-c albumen It imports identification function P=1/ { 1+exp [- (- 3.61+0.42*X+0.15*Y+0.42*Z)] }, wherein P value critical value is 0.67;Wherein, X is the concentration of CEA albumen, unit ng/mL;Y is the concentration of S100A9 albumen, unit ng/mL;Z is The concentration of tenascin-c albumen, unit ng/mL.
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