Table 2.
Comparison of tested colorectal mucus biomarker performance for CRC detection vs. groups of asymptomatic healthy volunteers (controls) and patients with abdominal symptoms (based upon ROC curve analysis).
| Biomarker | Optimal cut-off level | Sensitivity (%) [95% CI] |
AUC vs. control [95% CI] |
Specificity vs. control (%) [95% CI] |
AUC vs. Sympt. Pat-s [95% CI] |
Specificity vs. Sympt. Pat-s (%) [95% CI] |
Median biomarker conc. (Control) |
Median biomarker conc. (Sympt. Pat-s) |
Median biomarker level (CRC) |
|---|---|---|---|---|---|---|---|---|---|
| Haemoglobin | 109.3 ng/ml | 80.0 [63.4−90.4] | 0.921 [0.855−0.986] | 94.3 [79.5−99.0] | 0.854 [0.773−0.935] | 85.5 [73.7−92.7] | 0.0 ng/mla, b | 0.0 ng/mla, c | 1708.7 ng/mlb, c |
| CRP | 8.9 ng/ml | 72.5 [55.9−84.9] | 0.838 [0.747−0.929] | 80.0 [62.5−90.9] | 0.772 [0.678−0.867] | 75.8 [63.0−85.4] | 0.0 ng/mld | 1.4 ng/mle | 22.1 ng/mld, e |
| TIMP1 | 3.2 ng/ml | 67.5 [50.8−80.9] | 0.829 [0.736−0.922] | 85.7 [69.0−94.6] | 0.733 [0.629−0.836] | 75.8 [63.0−85.4] | 0.7 ng/mlf, g | 1.4 ng/mlf,h | 8.3 ng/mlg, h |
| M2-PK | 9.0 U/ml | 62.5 [45.8−76.8] | 0.835 [0.745−0.925] | 94.3 [79.5−99.0] | 0.708 [0.604−0.812] | 77.4 [64.7−86.7] | 0.6 U/mli, j | 3.0 U/mli,k | 12.0 U/mlj, k |
| MMP9 | 10.4 ng/ml | 65.0 [48.3−78.9] | 0.865 [0.784−0.946] | 82.9 [65.7−92.8] | 0.698 [0.597−0.799] | 64.5 [51.3−76.0] | 0.4 ng/mll, m | 6.4 ng/mll,n | 20.9 ng/mlm, n |
| PADI4 | 1.2 ng/ml | 67.5 [50.8−80.9] | 0.885 [0.811−0.959] | 94.3 [79.5−99.0] | 0.645 [0.539−0.752] | 62.9 [49.7−74.6] | 0.0 ng/mlo, p | 0.9 ng/mlo,q | 1.5 ng/mlp, q |
| EGFR | 305.5 pg/ml | 60.0 [43.4−74.7] | 0.803 [0.703−0.903] | 88.6 [72.3−96.3] | 0.596 [0.483−0.710] | 58.1 [44.9−70.3] | 67.7 pg/mlr, s | 187.0 pg/mlr | 342.7 pg/mls |
| Calprotectin | 3.4 µg/ml | 57.5 [41.0−72.6] | 0.751 [0.641−0.861] | 80.0 [62.5−90.9] | 0.585 [0.466−0.705] | 56.5 [43.3−68.8] | 0.6 µg/mlt, u | 2.9 µg/mlt | 4.0 µg/mlu |
| EDN | 12.8 ng/ml | 45.0 [29.6−61.3] | 0.737 [0.623−0.852] | 88.6 [72.3−96.3] | 0.521 [0.404−0.639] | 62.9 [49.7−74.6] | 2.8 ng/mlv, w | 10.1 ng/mlv | 8.0 ng/mlw |
P values for CM biomarker level comparisons between study groups:
aP < 0.01878; bP < 0.00001; cP < 0.00001; dP < 0.00001; eP < 0.00001; fP = 0.02640; gP < 0.00001; hP = 0.00008; iP = 0.01352; jP < 0.00001; kP = 0.00040; lP = 0.00288; mP < 0.00001; nP = 0.00078; oP < 0.00001; pP < 0.00001; qP = 0.01428; rP = 0.00020; sP < 0.00001; tP = 0.00042; uP = 0.00020; vP = 0.00064; wP = 0.00044.