TABLE 2.
Performance assessment of promoter methylation as biomarker for detection of EOC in tissue and serum samples. Table illustrates the Sensitivity, Specificity, AUC, Accuracy, Optimal Cutoff and Methylation Index of singleplex and multiplex MethyLight assays for the detection of control and epithelial ovarian cancer patients. AUC: Area under the curve; PPV: Positive predictive value; NPV: Negative prediction value; MI: Methylation Index; p-value: Mann-Whitney U test.
Marker | Sensitivity | Specificity | AUC | Optimal cutoff | PPV | NPV | Accuracy | p-value | Methylation index (MI) |
---|---|---|---|---|---|---|---|---|---|
TISSUE | |||||||||
HOXA9 a | 82.35 | 85.71 | 0.92 | 0.77 | 99.33 | 66.67 | 86.6 | <0.00001 | 0.82 |
HIC1 a | 80.00 | 77.14 | 0.85 | 0.68 | 89.5 | 61.4 | 82.5 | <0.00001 | 0.80 |
DAPK1 | 69.41 | 71.43 | 0.81 | 0.49 | 85.51 | 49.02 | 75.8 | 0.00004 | 0.69 |
SOX1 | 78.82 | 80.00 | 0.88 | 0.38 | 90.54 | 60.87 | 80.8 | <0.00001 | 0.78 |
RASSF1A | 71.76 | 71.43 | 0.78 | 0.42 | 85.92 | 51.02 | 73.3 | 0.00001 | 0.72 |
SFRP1 | 74.12 | 71.43 | 0.80 | 0.66 | 86.30 | 53.19 | 75.0 | <0.00001 | 0.74 |
SPARC | 61.18 | 68.57 | 0.73 | 0.47 | 82.54 | 42.11 | 73.3 | 0.00302 | 0.61 |
HOXA9+HIC1 a | 88.24 | 88.57 | 0.92 | 0.49 | 94.9 | 75.6 | 88.3 | <0.00001 | 0.88 |
HOXA9+SOX1 | 85.88 | 88.57 | 0.92 | 0.48 | 94.81 | 72.09 | 87.0 | <0.00001 | 0.86 |
SOX1+HIC1 | 83.53 | 88.57 | 0.89 | 0.72 | 94.67 | 68.89 | 87.5 | <0.00001 | 0.83 |
HIC1+SFRP1 | 78.82 | 77.14 | 0.87 | 0.75 | 89.33 | 60.00 | 84.0 | <0.00001 | 0.79 |
RASSF1A+HOXA9 | 76.47 | 80.00 | 0.87 | 0.49 | 90.28 | 58.33 | 87.5 | <0.00001 | 0.76 |
DAPK1+SOX1 | 72.94 | 77.14 | 0.87 | 0.45 | 88.57 | 54.00 | 80.0 | <0.00001 | 0.73 |
SERUM | |||||||||
HOXA9 a | 62.22 | 100 | 0.81 | 0.70 | 100 | 59.52 | 77.1 | <0.00001 | 0.62 |
HIC1 a | 71.11 | 100 | 0.88 | 0.71 | 100 | 65.75 | 82.8 | <0.00001 | 0.71 |
SOX1 | 53.33 | 96 | 0.77 | 0.62 | 96.0 | 53.33 | 72.8 | 0.00003 | 0.53 |
HOXA9+SOX1 | 66.67 | 96 | 0.85 | 0.70 | 96.77 | 61.54 | 88.0 | <0.00001 | 0.67 |
HOXA9+HIC1 a | 88.89 | 100 | 0.95 | 0.64 | 100 | 83.33 | 92.8 | <0.00001 | 0.89 |
SOX1+HIC1 | 80.00 | 96 | 0.93 | 0.54 | 97.30 | 72.73 | 87.0 | <0.00001 | 0.80 |
Diagnostic significance of DNA methylation markers-HOXA9 and HIC1 in singleplex and multiplex MethyLight assay analyzed in tissue and serum samples has been previously published (Singh et al., 2020).