IIT Madras’ first step to cheaper cancer diagnostic alternative

It has high sensitivity and specificity and is much cheaper too

February 18, 2017 09:10 pm | Updated February 19, 2017 02:15 am IST

Put to test  Swati Choudhary (left) and Rama Verma tested the binding capacity of the fusion protein to receptors.  special arrangement

Put to test Swati Choudhary (left) and Rama Verma tested the binding capacity of the fusion protein to receptors. special arrangement

A team of researchers from the Indian Institute of Technology (IIT) Madras has developed a cheaper yet reliable alternative for diagnosing leukaemia and colorectal cancer. Like monoclonal antibodies which are currently used for cancer diagnostics, the fusion protein developed by the researchers has high specificity and sensitivity. The results were recently published in the journal Molecular Diagnosis & Therapy.

Stem cell factors

The researchers designed recombinant fusions of a ligand (stem cell factor) to a protein tag (SNAP-tag). The ligand binds to a particular receptor (c-kit) that is present in more than normal numbers on some cancer cells.

To quantitatively determine the amount of ligand that is bound to the receptors, the researchers used a commercially available fluorescent material (O6-Benzylguanine) that the protein tag binds to. The fluorescent material bound to the protein can be detected using a fluorescent microscope or flow cytometry.

“We report the first evidence that SNAP-tag could be used for outside the body ( ex vivo ) detection of enriched biological markers using SCF/c-kit as the target receptor system. The c-kit receptor is a pathological and diagnostic marker for a variety of cancers,” Dr. Swati Choudhary from the Department of Biotechnology, IIT Madras and the first author of the paper says in an email. “It is a proof-of-concept study.”

Using c-kit positive and negative cell lines, the researchers first tested the capacity of the protein tag to bind specifically to the c-kit receptors. “The specificity was comparable to the currently used monoclonal antibodies,” she says. “We then carried out a pilot study to test whether these proteins could be used for diagnostic purposes. We tested it on 16 peripheral blood samples from leukaemia patients and four colorectal biopsy specimens.”

“The sensitivity is as good as commercially available monoclonal antibodies. If sensitivity and specificity are high in large-scale studies, we could in future replace monoclonal antibody with SNAP-tag fusions to select ligands for diagnostic applications. It will also be much cheaper,” says Prof. Rama S. Verma from the Department of Biotechnology, IIT Madras, and one of the corresponding authors of the paper.

As a DAAD fellow, Dr. Choudhary carried out a part of the study at Fraunhofer Institute of Molecular Biology, Aachen, Germany.

Long term potential

“In the long term, these probes could potentially be used for diagnosing and staging of cancer and in the follow-up management of the disease,” Dr. Choudhary says. According to Prof. Verma, it would even be possible to find out early stages of cancer as the technique has high sensitivity.

Since c-kit receptor is overexpressed in other cancers such as gastrointestinal stromal tumours, small cell lung cancer, ovarian cancer, breast cancer and melanoma, the SNAP-labelled protein could theoretically be used for diagnosing these cancers.

“By replacing the stem cell factor with different ligands that targets other cancer cells, the technique can be used for identifying other cancers as well,” Dr. Choudhary says.

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