US 12,247,981 B2
Method of diagnosing cancer based on lipidomic analysis of a body fluid
Michal Holcapek, Stare Hradiste (CZ); Eva Cifkova, Krhova (CZ); Miroslav Lisa, Bezdekov (CZ); Robert Jirasko, Pardubice (CZ); Denise Wolrab, Vienna (AT); and Tereza Hrnciarova, Prague (CZ)
Assigned to FONS JK Group, a.s., Pardubice (CZ)
Appl. No. 16/962,044
Filed by FONS JK GROUP, A.S., Pardubice (CZ)
PCT Filed Nov. 28, 2018, PCT No. PCT/EP2018/082811
§ 371(c)(1), (2) Date Jul. 14, 2020,
PCT Pub. No. WO2019/141422, PCT Pub. Date Jul. 25, 2019.
Claims priority of application No. 18152687 (EP), filed on Jan. 22, 2018; and application No. 18174963 (EP), filed on May 29, 2018.
Prior Publication US 2020/0363419 A1, Nov. 19, 2020
Int. Cl. G01N 33/574 (2006.01); G01N 30/72 (2006.01); G01N 33/92 (2006.01); G01N 1/00 (2006.01)
CPC G01N 33/57488 (2013.01) [G01N 33/92 (2013.01); G01N 2405/02 (2013.01); G01N 2405/04 (2013.01); G01N 2405/08 (2013.01)] 16 Claims
OG exemplary drawing
 
1. A method of diagnosing cancer, selected from the group consisting of kidney, breast, and pancreatic cancer, based on lipidomic analysis of a first sample of a body fluid selected from serum, plasma, blood, urine, said first sample of the body fluid being taken from the body of a patient, characterized in that said method comprises the steps of:
spiking of the first sample with a set of internal standards comprising
 
 
 
D7-CE 16:0 MG 19:1
 
Cer d18:1/12:0 PA 14:0/14:0
 
DG 12:1/12:1 PC 14:0/14:0
 
Hex2Cer d18:1/12:0 PE 14:0/14:0
 
HexCer d18:1/12:0 PG 14:0/14:0
 
D7-Chol PS 14:0/14:0
 
LPC 17:0 SM d18:1/12:0
 
LPE 14:0 SulfoHexCer d18:1/12:0
 
LPG 14:0 TG 19:1/19:1/19:1
 
LPA 14:0 LPS 17:1
 
 
subsequently processing the first sample by liquid-liquid lipidomic extraction or by solid phase lipidomic extraction,
measurement of the processed first sample by a mass spectrometry method,
determining concentrations for all lipids present at a level above a detection threshold of the mass spectrometry method, using the internal standards for the corresponding lipid classes, to which a corresponding one of the internal standards belong, for quantitation, or using relative concentrations, or using ratios of concentrations and/or signal intensities,
computer-implemented statistical evaluation of the determined concentrations of the lipids, wherein the statistical evaluation involves principal component analysis (PCA) and/or by orthogonal partial least squares-discriminant analysis (OPLS-DA), said statistical evaluation determining the level of probability of the patient suffering from kidney, breast or pancreatic cancer based on the determined lipid concentrations compared to a kidney, breast or pancreatic cancerous pattern, and a non-cancerous pattern, wherein the kidney, breast or pancreatic cancerous pattern and the non-cancerous pattern are determined by statistical analysis of the lipid concentrations for a group of known cancer samples and non-cancer samples, and wherein the statistical evaluation is done separately for males and females.