Int J Med Sci 2011; 8(2):148-155. doi:10.7150/ijms.8.148

Research Paper

The Value of Serum Biomarkers (Bc1, Bc2, Bc3) in the Diagnosis of Early Breast Cancer

Kemal Atahan1✉, Hakan Küpeli1, Serhat Gür1, Türkan Yiğitbaşı2, Yasemin Baskın3, Seyran Yiğit4, Mehmet Deniz1, Atilla Çökmez1, Ercüment Tarcan1

1. İzmir Atatürk Training and Research Hospital 1st Surgical Clinic
2. İzmir Atatürk Training and Research Hospital 1st Biochemistry Clinic
3. Dokuz Eylül University Institute of Oncology
4. İzmir Atatürk Training and Research Hospital 1st Pathology Clinic


Background: Surface enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF) is an approach to biomarker discovery that combines chromatography and mass spectrometry. We aimed to consider the efficacy of Bc1, Bc2, and Bc3 serum biomarkers on early detection of breast cancer (BC) in this study.

Study Design: In this prospective study, 91 patients who were admitted to our hospital between January 2007 and July 2008 were included. Serum samples from 91 women were stored at -80 °C until use. The cancer group included 27 cases of BC. The benign breast disease group included 24 women with benign breast diseases and control group 37 age-matched apparently healthy women. The data obtained for these three groups of patients was worked out for each serum biomarker (Bc1, Bc2, and Bc3) by using SELDI-TOF individually and compared with each other separately and evaluated statistically.

Results: Bc2 possesses the highest individual diagnostic power. Bc2 was statistically significant in comparison between the malignant disease group, control group and benign disease group. Bc1 was statistically significant in the malignant disease group compared to control group as well as in the benign disease group compared to control group. Thus Bc1, rather than showing malignant progression, it shows tumoral progression or inflammatory process. Bc3 was found upregulated in all malignant cases; however, it was not statistically significant compared to the benign disease group or the control group.

Conclusions: It has been shown that Bc2 profiles might be useful in clinical practice to improve BC diagnosis. However none of the proteomics reach reasonable AUC values for the discrimination of the BC. Additional confirmation in larger and similarly-designed prospective studies is needed to consider of the efficacy of Bc1 and Bc2 in early diagnosis of the BC.

Keywords: Breast Cancer diagnosis, Serum Biomarkers, Bc1, Bc2, and Bc3

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How to cite this article:
Atahan K, Küpeli H, Gür S, Yiğitbaşı T, Baskın Y, Yiğit S, Deniz M, Çökmez A, Tarcan E. The Value of Serum Biomarkers (Bc1, Bc2, Bc3) in the Diagnosis of Early Breast Cancer. Int J Med Sci 2011; 8(2):148-155. doi:10.7150/ijms.8.148. Available from