Identification of Serum Biomarkers for Diagnosis of Endometriosis Using Multiplex Immunoassays
A combination of APRIL/TNFSF13, BRAK/CXCL14, and CA-125 improved endometriosis detection sensitivity and specificity compared to CA-125 alone.
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This study aimed to identify serum biomarkers for diagnosing endometriosis by analyzing peripheral blood from 141 women aged 15–52 years with regular menstruation using a multiplex cytokine panel (21 detectable analytes) on the MILLIPLEX MAP platform. CXCL14/BRAK was significantly decreased and APRIL/TNFSF13 was significantly increased in the endometriosis group, but each marker alone or in combination did not achieve adequate diagnostic sensitivity or specificity. In logistic regression, adding CA-125 to the APRIL/TNFSF13 and BRAK/CXCL14 combination significantly improved sensitivity (71.2%) without reducing specificity (80.8%) compared with CA-125 alone. The paper does not report any explicit external validation or detailed limitations beyond noting the need for additional cytokine panels. This paper is centrally about endometriosis — it identifies candidate multiplex serum cytokine biomarkers (APRIL/TNFSF13 and BRAK/CXCL14, combined with CA-125) for noninvasive endometriosis diagnosis.
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Cited by (10)
- Noninvasive diagnosis of external genital endometriosis based on the determination of cytokines controlling angiogenesis 2026
- The role of the CXC chemokine family in endometriosis research and its therapeutic potential 2025
- Guideline No. 449: Diagnosis and Impact of Endometriosis - A Canadian Guideline 2024
- Directive clinique no 449 : Directive canadienne sur le diagnostic et les impacts de l’endométriose 2024
- Molecular Mechanisms of Endometriosis Revealed Using Omics Data 2023
- Diagnosis of pelvic endometriosis: A systematic review and accuracy meta-analysis of non-invasive tests available in primary care 2023
- CXC chemokines influence immune surveillance in immunological disorders: Polycystic ovary syndrome and endometriosis 2023
- [Retracted] Examination on Risk Factors of Infertility Caused by EMT and Their Correlation with VEGF, TNF‐α, IL‐6, IL‐10, and IL‐17 2022
- Diagnosis of pelvic endometriosis: a systematic review and accuracy meta-analysis of non-invasive tests. 2022
- Characterizing the endometrial fluid cytokine profile in women with endometriosis 2020
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