Open Access Highly Accessed Research article

Immunoscreening of the extracellular proteome of colorectal cancer cells

Susanne Klein-Scory1, Salwa Kübler1, Hanna Diehl12, Christina Eilert-Micus1, Anke Reinacher-Schick4, Kai Stühler2, Bettina Warscheid23, Helmut E Meyer2, Wolff Schmiegel45 and Irmgard Schwarte-Waldhoff1*

Author Affiliations

1 Department of Internal Medicine, Knappschaftskrankenhaus, IMBL, Ruhr-University Bochum, Bochum, Germany

2 Medical Proteome-Center, Ruhr-University Bochum, Bochum, Germany

3 Clinical & Cellular Proteomics, Medical Faculty/Centre for Medical Biotechnology, Duisburg-Essen University, Essen, Germany

4 Department of Internal Medicine, Knappschaftskrankenhaus, Ruhr-University Bochum, Bochum, Germany

5 Department of Gastroenterology and Hepatology, Kliniken Bergmannsheil, Ruhr-University Bochum, Bochum, Germany

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BMC Cancer 2010, 10:70  doi:10.1186/1471-2407-10-70

Published: 25 February 2010



The release of proteins from tumors can trigger an immune response in cancer patients involving T lymphocytes and B lymphocytes, which results in the generation of antibodies to tumor-derived proteins. Many studies aim to use humoral immune responses, namely autoantibody profiles, directly, as clinical biomarkers. Alternatively, the antibody immune response as an amplification system for tumor associated alterations may be used to indicate putative protein biomarkers with high sensitivity. Aiming at the latter approach we here have implemented an autoantibody profiling strategy which particularly focuses on proteins released by tumor cells in vitro: the so-called secretome.


For immunoscreening, the extracellular proteome of five colorectal cancer cell lines was resolved on 2D gels, immobilized on PVDF membranes and used for serological screening with individual sera from 21 colorectal cancer patients and 24 healthy controls. All of the signals from each blot were assigned to a master map, and autoantigen candidates were defined based of the pattern of immunoreactivities. The corresponding proteins were isolated from preparative gels, identified by MALDI-MS and/or by nano-HPLC/ESI-MS/MS and exemplarily confirmed by duplex Western blotting combining the human serum samples with antibodies directed against the protein(s) of interest.


From 281 secretome proteins stained with autoantibodies in total we first defined the "background patterns" of frequently immunoreactive extracellular proteins in healthy and diseased people. An assignment of these proteins, among them many nominally intracellular proteins, to the subset of exosomal proteins within the secretomes revealed a large overlap. On this basis we defined and consequently confirmed novel biomarker candidates such as the extreme C-terminus of the extracellular matrix protein agrin within the set of cancer-enriched immunorectivities.


Our findings suggest, first, that autoantibody responses may be due, in large part, to cross-presentation of antigens to the immune system via exosomes, membrane vesicles released by tumor cells and constituting a significant fraction of the secretome. In addition, this immunosecretomics approach has revealed novel biomarker candidates, some of them secretome-specific, and thus serves as a promising complementary tool to the frequently reported immunoproteomic studies for biomarker discovery.