Analysis of global protein expression, an approach known as expression proteomics, can offer important clues for understanding
tumor biology that cannot be obtained by other approaches (e.g., genome or transcriptome analysis). Using two-dimensional
difference gel electrophoresis (2D-DIGE) and mass spectrometry, we performed global protein expression studies of bone and
soft tissue sarcomas to develop novel diagnostic and therapeutic biomarkers and allow molecular classification of the tumors.
Among 1500 protein variants identified in the two-dimensional gel, 67 proteins correctly distinguished the eight subtypes
of 99 histologically classified soft tissue sarcomas. Hierarchical clustering demonstrated leiomyosarcoma and MFH shared a
similar protein expression profile, and clear cell sarcoma, synovial sarcoma, and MPNST could be grouped according to their
protein expression patterns. Pleomorphic leiomyosarcoma and MFH showed similar tropomyosin isoform expression patterns. Patients
with gastrointestinal stromal tumors expressing pfetin protein had better survival than those whose tumors lacked it. We identified
10 protein spots associated with the chemosensitivity of osteosarcoma to preoperative chemotherapy. These 10 spots could be
new diagnostic and prognostic markers for osteosarcoma and new therapeutic targets for the disease. Proteomic analysis using
2D-DIGE provides novel information on the biology of bone and soft tissue sarcomas that could be used to diagnosis and treat
these tumors.
Level of Evidence: Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.
This work was supported by a grant from the Ministry of Health, Labor and Welfare (AK, TK), a grant from the Ministry of Education,
Science, Sports, and Culture (AK), and a grant from the Program for Promotion of Fundamental Studies in Health Sciences of
the National Institute of Biomedical Innovation of Japan (TK).
Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations
were conducted in conformity with ethical principles of research.