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Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2025, Vol. 12 ›› Issue (03): 190-196. doi: 10.3877/cma.j.issn.2095-7157.2025.03.005

• Original Article • Previous Articles    

Study of O-glycosylation characteristics in cystic fluid of pancreatic cystic neoplasms

Bingqian Cheng1,2, Ningli Chai2,(), Chen Du2, Fei Gao3, Huikai Li2, Xiuxue Feng2, Yunyun Zhao1,2, Enqiang Linghu2,()   

  1. 1Chinese PLA Medical School, Beijing 100853, China
    2Department of Gastroenterology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
    3Government Offices Administration of The Central Military Commission, Beijing 100034, China
  • Received:2024-12-09 Online:2025-08-15 Published:2025-10-28
  • Contact: Ningli Chai, Enqiang Linghu

Abstract:

Objective

To explore the characteristics of O-glycosylation in the cystic fluid of pancreatic cystic neoplasms (PCNs), providing a direction for further exploring new biomarkers and studying the mechanism of PCNs.

Methods

The cystic fluid of serous cystadenoma (SCN), mucinous cystic neoplasm (MCN), and intraductal papillary mucinous neoplasm (IPMN) was detected by liquid chromatography- tandem mass spectrometry (LC-MS/MS). Bioinformatics analysis technology was used to analyze the differential glycoproteins, preliminarily exploring the possible mechanism of PCNs.Meanwhile, combined with clinical data and current research status, the potential biomarkers were explored.

Results

According to the mass spectrometry detection, there were significant differences in protein O-glycosylation between IPMN, SCN, and MCN.A total of 156 up-regulated and 17 down-regulated differential glycopeptides were discovered between IPMN and SCN.Meanwhile, between IPMN and MCN, there were 145 up-regulated glycopeptides and 2 down-regulated.The results of gene ontology (GO) analysis and Kyoto encyclopedia of genes and genomes (KEGG) analysis showed that the differential glycoproteins were mainly located in the extracellular matrix, zymogen granule membrane, Golgi cavity, blood microparticles, etc., which were mainly involved in the maintenance of gastrointestinal epithelium, negative regulation of inflammatory response, acute phase response, intracellular iron homeostasis, and other biological processes.The main related pathways include complement and coagulation cascade, pancreatic secretion, IL-17 signaling pathway, neuroactive ligand-receptor interaction, ECM-receptor interaction, cholesterol metabolism etc.Finally, eight characteristic glycoproteins were selected.

Conclusion

(1) There were differences in the O-glycosylation of protein among IPMN, MCN, and SCN; (2) The mechanism of PCNs may be related to immune response, signal transduction, gastrointestinal epithelial maintenance, and pancreatic secretion, etc.; (3) MUC-5AC, MUC-5B, MUC-2, FN, Elastase-3A, Elastase- 3B, Alpha-2-M and PL-RP2 could be used as potential biomarkers to identify different types of PCNs.

Key words: Pancreatic cystic neoplasms, Cystic fluid, Glycoproteomics, O-glycosylation

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