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Diurnal, Weekly, and Long-Time Variation in Serum Concentrations of YKL-40 in Healthy Subjects
Abstract
Abstract Serum YKL-40 is a potential biomarker of prognosis in cancer patients, but assessment of serum YKL-40 requires knowledge of its normal variation. In this study, we evaluated diurnal, weekly, and long-term variation in serum YKL-40 in healthy subjects using a commercial ELISA. The intra-assay coefficient of variation was ≤5.0% and interassay ≤10.2%. Systematic changes in diurnal measurements of serum YKL-40 could not be shown. Physical exercise for 20 min had no effect on serum YKL-40. The within-subject coefficient of variation, including variation over time and interassay, was 28.8% and 30.2% over a period of 2 and 3 years, and the intraclass correlation coefficients were 72.4% and 72.2%, indicating reasonable reliability of serum YKL-40 measurements. The 95% confidence limits for the difference between two measurements (same subject), including interassay variation, were a 52% reduction and a 109% increase in serum YKL-40. These studies show that relatively small variation is found in serum YKL-40 in healthy subjects. However, a single measurement of serum YKL-40 from an individual may not have a prognostic value, and serum YKL-40 alone cannot be a good biomarker for cancer because serum YKL-40 can be elevated in patients with other diseases characterized by inflammation and tissue remodeling. (Cancer Epidemiol Biomarkers Prev 2008;17(10):2603–8)
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In this study, the cut-off point for YKL-40 for diagnosed endometriosis was 59.66 ng/mL, with 88.9% sensitivity, 61.1% specificity and 0.736 AUC.
“In this study, the cut-off point was proposed at 59.66 ng/mL for diagnosed endometriosis, with 88.9% sensitivity, 61.1% specificity and 0.736 AUC [46].”
From Diagnostic Significance of Selected Serum Inflammatory Markers in Women with Advanced Endometriosis (2021) · cites this paper as [46]
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Diagnostic Significance of Selected Serum Inflammatory Markers in Women with Advanced Endometriosis
Kokot, I., Piwowar, A., Jędryka, M., Sołkiewicz, K., & Kratz, E. M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22052295 · Cited by 76
“[46] reported that concentrations of YKL-40 in the serum of healthy subjects were maintained at around 40 ng/mL, and were not connected with the circadian rhythm.”
Background
Metadata
- Authors
- Johansen, J. S., Lottenburger, T., Nielsen, H. J., Jensen, J. E. B., Svendsen, M. N., Kollerup, G., & Christensen, I. J.
- Affiliations
- Herlev Hospital (DK)
- University of Southern Denmark (DK)
- 2Surgical Gastroenterology and
- Hvidovre Hospital (DK)
- University of Copenhagen (DK)
- Rigshospitalet (DK)
- Venue
- Cancer Epidemiology, Biomarkers & Prevention
- Published
- 2008-10-01
- Volume
- 17
- Issue
- 10
- Pages
- 2603-2608
- ISSN
- 1055-9965 (ISSN-L)
- 1538-7755
- OpenAlex
- W2134360742
- Cited by
- 72
- References
- 34
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 4 · 2012: 1
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Epidemiology Biomarkers & Prevention (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Herlev Hospital
- Hvidovre Hospital
- Topics
- Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Oncology › Inflammatory Biomarkers in Disease Prognosis
- Life Sciences › Immunology and Microbiology › Immunology › Biomarkers in Disease Mechanisms
- Keywords
- YKL-40, serum biomarkers, diurnal variation, weekly variation, long-term variability, healthy volunteers, measurement reliability, physical activity, tumor markers, inflammation, tissue remodeling
- MeSH terms
- Chitinase-3-Like Protein 1, Adolescent, Adult, Aged, Circadian Rhythm, Enzyme-Linked Immunosorbent Assay, Female, Glycoproteins, Humans, Male, Middle Aged, Neoplasms, Prognosis, Reference Values, Biomarkers, Tumor, Reproducibility of Results, Exercise, Linear Models, Lectins, Adipokines
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