RT Journal Article SR Electronic T1 Biomarker Candidates for Tumors Identified from Deep-Profiled Plasma Stem Predominantly from the Low Abundant Area JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.10.05.463153 DO 10.1101/2021.10.05.463153 A1 Marco Tognetti A1 Kamil Sklodowski A1 Sebastian Müller A1 Dominique Kamber A1 Jan Muntel A1 Roland Bruderer A1 Lukas Reiter YR 2021 UL http://biorxiv.org/content/early/2021/10/06/2021.10.05.463153.abstract AB The plasma proteome has the potential to enable a holistic analysis of the health state of an individual. However, plasma biomarker discovery is difficult due to its high dynamic range and variability. Here, we present a novel automated analytical approach for deep plasma profiling and applied it to a 180-sample cohort of human plasma from lung, breast, colorectal, pancreatic, and prostate cancer.Using a controlled quantitative experiment, we demonstrate a 257% increase in protein identification and a 263% increase in significantly differentially abundant proteins over neat plasma.In the cohort, we identified 2,732 proteins. Using machine learning, we discovered biomarker candidates such as STAT3 in colorectal cancer and developed models that classify the disease state. For pancreatic cancer, a separation by stage was achieved.Importantly, biomarker candidates came predominantly from the low abundance region, demonstrating the necessity to deeply profile because they would have been missed by shallow profiling.Competing Interest StatementThe authors R.B., M.T., K.S., D.K., J.M., S.M., and L.R. are full-time employees of Biognosys AG (Schlieren-Zurich, Switzerland). Spectronaut is a trademark of Biognosys AG.CVCoefficient of variationDDAData-dependent acquisitionDIAData-independent acquisitionFDAFood and drug administrationLCLiquid chromatographyMSMass spectrometryPTMPost-Translational Modification