NMT2 Biomarker Detection for Colorectal Cancer Screening

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Solution Overview

Problem

Current colorectal cancer (CRC) screening methods, such as Fecal Occult Blood Testing, Sigmoidoscopy, and Colonoscopy, face low compliance due to invasiveness, high false positives, and limited sensitivity, necessitating a more effective screening approach.

Innovation Solution

Measuring N-myristoylatransferase 2 (NMT2) levels in patient samples using specific antibodies or nucleic acid sequences to identify candidates for further CRC screening, potentially through sigmoidoscopy or colonoscopy, as elevated NMT2 levels indicate a higher risk for CRC.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of manufacture

If Fecal Occult Blood Testing (FOBT) is used for CRC screening, then cost effectiveness is improved, but false positive rates increase and patient compliance decreases

Engineering Contradiction:
Improvecost effectivenessVSAvoidfalse positive rates
Core Design Contradiction:
Ease of manufactureVSReliability

Solution Approach 1:

The invention changes the measured parameter from general blood presence (FOBT) to specific NMT2 enzyme activity levels. By measuring NMT2 activity as a biomarker, the test maintains the simplicity and low cost of FOBT while improving reliability through a more specific cancer-related marker that reduces false positives caused by diet or medication.

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If Sigmoidoscopy and Colonoscopy are used for CRC screening, then detection sensitivity is improved, but invasiveness increases and patient compliance decreases

Engineering Contradiction:
Improvedetection sensitivityVSAvoidinvasiveness
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The invention introduces NMT2 enzyme activity measurement as an intermediary biomarker test. This non-invasive blood test serves as a mediator between simple FOBT and invasive endoscopy, providing enhanced detection sensitivity through specific cancer marker measurement while avoiding the invasiveness and procedural risks of sigmoidoscopy and colonoscopy.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If Carcinoembryonic Antigen (CEA) is used as a biomarker, then blood test availability is improved, but sensitivity and specificity decrease

Engineering Contradiction:
Improveblood test availabilityVSAvoidsensitivity and specificity
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The invention changes the biomarker parameter from CEA (a general tumor marker with limited specificity) to NMT2 enzyme activity (a specific marker for colorectal cancer). This parameter change maintains the ease of blood test measurement while significantly improving both sensitivity and specificity for CRC detection, as NMT2 activity is specifically elevated in CRC patients.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The method effectively identifies CRC candidates by distinguishing NMT2 overexpression in T-cells, offering a non-invasive and sensitive approach to improve patient compliance and early detection of CRC.

Implementation Method 1

measuring N-myristoylatransferase 2 (NMT2) levels in a sample from a patient by using a measuring reagent which is specific to NMT2 compared to NMT1

Methodology Applied
Scientific EffectAntibody-antigen binding:

Implementation Method 2

N-myristoylation is the covalent attachment of a 14-carbon saturated fatty acid chain to the N-terminal glycine residue of a protein that is catalyzed by the enzyme N-myristoylatransferase (NMT)

Methodology Applied
Scientific EffectEnzyme catalysis: Enzyme

Data Source

PatentEP2925881B1N-myristoyltransferase 2 overexpression in peripheral blood and peripheral blood mononuclear cells is a marker for colorectal cancer
Publication Date: 2017.11.15 SHRIVASTAV ANURAAG
  • EP2925881B1 patent drawingFigure 1
  • EP2925881B1 patent drawingFigure 2
  • EP2925881B1 patent drawingFigure 3

AI summary

Described herein is the Identification of the NMT isozyme overexpressed in PBMCs of colorectal cancer patients and the cell types overexpressing NMT2 in the PBMCs of CRC patients.