- To ensure quality laboratory testing, standard collection and testing of samples should be adapted. - 
 Clinical Laboratory Improvement Amandment,
(CLIA) labs require this but most
    research labs do not practice CLIA regulations or hire CLIA licensed employees.
    Cost is the primary concern. This was never a problem in basic research labs but
    as research findings have more relevance to patients (biomarkers) this becomes a
    prime issue.
                      
All clinical laboratory tests (hemoglobin, cholesterol, white or red blood cell
                count and 100's of others) that can be used to determine patient status and
                treatment, by law must be tested following CLIA regulations - biomarkers are not
                yet required by law to follow CLIA regulations for testing but are moving in that
                direction.
                     
                    - Validate all kits and tests
 
                    
                  The Future of Proteomic-Based Research
                  The accessibility of cancer-related proteins in bodily fluids and tissues has triggered
extensive protein-focused research. But a lack of reliable methods for protein
identification and measurement has led to pervasive problems with reproducibility and
comparability of research results.
                  
                    
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                      The TECAN Genesis 2000 robot
preparing Ciphergen SELDI-TOF
protein chips for proteomic
pattern analysis. 
                        The hope is that cancer
  prognosis can be accomplished
  by identifying protein patterns of
  specific cancers using this device
  or ones like it.  | 
                    
                    
                      | Image provided by CISN archives. All rights reserved.  | 
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                  Proteomic Technologies: more about these in the 'How Cancer Is Studied' section
                  
                    - Mass Spectrometry: Detects and identifies ever-smaller amounts of proteins.
 
                    - Protein Microarrays: Powerful tools for capturing and measuring proteins from
      blood and other body fluids and tissues.
 
                    - Nanotechnologies: Greatly expands the capabilities of proteomics, addressing
        current limitations in selectively reaching a target protein in vivo.
 
                    - Bioinformatics: Enables collection, analysis and sharing of huge amounts of data
          for inter-institutional studies.
 
                    - Biospecimens: The critical need for research access to large numbers of highquality
            biospecimens annotated with clinical data.
 
                    - Reagents: A growing need for high-quality, standardized reagents (substances
              used in experiments) that can improve proteomic technologies' specificity and
              reproducibility.
 
                    
                  Proteomics Research Projects or Efforts:
                  These projects are included as examples of where the science is
leading us.
                  1. Clinical Proteomic Technologies for Cancer (CPTC): Recognizing the promise of
  clinical proteomics for personalized cancer care, the National Cancer Institute (NCI) has
  taken a lead role in elevating the field by launching the Clinical Proteomic Technologies
  for Cancer (CPTC) initiative in 2006.
                  The goal of the (CPTC) initiative is to foster the building of an integrated foundation of
    proteomic technologies, data, reagents and reference materials, and analysis systems
    to accelerate discovery and clinical research in cancer. To learn more about this
    organization, go to: http://proteomics.cancer.gov/
                  2. Proteome Sciences: This is a for-profit company that offers high output proteomics
      for diagnostic, prognostic & therapeutic applications.
                  3. Agilent Technologies: Agilent Life Sciences and Chemical Analysis is a for-profit
        company. It is a leading global provider of instrumentation, supplies, software and
        services to the life science and chemical analysis markets. They have a large
        proteomics division.
                  4. Dualsystems Biotech: This is a for-profit company that is a leading provider of
          custom services and products in the field of proteomics.
                   
                  CISN Summary
                  
                    - Proteomics is the study of the proteins in a cell, tissue or organism.
 
                    - Scientists are in the early stages of this work so only a small percentage of the
      thousands of proteins in human cells have been sequenced or identified.
 
                    - Proteomics technology is being explored for potential use in cancer diagnosis
        and treatment. This research involves searching for proteins that may serve as
        biomarkers of early disease, responsiveness to therapy, or indicate the likelihood
        of relapse after treatment.
 
                    - A high priority of current research efforts is the application of proteomics
          technology to improving cancer diagnosis and monitoring of patients, in addition to
          their care.
 
                    - Proteomics can help to find and measure which circulating proteins provide
            evidence that a drug is or is not working.