Abstract A reliable, non-invasive and convenient method for detecting malignant gliomas progression and responsiveness to treatment will significantly increase the survival of patients. A protein biomarker-based method for high-grade glioma using patients’ blood samples was investigated. Using a multiplex Luminex immunoassay, 90 proteins associated with cancer were examined in the plasma from high-grade glioma patients (N=28) and non-cancer controls (N=367). Wilcoxon rank-sum test was performed to select the differentially expressed proteins. Receiver operating characteristics (ROC) curves were constructed to determine their diagnostic accuracy. A second cohort of serum samples from different GBM patients (N=20) and non-cancer controls (N=1278) was similarly analyzed. A total of 40 and 25 proteins were found to be significantly differentially expressed between the glioma and control groups (p < 0.0005) using the plasma or serum samples, respectively. With ROC analyses, 19 and 9 proteins were found with area under the curve greater than 85% using the plasma or serum samples, respectively. Five protein biomarkers with an average of 87.2% sensitivity and 87.4% specificity were similarly identified in these two different cohorts of patients. In addition, four plasma protein biomarkers were found to be significantly associated with high-grade glioma patients’ survival. Immunohistochemistry (IHC) showed that human glioblastoma tissue positively expressed the identified protein biomarkers. Differential expression levels for one of the identified protein biomarkers, MIP 1-alpha, were further investigated using human glioma tissue microarray. Compared to grade II glioma tissues (N=22), MIP 1-alpha was found to be overexpressed in grade III (N=9) and grade IV (N=41) glioma tissues (p < 0.0001). Furthermore, MIP 1-alpha was found to directly promote T98G glioma cell line proliferation and migration (p<0.05) using WST-1 proliferation assay and wound closure assay, respectively. Overall, a blood-based protein signature for high-grade gliomas was identified which may offer a minimally-invasive approach for diagnosing high-grade glioma and monitoring for recurrence or response to therapy. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr LB-211.