EPCA-2: a highly specific serum marker for prostate cancer.

作者: Eddy S. Leman , Grant W. Cannon , Bruce J. Trock , Lori J. Sokoll , Daniel W. Chan

DOI: 10.1016/J.UROLOGY.2007.01.097

关键词: HyperplasiaConfidence intervalInternal medicineMedicineBiomarker (medicine)NephrologyArea under the curveProstate cancerGynecologyAntigenEpitopeUrology

摘要: OBJECTIVES: To describe the initial assessment of early prostate cancer antigen (EPCA)-2 as a serum marker for detection and to examine its sensitivity specificity. METHODS: Serum samples were obtained from 385 men: those with prostate-specific (PSA) levels less than 2.5 ng/mL, PSA ng/mL or greater negative biopsy findings, benign prostatic hyperplasia, organ-confined cancer, non-organ-confined disease, ng/mL. In addition, diverse group controls was assessed an enzyme-linked immunosorbent assay detect epitope EPCA-2 protein, EPCA-2.22. RESULTS: Using cutoff 30 EPCA-2.22 had 92% specificity (95% confidence interval 85% 96%) healthy men hyperplasia 94% [CI] 93% 99%) overall cancer. The in these selected groups patients 65% CI 55% 75%). Additionally, highly accurate differentiating between localized extracapsular disease (area under curve 0.89, 95% 0.82 0.97, P <0.0001) contrast 0.62, 0.50 0.75, = 0.05). CONCLUSIONS: results our study have shown that is novel biomarker associated has high accurately differentiates disease.

参考文章(20)
Saravana M. Dhanasekaran, Terrence R. Barrette, Debashis Ghosh, Rajal Shah, Sooryanarayana Varambally, Kotoku Kurachi, Kenneth J. Pienta, Mark A. Rubin, Arul M. Chinnaiyan, Delineation of prognostic biomarkers in prostate cancer. Nature. ,vol. 412, pp. 822- 826 ,(2001) , 10.1038/35090585
Robert K Nam, Linda Sugar, Zhenghui Wang, Wenyi Yang, Richard Kitching, Laurence H. Klotz, Vasundara Venkateswaran, Steven A. Narod, Arun Seth, Expression of TMPRSS2:ERG gene fusion in prostate cancer cells is an important prognostic factor for cancer progression. Cancer Biology & Therapy. ,vol. 6, pp. 40- 45 ,(2007) , 10.4161/CBT.6.1.3489
Xiaoju Wang, Jianjun Yu, Arun Sreekumar, Sooryanarayana Varambally, Ronglai Shen, Donald Giacherio, Rohit Mehra, James E. Montie, Kenneth J. Pienta, Martin G. Sanda, Philip W. Kantoff, Mark A. Rubin, John T. Wei, Debashis Ghosh, Arul M. Chinnaiyan, Autoantibody signatures in prostate cancer The New England Journal of Medicine. ,vol. 353, pp. 1224- 1235 ,(2005) , 10.1056/NEJMOA051931
Nancy A Obuchowski, Michael L Lieber, Confidence Bounds When the Estimated ROC Area is 1.0 Academic Radiology. ,vol. 9, pp. 526- 530 ,(2002) , 10.1016/S1076-6332(03)80329-X
THOMAS A. STAMEY, MITCHELL CALDWELL, JOHN E. McNEAL, ROSALIE NOLLEY, MARCI HEMENEZ, JOSHUA DOWNS, The prostate specific antigen era in the United States is over for prostate cancer: what happened in the last 20 years? The Journal of Urology. ,vol. 172, pp. 1297- 1301 ,(2004) , 10.1097/01.JU.0000139993.51181.5D
Anthony V. D'Amico, Ming-Hui Chen, Kimberly A. Roehl, William J. Catalona, Preoperative PSA Velocity and the Risk of Death from Prostate Cancer after Radical Prostatectomy The New England Journal of Medicine. ,vol. 351, pp. 125- 135 ,(2004) , 10.1056/NEJMOA032975
J Cuzick, , G Fisher, M W Kattan, D Berney, T Oliver, C S Foster, H Møller, V Reuter, P Fearn, J Eastham, P Scardino, Long-term outcome among men with conservatively treated localised prostate cancer. British Journal of Cancer. ,vol. 95, pp. 1186- 1194 ,(2006) , 10.1038/SJ.BJC.6603411
Diane Roulston, Beth E. Helgeson, Xuhong Cao, John T. Wei, Mark A. Rubin, Rajal B. Shah, Arul M. Chinnaiyan, Scott A. Tomlins, Rohit Mehra, Daniel R. Rhodes, Lisa R. Smith, TMPRSS2:ETV4 Gene Fusions Define a Third Molecular Subtype of Prostate Cancer Cancer Research. ,vol. 66, pp. 3396- 3400 ,(2006) , 10.1158/0008-5472.CAN-06-0168
Ian M Thompson, Donna K Pauler, Phyllis J Goodman, Catherine M Tangen, M Scott Lucia, Howard L Parnes, Lori M Minasian, Leslie G Ford, Scott M Lippman, E David Crawford, John J Crowley, Charles A Coltman Jr, None, Prevalence of Prostate Cancer among Men with a Prostate-Specific Antigen Level ≤4.0 ng per Milliliter New England Journal of Medicine. ,vol. 350, pp. 2239- 2246 ,(2004) , 10.1056/NEJMOA031918