Abstract

Serum biomarkers are molecules produced by normal and abnormal cells. Prostate specific antigen (PSA) is an example of a serum biomarker used widely in the diagnosis and prognostication of prostate cancer. PSA has its limitations as it is organ- but not cancer-specific. The aim of this review is to summarize the current published data on the potential prognostic and predictive biomarkers in metastatic prostate cancer (mPC) that can be used in conjunction with PSA. These biomarkers include microRNAs, androgen receptor variants, bone metabolism, neuroendocrine and metabolite biomarkers, and could guide treatment selection and sequence in an era where we strive to personalized therapy.

Highlights

  • Prostate cancer is the second most commonly diagnosed cancer in males worldwide and the fifth most frequent cause of cancer related death in men worldwide

  • The aim of this review is to summarise the current published data focussing on a selection of promising biomarkers with the potential to improve the prognostic and predictive accuracy of Prostate specific antigen (PSA)

  • The aim of this review is to summarise the current published data focussing on a selection of promising biomarkers with the potential to improve the prognostic and predictive accuracy of PSA 2 of 10 in metastatic prostate cancer (mPC)

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Summary

Introduction

Prostate cancer is the second most commonly diagnosed cancer in males worldwide and the fifth most frequent cause of cancer related death in men worldwide It is a heterogenous condition ranging from relatively indolent to aggressive disease. Circulating serum biomarkers are molecules produced by normal and abnormal cells. Prostate specific antigen (PSA) is an example of a serum biomarker used widely in the diagnosis and prognostication of prostate cancer and in assessing response to treatment. It is a kallikrein protease produced by the luminal cells in the prostate gland. Novel biomarkers are needed in prostate cancer to improve the prognostic and predictive accuracy of PSA, imaging and biopsy alone [9,10]

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