Abstract

Prostate cancer (PCa) diagnosis based on patient urine analysis provides non-invasive and promising method as compared to biopsy and a prostate-specific antigen (PSA) test. This study was conceived to investigate whether Integrin alpha V (ITGAV) protein is present in urine and assess the urinary ITGAV diagnostic potential for PCa. Materials and Methods: Urinary ITGAV expression was determined by Western blot analysis and quantified by ELISA in urine from men with PCa (n = 47), benign prostate hyperplasia (n = 42) and age-matched controls (n = 22). Results: The level of ITGAV protein was significantly lower in PCa urine samples as compared to those in the control group (p < 0.00001). The decrease of ITGAV in urine was highly predictive of PCa with 91.5% sensitivity, 91.4% specificity, 0.93 area under the ROC curve, and its specificity was better than that of serum PSA. Conclusion: Urinary ITGAV provides a novel noninvasive biomarker with high specificity.

Highlights

  • Prostate cancer (PCa) is the primary cause of death in men all over the world, which is associated, in part, with the absence of relevant biomarkers for early diagnosis and treatment

  • The Integrin alpha V (ITGAV) level was varied in benign prostatic hyperplasia (BPH) samples, a statistically significant decrease was noted in the cancer tissue samples as compared with the BPH tissues (Figures 1C, D)

  • We showed that ITGAV, the member of the integrin receptor family, is present as a “soluble” protein in the conditioned medium (CM) produced by prostate cancer cells and can be found in first pass urine collected without preceding prostate massage

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Summary

Introduction

Prostate cancer (PCa) is the primary cause of death in men all over the world, which is associated, in part, with the absence of relevant biomarkers for early diagnosis and treatment. The false positive results (PSA > 4 ng/ml) have been observed in patients with benign prostatic hyperplasia (BPH) and prostatitis, while the low serum PSA values (less than 4 ng/ml) have been detected in patients having aggressive cancer with the Gleason score > 7 [1, 2]. These limitations in accuracy in cancer prediction and monitoring require the urgent need of additional biomarkers, which could become a complement of serum PSA

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