4.6 Review

New biomarkers for diagnosis and prognosis of localized prostate cancer

Journal

SEMINARS IN CANCER BIOLOGY
Volume 52, Issue -, Pages 9-16

Publisher

ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.semcancer.2018.01.012

Keywords

Prostate cancer; Biomarker; Diagnosis; Prognosis; Prostate specific antigen

Categories

Funding

  1. Russian Science Foundation [14-15-00112]
  2. Russian Science Foundation [17-15-00014] Funding Source: Russian Science Foundation

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The diagnostics and management of localized prostate cancer is complicated because of cancer heterogeneity and differentiated progression in various subgroups of patients. As a prostate cancer biomarker, FDA-approved detection assay for serum prostate specific antigen (PSA) and its derivatives are not potent enough to diagnose prostate cancer, especially high-grade disease (Gleason >= 7). To date, a collection of new biomarkers was developed. Some of these markers are superior for primary screening while others are particularly helpful for cancer risk stratification, detection of high-grade cancer, and prediction of adverse events. Two of those markers such as proPSA (a part of the Prostate Health Index (PHI)) and prostate specific antigen 3 (PCA3) (a part of the PCA3 Progensa test) were recently approved by FDA for clinical use. Other markers are not PDA-approved yet but are available from Clinical Laboratory Improvement Amendment (CLIA)-certified clinical laboratories. In this review, we characterize diagnostic performance of these markers and their diagnostic and prognostic utility for prostate cancer.

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