PMID- 25593898 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 2278-1668 (Print) IS - 2278-0513 (Electronic) IS - 2278-0513 (Linking) VI - 3 IP - 1 DP - 2014 TI - New serum biomarkers for prostate cancer diagnosis. PG - 72-79 AB - BACKGROUND: Prostate-specific antigen (PSA) is currently used as a biomarker for diagnosis and management of prostate cancer (CaP). However, PSA typically lacks the sensitivity and specificity desired of a diagnostic marker. OBJECTIVE: The goal of this study was to identify an additional biomarker or a panel of biomarkers that is more sensitive and specific than PSA in differentiating benign versus malignant prostate disease and/or localized CaP versus metastatic CaP. METHODS: Concurrent measurements of circulating interleukin-8 (IL-8), Tumor necrosis factor-alpha (TNF-alpha) and soluble tumor necrosis factor-alpha receptors 1 (sTNFR1) were obtained from four groups of men: (1) Controls (2) with elevated prostate-specific antigen with a negative prostate biopsy (elPSA_negBx) (3) with clinically localized CaP and (4) with castration resistant prostate cancer. RESULTS: TNF-alpha Area under the receiver operating characteristic curve (AUC = 0.93) and sTNFR1 (AUC = 0.97) were strong predictors of elPSA_negBx (vs. CaP). The best predictor of elPSA_negBx vs CaP was sTNFR1 and IL-8 combined (AUC = 0.997). The strongest single predictors of localized versus metastatic CaP were TNF-alpha (AUC = 0.992) and PSA (AUC = 0.963) levels. CONCLUSIONS: The specificity and sensitivity of a PSA-based CaP diagnosis can be significantly enhanced by concurrent serum measurements of IL-8, TNF-alpha and sTNFR1. In view of the concerns about the ability of PSA to distinguish clinically relevant CaP from indolent disease, assessment of these biomarkers in the larger cohort is warranted. FAU - Chadha, Kailash C AU - Chadha KC AD - Department of Molecular and Cellular Biology, Roswell Park Cancer Institute, University at Buffalo, Buffalo, NY, USA. FAU - Miller, Austin AU - Miller A AD - Department of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, University at Buffalo, Buffalo, NY, USA. FAU - Nair, Bindukumar B AU - Nair BB AD - Department of Molecular and Cellular Biology, Roswell Park Cancer Institute, University at Buffalo, Buffalo, NY, USA ; Department of Medicine, Division of Allergy/Immunology and Rheumatology, University at Buffalo, Buffalo, NY, USA. FAU - Schwartz, Stanley A AU - Schwartz SA AD - Department of Medicine, Division of Allergy/Immunology and Rheumatology, University at Buffalo, Buffalo, NY, USA. FAU - Trump, Donald L AU - Trump DL AD - Department of Medicine, Roswell Park Cancer Institute, University at Buffalo, Buffalo, NY, USA. FAU - Underwood, Willie AU - Underwood W AD - Department of Urologic Oncology, Roswell Park Cancer Institute, University at Buffalo, Buffalo, NY, USA. LA - eng GR - P30 CA016056/CA/NCI NIH HHS/United States GR - U10 CA031946/CA/NCI NIH HHS/United States GR - U10 CA033601/CA/NCI NIH HHS/United States GR - U24 CA114725/CA/NCI NIH HHS/United States GR - R21 CA113950/CA/NCI NIH HHS/United States PT - Journal Article PL - Turkey TA - Clin Cancer Investig J JT - Clinical cancer investigation journal JID - 101586887 PMC - PMC4292911 MID - NIHMS598305 OTO - NOTNLM OT - Castration resistant prostate cancer OT - interleukin-8 OT - prostate cancer OT - prostate specific antigen OT - serum biomarker OT - tumor necrosis factor-alpha COIS- Conflict of Interest: None declared. EDAT- 2015/01/17 06:00 MHDA- 2015/01/17 06:01 PMCR- 2015/01/13 CRDT- 2015/01/17 06:00 PHST- 2015/01/17 06:00 [entrez] PHST- 2015/01/17 06:00 [pubmed] PHST- 2015/01/17 06:01 [medline] PHST- 2015/01/13 00:00 [pmc-release] AID - 10.4103/2278-0513.125802 [doi] PST - ppublish SO - Clin Cancer Investig J. 2014;3(1):72-79. doi: 10.4103/2278-0513.125802.