PMID- 32499542 OWN - NLM STAT- MEDLINE DCOM- 20210119 LR - 20210604 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 10 IP - 1 DP - 2020 Jun 4 TI - Thiol Groups as a Biomarker for the Diagnosis and Prognosis of Prostate Cancer. PG - 9093 LID - 10.1038/s41598-020-65918-w [doi] LID - 9093 AB - Oxidative stress (OS) is associated with the onset of prostate cancer (PCa). The aims of this study are to examine whether OS biomarkers may be employed as external validating criteria for the diagnosis PCa. This case-control study recruited 204 subjects, 73 patients with PCa, 67 patients with benign prostate hyperplasia (BPH), and 64 healthy controls (HC) and assayed plasma prostate-specific antigen (PSA), protein thiol (-SH) groups, lipid hydroperoxides, carbonyl proteins (PCB), advanced oxidation protein products (AOPP), and total radical-trapping antioxidant parameter (TRAP). -SH groups were significantly and inversely associated with PSA levels. PCa was characterized by lowered -SH groups and red blood cell TRAP levels, and higher PSA, AOPP and PCB levels as compared with BPH and HC. Support vector machine with 10-fold cross-validation showed that PSA values together with -SH groups, PCB and AOPP yielded a cross-validation accuracy of 96.34% for the differentiation of PCa from BPH and HC. The area under the ROC curve using PSA and -SH differentiating PCa from BPH and controls was 0.945. Moreover, lowered -SH, but not PSA, are associated with PCa metastasis and progression. Inflammatory biomarkers were not associated with PCa or BPH. PCa, its progression and metastatic PCa are characterized by lowered antioxidant defenses, especially lowered thiol groups, and increased oxidative stress toxicity, suggesting that these processes play a key role in the pathophysiology of PCa. An algorithm based on -SH and PSA values may be used to differentiate patients with PCa from those with BPH and controls. FAU - Koike, Alexsandro AU - Koike A AD - Cancer Institute of Londrina, Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. FAU - Robles, Brunna Emanuella Franca AU - Robles BEF AD - Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. FAU - da Silva Bonacini, Ana Gabriela AU - da Silva Bonacini AG AD - Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. FAU - de Alcantara, Camila Cataldi AU - de Alcantara CC AUID- ORCID: 0000-0002-9181-3925 AD - Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. FAU - Reiche, Edna Maria Vissoci AU - Reiche EMV AD - Department of Pathology, Clinical Analysis and Toxicology, Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. FAU - Dichi, Isaias AU - Dichi I AD - Department of Internal Medicine, University of Londrina, Londrina, Parana, Brazil. FAU - Maes, Michael AU - Maes M AD - IMPACT Strategic Research Centre, School of Medicine, Deakin University, Geelong, Victoria, Australia. FAU - Cecchini, Rubens AU - Cecchini R AD - Department of Pathology Sciences, University of Londrina, Londrina, Parana, Brazil. FAU - Simao, Andrea Name Colado AU - Simao ANC AD - Department of Pathology, Clinical Analysis and Toxicology, Laboratory of Research in Applied Immunology, University of Londrina, Londrina, Parana, Brazil. deianame@yahoo.com.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200604 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Biomarkers, Tumor) RN - 0 (Sulfhydryl Compounds) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/*blood MH - Case-Control Studies MH - Diagnosis, Differential MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oxidative Stress MH - Prognosis MH - Prostate-Specific Antigen/blood MH - Prostatic Hyperplasia/diagnosis MH - Prostatic Neoplasms/*diagnosis/etiology MH - Sulfhydryl Compounds/*blood PMC - PMC7272452 COIS- The authors declare no competing interests. EDAT- 2020/06/06 06:00 MHDA- 2021/01/20 06:00 PMCR- 2020/06/04 CRDT- 2020/06/06 06:00 PHST- 2019/07/05 00:00 [received] PHST- 2020/04/20 00:00 [accepted] PHST- 2020/06/06 06:00 [entrez] PHST- 2020/06/06 06:00 [pubmed] PHST- 2021/01/20 06:00 [medline] PHST- 2020/06/04 00:00 [pmc-release] AID - 10.1038/s41598-020-65918-w [pii] AID - 65918 [pii] AID - 10.1038/s41598-020-65918-w [doi] PST - epublish SO - Sci Rep. 2020 Jun 4;10(1):9093. doi: 10.1038/s41598-020-65918-w.