PMID- 33248415 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210110 IS - 1936-5233 (Print) IS - 1936-5233 (Electronic) IS - 1936-5233 (Linking) VI - 14 IP - 1 DP - 2021 Jan TI - Prostatic aspirated cellular RNA analysis enables fast diagnosis and staging of prostate cancer. PG - 100963 LID - S1936-5233(20)30455-1 [pii] LID - 10.1016/j.tranon.2020.100963 [doi] LID - 100963 AB - OBJECTIVE: The aim of this study is to investigate the potential application of prostatic aspirated cellular RNA analysis technique for fast diagnosing and staging prostate cancer. METHODS: Prostatic aspirated cells were obtained immediately after transrectal ultrasound (TRUS)-guided needle biopsy. Cellular RNA such as glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA, prostate specific antigen (PSA) mRNA and prostate-specific RNA (PCA3) mRNA were analyzed by using Reverse Transcription-Polymerase Chain Reaction (RT-PCR). PCA3 score was calculated as the ratio of PCA3 mRNA to PSA mRNA expression. Diagnostic performance of the fast-aspirated cellular RNA analysis technique for determining prostate cancer and metastatic status were evaluated by developing receiver operating characteristic curves (ROC), and the correlation between aspirated cellular RNA mRNA expressions and risk grouping was calculated, to investigate the underlying potential for PCa staging. RESULTS: PCA3 score was significantly higher in prostatic aspirated cells obtained from cancerous tissues than noncancerous tissues. The median aspirated cellular PCA3 score was higher in patients with PCa compared to BPH, and presenting an area under the ROC curve (AUC) of 0.87 (95%CI: 0.79-0.94) for PCa diagnosis. Multivariate regression analysis revealed that baseline median aspirated cellular PCA3 score (OR=9.316, 95%CI: 1.045-83.033, P<0.05) was an independent predictive factor for metastatic status in PCa patients. CONCLUSION: The ease of use and minimal complexity of fast prostatic aspirated cellular RNA analysis may be a valuable diagnostic technique, providing urgent diagnostic information for accurate PCa diagnosing and staging. CI - Copyright (c) 2020. Published by Elsevier Inc. FAU - Sang, Yiwen AU - Sang Y AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Wang, Xuchu AU - Wang X AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Yu, Pan AU - Yu P AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Zhang, Luyan AU - Zhang L AD - Department of Laboratory Medicine, Ningbo Mingzhou Hospital, Ningbo, China. FAU - Dai, Yibei AU - Dai Y AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Zhang, Lingyu AU - Zhang L AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Wang, Danhua AU - Wang D AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Liu, Zhenping AU - Liu Z AD - Department of Laboratory Medicine, Yuhang Branch of the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Wang, Yao AU - Wang Y AD - Department of Ultrasound, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. FAU - Tao, Zhihua AU - Tao Z AD - Department of Laboratory Medicine, the Second Affiliated Hospital of Zhejiang University, Hangzhou, China. Electronic address: zrtzh@zju.edu.cn. LA - eng PT - Journal Article DEP - 20201125 PL - United States TA - Transl Oncol JT - Translational oncology JID - 101472619 PMC - PMC7704456 OTO - NOTNLM OT - Prostate cancer;Aspirated cellular RNA analysis;Cancer diagnosis COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/11/29 06:00 MHDA- 2020/11/29 06:01 PMCR- 2020/11/25 CRDT- 2020/11/28 20:10 PHST- 2020/09/08 00:00 [received] PHST- 2020/11/15 00:00 [revised] PHST- 2020/11/16 00:00 [accepted] PHST- 2020/11/29 06:00 [pubmed] PHST- 2020/11/29 06:01 [medline] PHST- 2020/11/28 20:10 [entrez] PHST- 2020/11/25 00:00 [pmc-release] AID - S1936-5233(20)30455-1 [pii] AID - 100963 [pii] AID - 10.1016/j.tranon.2020.100963 [doi] PST - ppublish SO - Transl Oncol. 2021 Jan;14(1):100963. doi: 10.1016/j.tranon.2020.100963. Epub 2020 Nov 25.