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The ABCA5 protein: a urine diagnostic marker for prostatic intraepithelial neoplasia
Journal article   Open access   Peer reviewed

The ABCA5 protein: a urine diagnostic marker for prostatic intraepithelial neoplasia

Youji Hu, Min Wang, Karen Veverka, Fernando U Garcia and Mark E Stearns
Clinical cancer research, v 13(3), pp 929-938
01 Feb 2007
PMID: 17289887
url
https://doi.org/10.1158/1078-0432.ccr-06-1718View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open
url
https://doi.org/10.1158/1078-0432.CCR-06-1718View
Published, Version of Record (VoR) Open

Abstract

PURPOSETo develop a urine diagnostic test for preneoplastic intraepithelial neoplasia of the prostate.EXPERIMENTAL DESIGNWe have used a DNA-binding assay and electrophoretic mobility shift assays (EMSA) to screen for novel duplexed DNA-binding sequences, which bind protein(s) overexpressed in crude protein extracts from high-grade prostatic intraepithelial neoplasia (HGPIN). EMSAs, immunohistochemistry, and ELISAs were used to measure expression of the ABCA5 protein identified as a specific marker in prostate tissue and patient urine.RESULTSFollowing screening of 4,096 sequences, an 8-bp dsDNA sequence (i.e., TCCAGCGA) was identified, which binds the ABCA5 protein, a member of the ATP-binding cassette multidrug resistant family. EMSAs showed that ABCA5 was overexpressed in HGPIN tissue (n=11/11) and in the urine of patients with HGPIN (n=18/18) but was not expressed in prostate cancer, benign prostatic hyperplasia, or stroma. Immunohistochemistry indicated that ABCA5 was overexpressed in foci of intermediate basal cells in normal glands and in HGPIN. ABCA5 was faintly expressed in prostate cancer glands. ELISAs showed in 'blinded studies' that ABCA5 was a highly sensitive (>98% sensitivity) urine diagnostic marker for HGPIN in biopsy-positive patients (n=107) at a 'cutoff' of 25 ng/mL. ABCA5 was present at very low levels (i.e., <25 ng/mL) in the urine of patients diagnosed with benign prostatic hyperplasia (n=79) or prostatitis or kidney and bladder cancer (>86% specificity).CONCLUSIONSThe data indicate that ABCA5 might be a specific urine marker for diagnosis of patients with HGPIN.

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Collaboration types
Industry collaboration
Domestic collaboration
Web of Science research areas
Oncology
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