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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002954naa a2200337 4500
001oai:DiVA.org:uu-124442
003SwePub
008100504s2009 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1244422 URI
024a https://doi.org/10.1373/clinchem.2009.1277792 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Zhu, Lei4 aut
2451 0a Proximity ligation measurement of the complex between prostate specific antigen and alpha1-protease inhibitor
264 c 2009-09-01
264 1b Oxford University Press (OUP),c 2009
338 a print2 rdacarrier
520 a BACKGROUND: Prostate specific antigen (PSA)-alpha1-protease inhibitor complex (PSA-API) is a minor form of PSA in serum. It may be useful for prostate cancer (PCa) diagnosis, but its specific detection is hampered by nonspecific background. To avoid this, we developed an immunoassay for PSA-API based on proximity ligation. METHODS: We used a monoclonal antibody (mAb) to total PSA (tPSA) to capture PSA, while using another anti-tPSA mAb together with an anti-API mAb as probes. We measured PSA-API by quantification of amplified DNA strands conjugated to the probes. We measured serum PSA-API in 84 controls and 55 men with PCa who had PSA concentrations of 4.0-10 microg/L. RESULTS: The detection limit of the assay was 6.6 ng/L. The proportion of PSA-API to tPSA (%PSA-API) tended to be lower in men with PCa (2.8%) than without cancer (3.3%) but was not statistically significant (P = 0.363). When used alone, %PSA-API [area under the curve (AUC) 0.546] did not improve detection of PCa, whereas %fPSA (AUC 0.710) and the sum of %fPSA and %PSA-API (AUC 0.723) did. At 90% diagnostic sensitivity, the diagnostic specificity for cancer was not significantly better for %f PSA + %PSA-API than for %fPSA alone (36% vs 30%). CONCLUSIONS: Proximity ligation eliminated nonspecific background, enabling accurate measurement of PSA-API in serum specimens with moderately increased tPSA. The combined use of %PSA-API and %fPSA provided a modest improvement for PCa detection, but based on the current study cohort, it is uncertain whether the improvement has clinical utility.
653 a MEDICINE
653 a MEDICIN
700a Koistinen, Hannu4 aut
700a Landegren, Ulfu Uppsala universitet,Institutionen för genetik och patologi4 aut0 (Swepub:uu)ulfland
700a Stenman, Ulf-Håkan4 aut
710a Uppsala universitetb Institutionen för genetik och patologi4 org
773t Clinical Chemistryd : Oxford University Press (OUP)g 55:9, s. 1665-1671q 55:9<1665-1671x 0009-9147x 1530-8561
856u http://clinchem.aaccjnls.org/content/55/9/1665.full.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-124442
8564 8u https://doi.org/10.1373/clinchem.2009.127779

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