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Query: UMLS:C0376358 (
prostate cancer
)
59,338
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
In vitro 1H
NMR
spectra were acquired for perchloric acid extracts of tissue samples of human prostate. Seven patients were diagnosed with
prostate cancer
, 13 with benign prostatic hypertrophy, and 3 with both conditions. Statistically significant differences between the cancer and benign groups were seen for the metabolite peak area ratios of citrate, creatine, and phosphorylcholine to alanine, and citrate to glutamate. There was no correlation of Gleason grade with any of the ratios measured for the cancer samples. Spectra from different sections of large tumors often yielded substantially different area ratios, confirming the heterogeneous nature of these prostate tumors.
...
PMID:Differentiation of human prostate cancer from benign hypertrophy by in vitro 1H NMR. 137 2
A case of paraplegia occurring after a spinal anaesthetic is reported. The 79-year-old man was admitted for a fractured neck of femur. Twenty years previously, he had had pharyngeal surgery and a tracheostomy. He had also undergone a prostatectomy for
prostate cancer
, and had been on oestrogen therapy for two years. He complained of dyspnoea at rest and his chest film showed diffuse pulmonary opacities. In order to avoid possible intubation and respiratory complications, spinal anaesthesia was performed without any problems in the L4 space. After the surgery, the patient recovered all his motor and sensory functions in the lower limbs. On the second postoperative day, he suffered from a motor paralysis of the right leg, which spread to the left leg on the fourth day.
NMR
imaging showed several vertebral metastases, together with anterior and lateral epidural invasion responsible for cord compression. Treatment with tetracosactide was begun, but the patient died six weeks later in his home, not having recovered any neurological function at all in his lower limbs. In fact, it was only after the procedure that the anaesthetist was informed that, at the time the
prostate cancer
had been diagnosed, vertebral body metastases, of which the patient had not been informed, were already present. The part played by the spinal anaesthetic in the occurrence of the paraplegia is not clear. It is reminded that such a technique should be used with extreme care in patients having a neoplasm with a very often high incidence of vertebral metastases.
...
PMID:[Paraplegia after spinal anesthesia]. 150 98
Previous biochemical and 13C
NMR
spectroscopic data have suggested that the metabolism of citrate, a secretory product of normal prostate, may be interrupted in
prostate cancer
. In the present study in vitro 1H
NMR
spectroscopy was used to see if cell strains derived from prostate cancers could be reliably distinguished from those of normal prostate epithelium. High-resolution one-dimensional and two-dimensional J-resolved 1H
NMR
spectra as well as gas chromatography coupled with mass spectroscopy were used to study extracts of highly defined cell strains from normal peripheral zone, normal central zone, adenocarcinoma, and benign prostatic hyperplasia. Resonances assigned to citric acid and related metabolites were identified. Cell strains derived from prostate cancers tended to have smaller amounts of citrate than those from normal prostate epithelium. However, the differences were small and not statistically significant. The lack of statistically significant differences may reflect the variability present in both normal and abnormal cell strains and thus underscore the well-known difficulty in differentiating normal and cancerous tissues.
...
PMID:In vitro proton spectroscopy of normal and abnormal prostate. 171 5
From January 1978 to June 1990, 120
prostate cancer
patients were submitted to radical retropubic prostatectomy. Local pathological staging evidenced 70 patients (58%) in stage B of disease (intraprostatic disease) and 50 patients (42%) in stage C of disease (extraprostatic disease). Sensitivity of rectal examination, transrectal ultrasonography, CT or
NMR
for stage B was 61%, 75%, 54% respectively and for stage C 61%, 70%, 50%. This study underscores the effectiveness of transrectal ultrasonography in the diagnosis of
prostate cancer
non evidenced at rectal examination. CT and
NMR
are not valuable for local staging and are now used only in patients at risk for extraprostatic or systemic disease.
...
PMID:[Comparison of rectal examination, transrectal echography, CAT and MRI in the local staging of prostatic carcinoma]. 183 54
31P
NMR
spectroscopy, 1H magnetic resonance (MR) imaging, and 23Na MR imaging were used to study the biochemical difference between nine hormone-sensitive and six hormone-resistant rat prostate cancers and to follow bioenergetic and morphologic changes subsequent to androgen deprivation in the hormone-sensitive model. Neither 1H nor 23Na MR image characteristics were useful in distinguishing androgen-sensitive from androgen-resistant
prostate cancer
nor in identifying androgen deprivation. 31P
NMR
spectroscopy did detect bioenergetic differences between the hormone-sensitive and hormone-resistant tumors. Baseline spectra showed a significantly higher PCr/ATP ratio (mean 0.86 +/- 0.09 SEM) for hormone-sensitive tumors than for hormone-resistant tumors (mean 0.26 +/- 0.07 SEM). By 3 days after androgen deprivation (orchiectomy (castration], PCr/ATP ratios had decreased noticeably; by 1 week, the decrease was statistically significant and remained so for the rest of the study (3 weeks). It appears that 31P
NMR
spectroscopy is useful in detecting androgen sensitivity of prostatic carcinoma.
...
PMID:Androgen sensitivity of rat prostate carcinoma studied by 31P NMR spectroscopy, 1H MR imaging, and 23Na MR imaging. 277 8
Despite the widely accepted use of prostate specific antigen (PSA) as a marker of
prostate cancer
, this molecule has not yet been completely characterized. Past studies have well established, however, using both amino acid and cDNA sequencing techniques, that PSA contains 237 amino acids, with a molecular mass of 26,079 Da for the peptide moiety of the molecule. The present study reports analysis of this protein by ion spray mass spectrometry (ISMS) and analysis of its carbohydrate moiety by
NMR
spectroscopy. The predominant PSA molecular species detected by ISMS was at relative molecular mass (M(r)) of 28,430, indicating that PSA contains a carbohydrate residue of M(r) 2,351, for a total percentage of carbohydrate of 8.3%. Analysis of PSA by SDS-PAGE, however, showed a M(r) of 32,000 to 33,000, suggesting an overestimation of the molecular weight by the latter technique. The complete primary structure of the PSA carbohydrate chain was determined by
NMR
spectroscopy in combination with carbohydrate composition analysis. The experimentally determined carbohydrate content of PSA confirms that only one N-glycosylation site is occupied in the protein. The proposed carbohydrate structure is a diantennary N-linked oligosaccharide of the N-acetyllactosamine type, with a sialic acid group at the end of each of the two branches. In addition, our data indicate that approximately 70% of the PSA molecules contain a fucose group in the core chitobiose moiety. The calculated molecular weight of this carbohydrate structure (M(r) 2,351.8) is in excellent agreement with the predicted molecular weight of the carbohydrate group, based on the M(r) 28,430 for PSA measured by ion spray mass spectrometry and M(r) 26,079 calculated from the consensus sequence for the peptide portion of the molecule. ISMS of PSA is thus proposed as a convenient and reliable method of quality control, an indispensible step towards international standardization of this very important tumor marker for detection and monitoring of prostatic diseases, especially
prostate cancer
.
...
PMID:Molecular mass and carbohydrate structure of prostate specific antigen: studies for establishment of an international PSA standard. 747 85
Cyproterone acetate (CPA) is a synthetic steroid hormone used in the therapy of
prostate cancer
in men and different forms of acne and hirsutism in women. CPA has been shown by 32P-postlabeling analysis to bind covalently to hepatic DNA of rats in vivo and in vitro. A prerequisite for DNA adduct formation of CPA is metabolic activation of the drug to a reactive intermediate. In the present study bile was collected from [3H]CPA-treated female rats and, following chromatographic separation of bile extracts, fractions of the eluate were examined for the presence of reactive metabolites which were able to form adducts with calf thymus DNA in vitro. The formation of adducts was detected by 32P-postlabeling analysis. One major metabolite of CPA present in the bile extracts was isolated and, following a thorough structural elucidation by mass spectrometry and 1H-
NMR
, this metabolite was identified as 3 alpha-hydroxy-cyproterone acetate (3 alpha-OH-CPA). This metabolite was able to form the same major adduct in vitro which has been observed before in CPA-treated rats in vivo and in rat hepatocytes in vitro. A number of already known or putative metabolites of CPA were available as authentic standards and these were also examined for their propensity to form adducts in vitro. A positive result was obtained for 3-O-acetyl-cyproterone acetate, which formed the same major adduct as 3 alpha-OH-CPA. However, the presence of this putative metabolite in rat bile could not be demonstrated. Besides 3 alpha-OH-CPA, additional reactive metabolites of CPA were present in the bile extracts, however, since these were only minor components, their chemical structures could not be elucidated.
...
PMID:Identification of 3 alpha-hydroxy-cyproterone acetate as a metabolite of cyproterone acetate in the bile of female rats and the potential of this and other already known or putative metabolites to form DNA adducts in vitro. 763 11
The objectives of this study were to quantitatively verify the low levels of citrate previously observed in primary human prostatic adenocarcinomas and to determine whether citrate was further reduced in metastatic
prostatic cancer
. This was accomplished by comparison of citrate concentrations of DU 145 xenografts (a poorly differentiated human prostatic adenocarcinoma cell line grown in nude mice) with concentrations in primary human adenocarcinomas. Following in vivo 1H
NMR
studies of DU 145 xenografts, citrate concentrations of DU 145 xenografts and surgically removed primary prostatic adenocarcinoma tissue were determined by quantitative high resolution 1H
NMR
and enzymatic assay. The most significant findings of this study were that citrate concentrations in primary human adenocarcinomas (3.74 +/- 0.19 mumol/g wet weight) were significantly lower than those observed for normal and benign hyperplastic (BPH) prostatic tissues. Furthermore there was a further ten-fold reduction of citrate associated with DU 145 xenografts (0.31 +/- 0.028 mumole/g wet weight) compared with primary
prostatic cancer
. DU 145 xenografts also exhibited higher levels of uridine diphosphosugars and choline containing metabolites relative to primary prostatic adenocarcinomas. These findings support the hypothesis that citrate is low in primary
prostatic cancer
and further reduced in metastatic disease.
...
PMID:Citrate alterations in primary and metastatic human prostatic adenocarcinomas: 1H magnetic resonance spectroscopy and biochemical study. 842 78
Prostatic cancer
rates second among cancers occurring in males over fifty and occupies the third place among malignancies causing death. Early detection of this disease remains problematic. The authors analyze diagnostic value of
NMR
tomography in prostatic tumors. On
NMR
-tomograms
prostatic cancer
appears as a hypointensive focus in the peripheral prostatic zone characterized by defective intensity of the signals > 10 mm located in the craniodorsal part of the prostate. Other image characteristics are also described.
NMR
tomography is able of detecting metastatic involvement in the regional lymph collectors, bone destruction in the lumbosacral spine, pelvic bones. Differential diagnosis with other prostatic conditions is detailed. The results are confirmed morphologically and at target biopsies. The authors recommend to use
NMR
tomography in clinical manifestations of the tumor and negative histological findings.
...
PMID:[Nuclear magnetic resonance tomography in the diagnosis of prostatic cancer]. 892 49
Diagnostic examination of 134 patients with recognized or suspected prostatic lesion comprised: urodynamic tests, excretory urography (EU), transrectal ultrasonography (TU), CT and
NMR
tomography. EU, TU, CT and
NMR
were employed in 54 (40%), 123 (92%), 32 (24%) and 114 (85%) patients, respectively. Benign prostatic hyperplasia (BPH) stage I and II was diagnosed in 40 (71%) and 16 (28%) examinees, respectively.
Prostatic cancer
was revealed in 22 (16%) examinees. T2, T3, T4 were staged in 10, 5 and 7 patients, respectively. 32 (24%) patients had chronic prostatitis which was also diagnosed in 12 (21%) BPH patients. It is stated that
NMR
tomography is not inferior to TU in detecting prostatic lesions having the advantages of ultrasonography and CT.
NMR
tomography is moderately specific (46%) for
prostatic cancer
, highly sensitive in identification of BPH and
prostatic cancer
(83 and 89%, respectively). Of special importance is the capacity of
NMR
-tomography to visualize involvement of the adjacent organs and regional metastases. This facilitates the disease staging, choice of individual therapeutic policy and subsequent dynamic control.
...
PMID:[The use of low-field magnetic resonance tomography in the combined radiodiagnosis of prostatic diseases]. 905 3
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