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Query: UMLS:C0376358 (
prostate cancer
)
59,338
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
We report the development of a new sensitive nested reverse transcription-polymerase chain reaction (RT-PCR) assay, using primers derived from the
prostate-specific membrane antigen
(
PSM
) cDNA sequence, to detect an hematogenous spread of prostate adenocarcinoma cells. In 60 patients with a biopsy-proven
prostate cancer
,
PSM
and PSA RT-PCR detected circulating prostate cells in 40 and 20 patients, respectively. In pT4 M+ and pT3 M+ disease patients, nested
PSM
primers detected cells in 28 of 33 patients (85%), whereas nested PSA primers detected cells in 17 of 33 (51%). In patients with organ-confined cancer spread (pT2a and pT2b patients) before radical prostatectomy, nested
PSM
RT-PCR detected circulating prostatic epithelial cells in 6 of 17 patients (35%), which suggests that an hematogenous spread of prostate cells may occur early in
prostate cancer
history. Altogether, these results suggest that the detection of
PSM
-expressing cells in blood may predict the development of cancer in patients without clinically apparent
prostate cancer
. Nevertheless, the potential application and the clinical significance of detection of hematogenous prostate cells through the use of nested
PSM
primers need an extensive longitudinal study.
...
PMID:Enhanced detection of hematogenous circulating prostatic cells in patients with prostate adenocarcinoma by using nested reverse transcription polymerase chain reaction assay based on prostate-specific membrane antigen. 749 5
We have recently cloned a 2.65-kilobase complementary DNA (cDNA) encoding the
prostate-specific membrane antigen
(
PSM
) recognized by the 7E11-C5.3 anti-prostate monoclonal antibody. Immunohistochemical analysis of the LNCaP, DU-145, and PC-3
prostate cancer
cell lines for
PSM
expression using the 7E11-C5.3 antibody reveals intense staining in the LNCaP cells with no detectable expression in both the DU-145 and PC-3 cells. Coupled in vitro transcription/translation of the 2.65-kilobase full-length
PSM
cDNA yields an M(r) 84,000 protein corresponding to the predicted polypeptide molecular weight of
PSM
. Posttranslational modification of this protein with pancreatic canine microsomes yields the expected M(r) 100,000 PSM antigen. Following transfection of PC-3 cells with the full-length
PSM
cDNA in a eukaryotic expression vector, we detect expression of the
PSM
glycoprotein by Western analysis using the 7E11-C5.3 monoclonal antibody. Ribonuclease protection analysis demonstrates that the expression of
PSM
mRNA is almost entirely prostate specific in human tissues.
PSM
expression appears to be highest in hormone-deprived states and is hormonally modulated by steroids, with 5-alpha-dihydrotestosterone down-regulating
PSM
expression in the human
prostate cancer
cell line LNCaP by 8-10-fold, testosterone down-regulating
PSM
by 3-4-fold, and corticosteroids showing no significant effect. Normal and malignant prostatic tissues consistently show high
PSM
expression, whereas we have noted heterogeneous, and at times absent, expression of
PSM
in benign prostatic hyperplasia. LNCaP tumors implanted and grown both orthotopically and s.c. in nude mice abundantly express
PSM
, providing an excellent in vivo model system to study the regulation and modulation of
PSM
expression.
...
PMID:Expression of the prostate-specific membrane antigen. 751 Oct 53
A highly sensitive nested reverse transcriptase-PCR assay, with primers derived from the prostate-specific antigen (PSA) and
prostate-specific membrane antigen
(
PSM
) cDNA sequences, has been used to detect occult hematogenous micrometastatic prostate cells. In 77 patients with
prostate cancer
,
PSM
and PSA primers detected circulating prostate cells in 48 (62.3%) and 7 (9.1%) patients, respectively. In treated stage D disease patients,
PSM
primers detected cells in 16 of 24 patients (66.7%), while PSA primers detected cells in 6 of 24 (25%). In post-radical prostectomy patients with negative serum PSA values,
PSM
primers detected metastases in 21 of 31 patients (67.7%), whereas PSA primers detected cells in only 1 of 33 (3.0%), indicating that micrometastatic spread may be a relatively early event in
prostate cancer
. The analysis of 40 individuals without known
prostate cancer
provides evidence that this assay is highly specific and suggests that
PSM
expression may predict the development of cancer in patients without clinically apparent
prostate cancer
. Using
PSM
primers, we detected micrometastases in 4 of 40 controls, 2 of whom had known benign prostatic hyperplasia and were later found to have previously undetected
prostate cancer
. The clinical significance of detection of hematogenous micrometastic prostate cells using
PSM
primers and potential applications of this molecular assay, as well as the assay for PSA, merit further study.
...
PMID:Sensitive nested reverse transcription polymerase chain reaction detection of circulating prostatic tumor cells: comparison of prostate-specific membrane antigen and prostate-specific antigen-based assays. 752 94
Prostate-specific membrane antigen
(
PSM
) is a glycoprotein recognised by the prostate-specific monoclonal antibody 7E11-C5, which was raised against the human prostatic carcinoma cell line LNCaP. A cDNA clone for
PSM
has been described.
PSM
is of clinical importance for a number of reasons. Radiolabelled antibody is being evaluated both as an imaging agent and as an immunotherapeutic in
prostate cancer
. Use of the
PSM
promoter has been advocated for gene therapy applications to drive prostate-specific gene expression. Although
PSM
is expressed in normal prostate as well as in primary and secondary prostatic carcinoma, different splice variants in malignant tissue afford the prospect of developing reverse transcription-polymerase chain reaction (RT-PCR)-based diagnostic screens for the presence of prostatic carcinoma cells in the circulation. We have undertaken characterisation of the gene for
PSM
in view of the protein's interesting characteristics. Unexpectedly, we have found that there are other sequences apparently related to
PSM
in the human genome and that
PSM
genomic clones map to two separate and distinct loci on human chromosome 11. Investigation of the function of putative
PSM
-related genes will be necessary to enable us to define fully the role of
PSM
itself in the development of prostatic carcinoma and in the clinical management of this malignancy.
...
PMID:Prostate-specific membrane antigen: evidence for the existence of a second related human gene. 766 65
We examined expression of
prostate-specific membrane antigen
(
PSM
) mRNA in normal prostate using reverse transcription-PCR and sequencing. An alternatively spliced variant,
PSM
', along with the previously described
PSM
form, was found in normal prostate.
PSM
' cDNA is shorter (2387 nucleotides) than
PSM
(2653 nucleotides). The cDNAs are identical except for a 266-nucleotide region near the 5' end of
PSM
cDNA (nucleotide 114-380) that is absent from
PSM
'. This deleted region includes the translation initiation codon and codons for the putative transmembrane domain of
PSM
. Thus,
PSM
' RNA codes for a protein that has no apparent signal sequence. We verified the existence of spliced mRNA variants in human primary tissue specimens by RNase protection assay. In LNCaP human
prostatic cancer
cells and in primary prostate tumors,
PSM
is the dominant form. In contrast, normal human prostate expressed more
PSM
' than
PSM
. Benign prostatic hypertrophy samples showed about equal expression of both variants. We quantified the relative expression of each variant by densitometry and compiled a tumor index, which is the ratio of
PSM
:
PSM
' level. LNCaP has an index ranging from 9-11, carcinoma of the prostate from 3-6, benign prostatic hypertrophy from 0.75-1.6, and normal prostate from 0.075-0.45. The index reflects the increased expression of
PSM
over
PSM
' following the progression from normal to tumor state. This tumor index may be a useful indicator for the measurement of tumor progression.
PSM
and
PSM
' may be functionally different proteins as a result of differences in structure or cellular location. We are investigating the prevalence of one form over the other and how it may influence tumor progression.
...
PMID:Alternatively spliced variants of prostate-specific membrane antigen RNA: ratio of expression as a potential measurement of progression. 788 49
There is a need for the development of new diagnostic tools for the early detection of
prostate cancer
. A candidate molecule for a new screening test is a
prostate-specific membrane antigen
(
PSM
) recognized by the monoclonal antibody 7E11.C5. We carried out studies aimed at identifying
PSM
in the serum of normal and benign prostatic hyperplasia (BPH) donors and patients with adenocarcinoma of the prostate, in order to judge whether the development of a serum assay using this marker was feasible. By Western blotting, we found significant levels of
PSM
in serum samples from
prostatic cancer
patients, in the seminal fluid of pooled normal donors, in BPH patients, and in normal male sera. Similar to prostate-specific antigen (PSA),
PSM
was present in seminal plasma in higher concentrations than in serum, and
PSM
levels in
prostatic cancer
patients were significantly higher than in normal controls. These data suggest that the development of an assay utilizing the
PSM
and new monoclonal antibodies directed against the antigen, could provide a feasible test for prostatic cancers.
...
PMID:Western blot assay for prostate-specific membrane antigen in serum of prostate cancer patients. 808 37
Dendritic cells (DCs) are "professional" antigen-presenting cells capable of stimulating T-cell proliferation and cytotoxicity when loaded with and presenting specific antigens, including tumor antigens. We demonstrated the stimulation of an autologous cytotoxic T-cell response elicited by DC loaded with autologous tumor cell lysate derived from primary prostate tumor. A candidate tumor antigen is
prostate-specific membrane antigen
(
PSMA
), which is overexpressed in
prostate cancer
patients. We identified a HLA-A2 motif in
PSMA
, isolated patient DC, loaded peptide into DC, and stimulated autologous T cells to proliferate. The ability to use DC for presentation of either tumor or peptide antigen in an HLA-restricted fashion in order to stimulate T-cell proliferation and cytotoxicity demonstrates the potential of this technology for development of a
prostate cancer
vaccine.
...
PMID:Presentation of prostate tumor antigens by dendritic cells stimulates T-cell proliferation and cytotoxicity. 854 83
Work to date has identified
prostate-specific membrane antigen
(
PSMA
) as a membrane-bound glycoprotein with high specificity for prostatic epithelial cells.
PSMA
reacts with the monoclonal antibody 7E11.C5, which is present in serum, seminal fluid, and prostatic epithelial cells, and is increased in its expression in the presence of a hormone refractory state associated with
prostatic cancer
. This report confirms these results and further documents the presence of the monoclonal antibody 3F5.4G6, which reacts with the extracellular domain of
PSMA
. This region of
PSMA
is also an element present in a truncated version of the protein, so-called PSM'. Immune precipitation with either 7E11.C5 or 3F5.4G6 yields an isolated protein species that are reactive with the reciprocal antibody in Western blot analysis. Thus, 3F5.4G6 recognizes the same
PSMA
protein as does 7E11.C5, but at different epitopes on essentially opposite ends of the molecule. These two antibodies are well suited for use in a sandwich immunoassay, either one as a capture or detection antibody. Current work on this is underway. This report also confirms that 7E11.C5 Western blots for
PSMA
are negative with normal human brain tissue. The monoclonal antibody 9H10 does not react with 3F5.4G6 or with 7E11.C5 in studies conducted herein. Moreover, 3F5.4G6 reacts with
PSMA
found in the LNCaP cell line, but not DU-145 or PC3, which lack
PSMA
.
...
PMID:Measurement of prostate-specific membrane antigen in the serum with a new antibody. 860 2
Recently, the cDNA encoding a novel candidate for
prostate cancer
-specific antigen, named
prostate-specific membrane antigen
(
PSM
), was cloned from the LNCaP
prostate cancer
cell line (R. S. Israeli, C. T. Powell, W. R. Fair, and W. D. W. Heston, Cancer Res., 53: 227-230,1993). More recently, they also identified an alternatively spliced variant of
PSM
in normal prostate tissues (S. L. Su, I-P. Huang, W. R. Fair, C. T. Powell, and W. D. W. Heston, Cancer Res., 55: 1441-1443, 1995). The cDNA of this variant, named
PSM
', lacks 266 nucleotides present in
PSM
cDNA, so the transcripts derived from this particular nucleotide sequence can be regarded as
PSM
-specific transcripts. In this study, we investigated the expression of
PSM
-specific transcripts in 15 specimens of
prostate cancer
obtained by needle biopsy using in situ hybridization with a newly developed RNA probe.
PSM
-specific transcripts were detected in most of the carcinoma cells in all of the specimens examined, and the level of expression was higher in carcinoma cells from hormone-refractory patients than in the cells of those who showed a good response to hormonal therapy. In addition, increased expression of
PSM
-specific transcripts was also associated with an increased Gleason score. In the normal prostate, on the other hand,
PSM
-specific transcripts were limited to the basal cells of the prostate glands. These results clearly show that expression of
PSM
-specific transcripts is closely associated with malignant transformation of the prostate; thus, in situ hybridization for detection of the transcripts is useful for the diagnosis of
prostate cancer
.
...
PMID:Enhanced expression of prostate-specific membrane antigen gene in prostate cancer as revealed by in situ hybridization. 919
Prostate-specific membrane antigen
(
PSMA
), initially defined by monoclonal antibody (mAb) 7E11, is a now well-characterized type 2 integral membrane glycoprotein expressed in a highly restricted manner by prostate epithelial cells. 7E11 has been shown to bind an intracellular epitope of
PSMA
that, in viable cells, is not available for binding. Herein, we report the initial characterization of the first four reported IgG mAbs that bind the external domain of
PSMA
. Competitive binding studies indicate these antibodies define two distinct, noncompeting epitopes on the extracellular domain of
PSMA
. In contrast to 7E11, these mAbs bind to viable LNCaP cells in vitro. In addition, they show strong immunohistochemical reactivity to tissue sections of prostate epithelia, including
prostate cancer
. These mAbs were also strongly reactive with vascular endothelium within a wide variety of carcinomas (including lung, colon, breast, and others) but not with normal vascular endothelium. These antibodies should prove useful for in vivo targeting to
prostate cancer
, as well as to the vascular compartment of a wide variety of carcinomas.
...
PMID:Monoclonal antibodies to the extracellular domain of prostate-specific membrane antigen also react with tumor vascular endothelium. 928 60
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