Department of Urology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Department of Urology, Changzhou Maternal and Child Health Care Hospital, Changzhou, China.
BMC Cancer. 2024 May 31;24(1):665. doi: 10.1186/s12885-024-12418-z.
To explore the clinical value of tumor abnormal protein (TAP) in the diagnosis and prognosis evaluation of prostate cancer.
This study enrolled a total of 265 patients who underwent prostate biopsy procedures from December 2017. TAP levels were assayed in their blood samples using a validated TAP testing kit. Comprehensive pathological assessments, including Gleason scores, TNM staging, and AJCC prognosis stages, were conducted on prostate cancer patients. Further analysis was carried out to examine the correlation between TAP expression levels and various clinical characteristics.
A significantly elevated TAP concentration was discerned in prostate cancer patients relative to those with benign prostate hyperplasia. Moreover, a significantly elevated TAP expression was detected in prostate cancer patients with high Gleason score (≥ 8) and advanced stages (III and IV), as compared to those with Gleason scores of 6 and 7 and lower stages (I and II). When diagnosing prostate cancer in gray area of PSA, TAP demonstrated superior diagnostic capabilities over PSA alone, with higher diagnostic sensitivity, specificity and accuracy than fPSA/tPSA ratio. Additionally, post-surgical or hormonal treatment, there was a marked reduction in TAP expression level among prostate cancer patients.
The assessment of TAP presents itself as a promising tool for early diagnosis and holds potential for sensitivity in monitoring treatment reponse in prostate cancer patients.
探讨肿瘤异常蛋白(TAP)在前列腺癌诊断和预后评估中的临床价值。
本研究共纳入 265 例 2017 年 12 月接受前列腺活检的患者。采用经过验证的 TAP 检测试剂盒检测其血液样本中的 TAP 水平。对前列腺癌患者进行全面的病理评估,包括 Gleason 评分、TNM 分期和 AJCC 预后分期。进一步分析 TAP 表达水平与各种临床特征之间的相关性。
与良性前列腺增生患者相比,前列腺癌患者的 TAP 浓度显著升高。此外,与 Gleason 评分 6 和 7 且分期较低(I 和 II 期)的患者相比,Gleason 评分≥8 和分期较高(III 和 IV 期)的前列腺癌患者 TAP 表达水平显著升高。在 PSA 灰区诊断前列腺癌时,TAP 的诊断效能优于 PSA 单项检测,诊断敏感性、特异性和准确性均高于 fPSA/tPSA 比值。此外,在前列腺癌患者接受手术后或激素治疗后,TAP 的表达水平显著降低。
TAP 评估是一种有前途的早期诊断工具,在监测前列腺癌患者的治疗反应方面具有较高的敏感性。