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Targeted Mass Spectrometry Assays for Specific Quantification of Urinary proPSA Isoforms.


ABSTRACT: Prostate cancer (PCa) is the second leading cause of male cancer-related deaths in the United States. The pre-mature forms of prostate-specific antigen (PSA), proPSA, were shown to be associated with PCa. However, there is a technical challenge in the development of antibody-based immunoassays for specific recognition of each individual proPSA isoform. Herein, we report the development of highly specific, antibody-free, targeted mass spectrometry assays for simultaneous quantification of [-2], [-4], [-5], and [-7] proPSA isoforms in voided urine. The newly developed proPSA assays capitalize on Lys-C digestion to generate surrogate peptides with appropriate length (9-16 amino acids) along with long-gradient liquid chromatography separation. The assay utility of these isoform markers was evaluated in a cohort of 30 well-established clinical urine samples for distinguishing PCa patients from healthy controls. Under the 95% confidence interval, the combination of [-2] and [-4] proPSA isoforms yields the area under curve (AUC) of 0.86, and the AUC value for the combined all four isoforms was calculated to be 0.85. We have further verified [-2]proPSA, the dominant isoform, in an independent cohort of 34 clinical urine samples. Validation of proPSA isoforms in large-scale cohorts is needed to demonstrate their potential clinical utility.

SUBMITTER: Kitata RB 

PROVIDER: S-EPMC10072162 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Targeted Mass Spectrometry Assays for Specific Quantification of Urinary proPSA Isoforms.

Kitata Reta Birhanu RB   Hu Lisa Y LY   Lin Tai-Tu TT   Nicora Carrie D CD   Fillmore Thomas L TL   Nie Song S   Hudson Robert D RD   Liu Tao T   Leach Robin J RJ   Liu Alvin Y AY   Qian Wei-Jun WJ   Shi Tujin T  

Journal of proteome research 20230110 3


Prostate cancer (PCa) is the second leading cause of male cancer-related deaths in the United States. The pre-mature forms of prostate-specific antigen (PSA), proPSA, were shown to be associated with PCa. However, there is a technical challenge in the development of antibody-based immunoassays for specific recognition of each individual proPSA isoform. Herein, we report the development of highly specific, antibody-free, targeted mass spectrometry assays for simultaneous quantification of [-2], [  ...[more]

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