Biomarker discovery for Prostate Cancer

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Prostate cancer is the second most common cause of world-wide cancer-related death in men after lung cancer (WCRF International), and in Australia, it accounts for 30% of all new cancers in men and 13.4% of all cancer deaths in men (Cancer Australia). Currently, Prostate Specific Antigen (PSA) is the most commonly used serum biomarker for prostate cancer most routinely used by urologists. However, PSA-based screening has been shown to have high false positives and false negatives with low specificity, and it is not able to distinguish well between cancer and benign prostatic hyperplasia or between indolent and aggressive cancers, thus leading to overtreatment, especially unnecessary biopsies (Otero) (Qian). Therefore, there is an urgent need for a new specific biomarker for the early detection of prostate cancer, and effective biomarkers will be able to reduce morality rates and appropriate clinical interventions can be applied.

Different approaches have been tested to discover new biomarkers for the detection of prostate cancer, and there has been success in this field with specific markers found such as PCA3 (FDA approved) and TMPRSS2:ERG fusion gene which have a synergistic sensitivity when both are tested in combination for prostate cancer (Otero) (Dijkstra). Within the field of prostate cancer research, the drug Docetaxel is used effectively in the treatment of advanced prostate cancer known as castration-refractory prostate cancer (CRPC). However, patients eventually develop resistance, and the search for a biomarker of disease and drug resistance in prostate cancer is in demand (O’neill) (O’connell). A mass spectrometry (MS) analysis of drug resistant prostate cancer cell lines, parental and docetaxel-resistant, found that...

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...ere is potential in the proteins that have been identified to act as biomarkers for prostate cancer.

In summary, future research in the field of biomarker discovery needs validation in regards to the use of cell lines as a model and the proteomic techniques used. For instance, having a non-malignant control in addition to the cancer cell lines is critical because although cell lines represent tumors from which they originated (Sardana), the candidate markers discovered might not be commonly expressed in other prostate cancer cells nor have the capacity to discriminate between cancer and non-malignant cells (Johnson) (Hosseini-Beheshti). The discovery of novel prostate cancer specific biomarkers has the potential to improve diagnostic accuracy and efficiency and decrease mortality (Soliman), and thus should be pursued to provide validation on current limitations.

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