Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.

The aim of this study is to elucidate the clinical significance of prostate-specific membrane antigen (PSMA) expression in circulating tumor cells (CTCs) from castration-resistant prostate cancer (CRPC) patients. We analyzed a total of 203 CTC samples from 79 CRPC patients to investigate the proport...

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Main Authors: Naoya Nagaya, Masayoshi Nagata, Yan Lu, Mayuko Kanayama, Qi Hou, Zen-U Hotta, Toshiyuki China, Kosuke Kitamura, Kazuhito Matsushita, Shuji Isotani, Satoru Muto, Yoshiro Sakamoto, Shigeo Horie
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Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://storage.googleapis.com/plos-corpus-prod/10.1371/journal.pone.0226219/1/pone.0226219.pdf?X-Goog-Algorithm=GOOG4-RSA-SHA256&X-Goog-Credential=wombat-sa%40plos-prod.iam.gserviceaccount.com%2F20210221%2Fauto%2Fstorage%2Fgoog4_request&X-Goog-Date=20210221T071101Z&X-Goog-Expires=3600&X-Goog-SignedHeaders=host&X-Goog-Signature=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author Naoya Nagaya
Masayoshi Nagata
Yan Lu
Mayuko Kanayama
Qi Hou
Zen-U Hotta
Toshiyuki China
Kosuke Kitamura
Kazuhito Matsushita
Shuji Isotani
Satoru Muto
Yoshiro Sakamoto
Shigeo Horie
author_facet Naoya Nagaya
Masayoshi Nagata
Yan Lu
Mayuko Kanayama
Qi Hou
Zen-U Hotta
Toshiyuki China
Kosuke Kitamura
Kazuhito Matsushita
Shuji Isotani
Satoru Muto
Yoshiro Sakamoto
Shigeo Horie
author_sort Naoya Nagaya
collection DOAJ
description The aim of this study is to elucidate the clinical significance of prostate-specific membrane antigen (PSMA) expression in circulating tumor cells (CTCs) from castration-resistant prostate cancer (CRPC) patients. We analyzed a total of 203 CTC samples from 79 CRPC patients to investigate the proportion of positive mRNA expressions at different treatment phases. Among them, we elected to focus on specimens from 56 CRPC patients who progressed on therapy and were subsequently provided a new treatment (treatment-switch cohort). In this cohort, we investigated the association between PSMA expression in CTCs and treatment response. CTCs were detected in 55/79 patients and median serum PSA in CTC-positive patients was 67.0 ng/ml. In the treatment-switch cohort of 56 patients, 20 patients were positive for PSMA in CTCs. PSMA expression was inversely associated with percentage of change in prostate-specific antigen (PSA). The median PSA progression-free survival and overall survival were significantly shorter in the PSMA-positive cohort. Furthermore, PSMA expression was predictive of poorer treatment response, shorter PSA progression-free survival and overall survival. PSMA expression in circulating tumor cells may be a novel poor prognostic marker for CRPC.
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institution DOAJ
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spelling doaj-art-a466a6898ec840eba2b3ed4a56aced2d2025-08-20T02:55:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e022621910.1371/journal.pone.0226219Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.Naoya NagayaMasayoshi NagataYan LuMayuko KanayamaQi HouZen-U HottaToshiyuki ChinaKosuke KitamuraKazuhito MatsushitaShuji IsotaniSatoru MutoYoshiro SakamotoShigeo HorieThe aim of this study is to elucidate the clinical significance of prostate-specific membrane antigen (PSMA) expression in circulating tumor cells (CTCs) from castration-resistant prostate cancer (CRPC) patients. We analyzed a total of 203 CTC samples from 79 CRPC patients to investigate the proportion of positive mRNA expressions at different treatment phases. Among them, we elected to focus on specimens from 56 CRPC patients who progressed on therapy and were subsequently provided a new treatment (treatment-switch cohort). In this cohort, we investigated the association between PSMA expression in CTCs and treatment response. CTCs were detected in 55/79 patients and median serum PSA in CTC-positive patients was 67.0 ng/ml. In the treatment-switch cohort of 56 patients, 20 patients were positive for PSMA in CTCs. PSMA expression was inversely associated with percentage of change in prostate-specific antigen (PSA). The median PSA progression-free survival and overall survival were significantly shorter in the PSMA-positive cohort. Furthermore, PSMA expression was predictive of poorer treatment response, shorter PSA progression-free survival and overall survival. PSMA expression in circulating tumor cells may be a novel poor prognostic marker for CRPC.https://storage.googleapis.com/plos-corpus-prod/10.1371/journal.pone.0226219/1/pone.0226219.pdf?X-Goog-Algorithm=GOOG4-RSA-SHA256&X-Goog-Credential=wombat-sa%40plos-prod.iam.gserviceaccount.com%2F20210221%2Fauto%2Fstorage%2Fgoog4_request&X-Goog-Date=20210221T071101Z&X-Goog-Expires=3600&X-Goog-SignedHeaders=host&X-Goog-Signature=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
spellingShingle Naoya Nagaya
Masayoshi Nagata
Yan Lu
Mayuko Kanayama
Qi Hou
Zen-U Hotta
Toshiyuki China
Kosuke Kitamura
Kazuhito Matsushita
Shuji Isotani
Satoru Muto
Yoshiro Sakamoto
Shigeo Horie
Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
PLoS ONE
title Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
title_full Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
title_fullStr Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
title_full_unstemmed Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
title_short Prostate-specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration-resistant prostate cancer.
title_sort prostate specific membrane antigen in circulating tumor cells is a new poor prognostic marker for castration resistant prostate cancer
url https://storage.googleapis.com/plos-corpus-prod/10.1371/journal.pone.0226219/1/pone.0226219.pdf?X-Goog-Algorithm=GOOG4-RSA-SHA256&X-Goog-Credential=wombat-sa%40plos-prod.iam.gserviceaccount.com%2F20210221%2Fauto%2Fstorage%2Fgoog4_request&X-Goog-Date=20210221T071101Z&X-Goog-Expires=3600&X-Goog-SignedHeaders=host&X-Goog-Signature=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