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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Biochemical Markers for Monitoring Response to Therapy: Evidence for Higher Bone Specificity by a Novel Marker Compared with Routine Markers

Diana Julie Leeming, Axel Hegele, Inger Byrjalsen, Rainer Hofmann, Per Qvist, Morten Asser Karsdal, Andres Jan Schrader, Reinhold Wagner and Peter Olbert
Diana Julie Leeming
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Axel Hegele
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Inger Byrjalsen
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Rainer Hofmann
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Per Qvist
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Morten Asser Karsdal
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Andres Jan Schrader
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Reinhold Wagner
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Peter Olbert
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DOI: 10.1158/1055-9965.EPI-07-2697 Published May 2008
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    Figure 1.

    Levels of PSA (A), ααCTX (B) and (C) tALP in prostate cancer patients (PCa) without bone metastases stratified by +N and N0 and controls. Asterisks indicate significant difference between the two groups; ns, not significant different between the two groups.

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    Figure 2.

    Levels of PSA (A), ααCTX (B), and tALP (C) in prostate cancer patients with (+BM) or without (−BM) bone metastases at each visit. Asterisks indicate significant decrease in the level of each marker in patients +BM compared with baseline.

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    Figure 3.

    Immunohistochemistry on pelvic lymph node biopsies from six prostate cancer patients. A and B, lymph node–negative adjacent sections; C and D, lymph node positive. A and C, pan-cytokeratin staining (KL1); B and D, αCTX CTX staining (F44). Magnification, ×10 (A-D).

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    Figure 4.

    Immunohistochemistry and histology on bone tumor tissue secondary from six primary prostate cancer patients. A, pan-cytokeratin (CK-MNF); B, tartrate-resistant acid phosphatase–positive staining of osteoclasts; C, αCTX CTX staining (F44); D, control (adjacent sections). Magnification, ×10 (A-D).

Tables

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  • Table 1.

    Demographic data on controls and prostate cancer patients stratified by ±lymph node metastases

    GroupControlsPCa N0PCa N1
    n6814624
    Mean age (range), y62.8 (48-77)65.5 (46-71)ns62.6 (21-79)ns
    T stage (pct)—2 (81), 3 (18), 4 (1)2 (25), 3 (67), 4 (8)
    Gleason score (pct)—4 (4), 5(62), 6(16), 7(16), 8(2)5 (16), 6 (21), 7 (42), 8 (8), 9 (13)
    • NOTE: N0, lymph node negative; N1, lymph node metastases; T-stage, tumor node metastasis; pct, percentage of total number of patients.

      Abbreviations: PCa, prostate cancer; ns, not significant different from control.

  • Table 2.

    Marker values on prostate cancer patients stratified by ±bone metastases and visit from the treatment study

    BMVisit
    01234
    ααCTX (μg/mmol; ±SD)−0.25 (0.17-0.19)0.23 (0.18-0.22)ns0.21 (0.18-0.23)ns0.23 (0.17-0.20)ns0.24 (0.18-0.21)ns
    +0.89 (0.64-0.79)0.43 (0.25-0.29)**0.35 (0.23-0.27)*0.31 (0.20-0.25)*0.33 (0.19-0.22)**
    tALP (units/L; ±SD)−89 (54-62)76 (39-45)ns70 (35-40)ns76 (60-73)ns73 (38-43)ns
    +246 (178-221)185 (142-178)ns125 (92-115)***111 (78-95)**120 (65-76)**
    PSA (μg/L; ±SD)−96 (170-263)120 (189-263)*115 (201-329)*56 (133-285)**44 (94-177)**
    +115 (142-212)119 (141-205)**74 (109-179)**34 (57-103)**45 (67-111)***
    • Asterisks: Significant difference between PCa + BM or PCa − BM compared to baseline.

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Cancer Epidemiology Biomarkers & Prevention: 17 (5)
May 2008
Volume 17, Issue 5
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Biochemical Markers for Monitoring Response to Therapy: Evidence for Higher Bone Specificity by a Novel Marker Compared with Routine Markers
Diana Julie Leeming, Axel Hegele, Inger Byrjalsen, Rainer Hofmann, Per Qvist, Morten Asser Karsdal, Andres Jan Schrader, Reinhold Wagner and Peter Olbert
Cancer Epidemiol Biomarkers Prev May 1 2008 (17) (5) 1269-1276; DOI: 10.1158/1055-9965.EPI-07-2697

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Biochemical Markers for Monitoring Response to Therapy: Evidence for Higher Bone Specificity by a Novel Marker Compared with Routine Markers
Diana Julie Leeming, Axel Hegele, Inger Byrjalsen, Rainer Hofmann, Per Qvist, Morten Asser Karsdal, Andres Jan Schrader, Reinhold Wagner and Peter Olbert
Cancer Epidemiol Biomarkers Prev May 1 2008 (17) (5) 1269-1276; DOI: 10.1158/1055-9965.EPI-07-2697
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