title: Carbonic anhydrase I as a new plasma biomarker for prostate cancer.
abstract: Serum prostate-specific antigen (PSA) levels ranging from 4 to 10 ng/mL is considered a diagnostic gray zone for detecting prostate cancer because biopsies reveal no evidence of cancer in 75% of these subjects. Our goal was to discover a new highly specific biomarker for prostate cancer by analyzing plasma proteins using a proteomic technique. Enriched plasma proteins from 25 prostate cancer patients and 15 healthy controls were analyzed using a label-free quantitative shotgun proteomics platform called 2DICAL (2-dimensional image converted analysis of liquid chromatography and mass spectrometry) and candidate biomarkers were searched. Among the 40,678 identified mass spectrum (MS) peaks, 117 peaks significantly differed between prostate cancer patients and healthy controls. Ten peaks matched carbonic anhydrase I (CAI) by tandem MS. Independent immunological assays revealed that plasma CAI levels in 54 prostate cancer patients were significantly higher than those in 60 healthy controls (P = 0.022, Mann-Whitney U test). In the PSA gray-zone group, the discrimination rate of prostate cancer patients increased by considering plasma CAI levels. CAI can potentially serve as a valuable plasma biomarker and the combination of PSA and CAI may have great advantages for diagnosing prostate cancer in patients with gray-zone PSA level.
authors.affiliation: Division of Chemotherapy and Clinical Research, National Cancer Center Research Institute, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
authors.forename: Michiko
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authors.lastname: Takakura
authors.forename: Akira
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authors.lastname: Yokomizo
authors.forename: Yoshinori
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authors.lastname: Tanaka
authors.forename: Michimoto
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Giman
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authors.lastname: Jung
authors.forename: Miho
authors.initials: M
authors.lastname: Banno
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sakuma
authors.forename: Kenjiro
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authors.lastname: Imada
authors.forename: Yoshinao
authors.initials: Y
authors.lastname: Oda
authors.forename: Masahiro
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authors.lastname: Kamita
authors.forename: Kazufumi
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authors.lastname: Honda
authors.forename: Tesshi
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authors.lastname: Yamada
authors.forename: Seiji
authors.initials: S
authors.lastname: Naito
authors.forename: Masaya
authors.initials: M
authors.lastname: Ono