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Survival Markers Related to Bone Metastases in Prostate Cancer

Prognostic value of a bone resorption marker, tartrate-resistant acid phosphatase isoform 5b (TRACP 5b), and two matrix metalloproteinases (MMP-2 and MMP-9) was compared with the standard clinical analyses of total alkaline phosphatase (tALP) and prostate-specific antigen (PSA), in prostate cancer (...

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Published in:Anticancer research 2006-11, Vol.26 (6C), p.4879-4884
Main Authors: SALMINEN, E. K, KALLIOINEN, M. J, ALA-HOUHALA, M. A, VIHINEN, P. P, TIITINEN, S. L, VARPULA, M, VAHLBERG, T. J
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container_end_page 4884
container_issue 6C
container_start_page 4879
container_title Anticancer research
container_volume 26
creator SALMINEN, E. K
KALLIOINEN, M. J
ALA-HOUHALA, M. A
VIHINEN, P. P
TIITINEN, S. L
VARPULA, M
VAHLBERG, T. J
description Prognostic value of a bone resorption marker, tartrate-resistant acid phosphatase isoform 5b (TRACP 5b), and two matrix metalloproteinases (MMP-2 and MMP-9) was compared with the standard clinical analyses of total alkaline phosphatase (tALP) and prostate-specific antigen (PSA), in prostate cancer (PC) patients with (BM+) or without (BM-) bone metastases. Diagnostic accuracy evaluation showed the highest area under the curve for tALP (AUC=0.98), followed by PSA (AUC=0.87), TRACP 5b (AUC=0.82), MMP-9 (AUC=0.62) and MMP-2 (AUC=0.53). Significantly shorter survival was observed for patients with tALP (p
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K</creatorcontrib><creatorcontrib>KALLIOINEN, M. J</creatorcontrib><creatorcontrib>ALA-HOUHALA, M. A</creatorcontrib><creatorcontrib>VIHINEN, P. P</creatorcontrib><creatorcontrib>TIITINEN, S. L</creatorcontrib><creatorcontrib>VARPULA, M</creatorcontrib><creatorcontrib>VAHLBERG, T. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anticancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SALMINEN, E. K</au><au>KALLIOINEN, M. J</au><au>ALA-HOUHALA, M. A</au><au>VIHINEN, P. P</au><au>TIITINEN, S. L</au><au>VARPULA, M</au><au>VAHLBERG, T. 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Significantly shorter survival was observed for patients with tALP (p&lt;0.001), TRACP 5b (p=0.002) and PSA (p&lt;0.001) levels, above the determined cut-off values compared with lower marker levels. In multivariate Cox regression analysis, only tALP and PSA, in addition to Gleason score were independent prognostic factors for survival. Of the three novel markers tested, only TRACP 5b proved to be predictive of survival in PC with bone metastases. MMP-2 and -9 are thus not recommended for further studies in this context.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>17214355</pmid><tpages>6</tpages></addata></record>
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subjects Acid Phosphatase - blood
Aged
Aged, 80 and over
Alkaline Phosphatase - blood
Biological and medical sciences
Biomarkers, Tumor - blood
Bone Neoplasms - blood
Bone Neoplasms - enzymology
Bone Neoplasms - secondary
Cross-Sectional Studies
Diseases of the osteoarticular system
Humans
Isoenzymes - blood
Male
Matrix Metalloproteinase 2 - blood
Matrix Metalloproteinase 9 - blood
Medical sciences
Middle Aged
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood
Prostatic Neoplasms - enzymology
Prostatic Neoplasms - pathology
ROC Curve
Tartrate-Resistant Acid Phosphatase
Tumors
Tumors of striated muscle and skeleton
title Survival Markers Related to Bone Metastases in Prostate Cancer
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