DNA Integrity Assay: A Plasma-Based Screening Tool for the Detection of Prostate Cancer

Purpose: The aim of this study was to evaluate the utility of the DNA integrity assay (DIA) as a plasma-based screening tool for the detection of prostate cancer. Experimental Design: Blood samples were collected from patients with biopsy-proven prostate cancer prior to prostatectomy ( n = 123) and...

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Veröffentlicht in:Clinical cancer research 2006-08, Vol.12 (15), p.4569-4574
Hauptverfasser: HANLEY, Robert, RIEGER-CHRIST, Kimberly M, CANES, David, EMARA, Norah R, SHUBER, Anthony P, BOYNTON, Kevin A, LIBERTINO, John A, SUMMERHAYES, Ian C
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container_end_page 4574
container_issue 15
container_start_page 4569
container_title Clinical cancer research
container_volume 12
creator HANLEY, Robert
RIEGER-CHRIST, Kimberly M
CANES, David
EMARA, Norah R
SHUBER, Anthony P
BOYNTON, Kevin A
LIBERTINO, John A
SUMMERHAYES, Ian C
description Purpose: The aim of this study was to evaluate the utility of the DNA integrity assay (DIA) as a plasma-based screening tool for the detection of prostate cancer. Experimental Design: Blood samples were collected from patients with biopsy-proven prostate cancer prior to prostatectomy ( n = 123) and processed as two-spin plasma preparations. The three control groups included: males
doi_str_mv 10.1158/1078-0432.CCR-06-0130
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Experimental Design: Blood samples were collected from patients with biopsy-proven prostate cancer prior to prostatectomy ( n = 123) and processed as two-spin plasma preparations. The three control groups included: males &lt;40 years old with no history of cancer (group 1, n = 20); cancer-free postprostatectomy patients (group 2, n = 25), and patients with a negative prostate biopsy (group 3, n = 22). DNA in plasma preparations were isolated, hybrid-captured, and DNA fragments (200 bp, 1.3, 1.8, and 2.4 kb) were multiplexed in real-time PCR. A baseline cutoff was determined for individual fragment lengths to establish a DIA score for each patient sample. Results: Patients with prostate cancer (86 of 123; 69.9%) were determined to have a positive DIA score of ≥7. The DIA results from control groups 1, 2, and 3 showed specificities of 90%, 92%, and 68.2%, respectively. Of the patients with negative age-adjusted prostate-specific antigen (PSA) and prostate cancer, 19 of 30 (63%) had a positive DIA score. The area under the receiver operating characteristic curve for DIA was 0.788. Conclusion: While detecting 69.9% of those with prostate cancer, DIA maintained an overall specificity of 68.2% to 92%, a range favorably comparable to that currently accepted for PSA (60-70%). The variability in specificity between control groups is likely explained by the established 19% to 30% detection of prostate cancer on subsequent biopsies associated with control group 3. DIA detected 63% of the prostate cancers undetected by currently accepted PSA ranges.</description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>DOI: 10.1158/1078-0432.CCR-06-0130</identifier><identifier>PMID: 16899603</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Adult ; Antineoplastic agents ; Biological and medical sciences ; cell-free DNA ; DNA integrity assay (DIA) ; DNA, Neoplasm - blood ; DNA, Neoplasm - genetics ; Gynecology. Andrology. Obstetrics ; Humans ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Pharmacology. Drug treatments ; plasma, prostate cancer ; Predictive Value of Tests ; Prostatic Neoplasms - blood ; Prostatic Neoplasms - diagnosis ; Reverse Transcriptase Polymerase Chain Reaction - methods ; Sensitivity and Specificity ; Tumors ; Tumors of the urinary system ; Urinary tract. Prostate gland</subject><ispartof>Clinical cancer research, 2006-08, Vol.12 (15), p.4569-4574</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-dfc7efbcdfb5960b467c1bab2d78043fce8c6cb3582f0e7d65628cf54b39d30d3</citedby><cites>FETCH-LOGICAL-c515t-dfc7efbcdfb5960b467c1bab2d78043fce8c6cb3582f0e7d65628cf54b39d30d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3354,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18032287$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16899603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HANLEY, Robert</creatorcontrib><creatorcontrib>RIEGER-CHRIST, Kimberly M</creatorcontrib><creatorcontrib>CANES, David</creatorcontrib><creatorcontrib>EMARA, Norah R</creatorcontrib><creatorcontrib>SHUBER, Anthony P</creatorcontrib><creatorcontrib>BOYNTON, Kevin A</creatorcontrib><creatorcontrib>LIBERTINO, John A</creatorcontrib><creatorcontrib>SUMMERHAYES, Ian C</creatorcontrib><title>DNA Integrity Assay: A Plasma-Based Screening Tool for the Detection of Prostate Cancer</title><title>Clinical cancer research</title><addtitle>Clin Cancer Res</addtitle><description>Purpose: The aim of this study was to evaluate the utility of the DNA integrity assay (DIA) as a plasma-based screening tool for the detection of prostate cancer. Experimental Design: Blood samples were collected from patients with biopsy-proven prostate cancer prior to prostatectomy ( n = 123) and processed as two-spin plasma preparations. The three control groups included: males &lt;40 years old with no history of cancer (group 1, n = 20); cancer-free postprostatectomy patients (group 2, n = 25), and patients with a negative prostate biopsy (group 3, n = 22). DNA in plasma preparations were isolated, hybrid-captured, and DNA fragments (200 bp, 1.3, 1.8, and 2.4 kb) were multiplexed in real-time PCR. A baseline cutoff was determined for individual fragment lengths to establish a DIA score for each patient sample. Results: Patients with prostate cancer (86 of 123; 69.9%) were determined to have a positive DIA score of ≥7. The DIA results from control groups 1, 2, and 3 showed specificities of 90%, 92%, and 68.2%, respectively. Of the patients with negative age-adjusted prostate-specific antigen (PSA) and prostate cancer, 19 of 30 (63%) had a positive DIA score. The area under the receiver operating characteristic curve for DIA was 0.788. Conclusion: While detecting 69.9% of those with prostate cancer, DIA maintained an overall specificity of 68.2% to 92%, a range favorably comparable to that currently accepted for PSA (60-70%). The variability in specificity between control groups is likely explained by the established 19% to 30% detection of prostate cancer on subsequent biopsies associated with control group 3. DIA detected 63% of the prostate cancers undetected by currently accepted PSA ranges.</description><subject>Adult</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>cell-free DNA</subject><subject>DNA integrity assay (DIA)</subject><subject>DNA, Neoplasm - blood</subject><subject>DNA, Neoplasm - genetics</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Pharmacology. Drug treatments</subject><subject>plasma, prostate cancer</subject><subject>Predictive Value of Tests</subject><subject>Prostatic Neoplasms - blood</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Reverse Transcriptase Polymerase Chain Reaction - methods</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkElP6zAURi30EPNPeE_ePCQWAQ-x47ArYZQQIAaxtBznug1Kk2K7Qv33uLSIJat7F-e7w0HoLyXHlAp1QkmhMpJzdlxVjxmRGaGcbKAdKkSRcSbFn9R_M9toN4Q3QmhOSb6FtqlUZSkJ30Gv53cjfNNHGPs2LvAoBLM4xSP80JkwNdmZCdDgJ-sB-rYf4-dh6LAbPI4TwOcQwcZ26PHg8IMfQjQRcGV6C34fbTrTBThY1z30cnnxXF1nt_dXN9XoNrOCipg1zhbgatu4WqSD6lwWltamZk2h0uHOgrLS1lwo5ggUjRSSKetEXvOy4aThe-hwNXfmh_c5hKinbbDQdaaHYR60VAUrS6F-BVnyl3MhEyhWoE0fBQ9Oz3w7NX6hKdFL9XqpVS-16qReE6mX6lPu33rBvJ5C85Nau07A_zVggjWd80lUG344RThjqkjc0YqbtOPJR-tB2y-lHgIYbyeaMk2FzoUs-SeMtJnF</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>HANLEY, Robert</creator><creator>RIEGER-CHRIST, Kimberly M</creator><creator>CANES, David</creator><creator>EMARA, Norah R</creator><creator>SHUBER, Anthony P</creator><creator>BOYNTON, Kevin A</creator><creator>LIBERTINO, John A</creator><creator>SUMMERHAYES, Ian C</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TM</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>DNA Integrity Assay: A Plasma-Based Screening Tool for the Detection of Prostate Cancer</title><author>HANLEY, Robert ; RIEGER-CHRIST, Kimberly M ; CANES, David ; EMARA, Norah R ; SHUBER, Anthony P ; BOYNTON, Kevin A ; LIBERTINO, John A ; SUMMERHAYES, Ian C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-dfc7efbcdfb5960b467c1bab2d78043fce8c6cb3582f0e7d65628cf54b39d30d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>cell-free DNA</topic><topic>DNA integrity assay (DIA)</topic><topic>DNA, Neoplasm - blood</topic><topic>DNA, Neoplasm - genetics</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Pharmacology. Drug treatments</topic><topic>plasma, prostate cancer</topic><topic>Predictive Value of Tests</topic><topic>Prostatic Neoplasms - blood</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Reverse Transcriptase Polymerase Chain Reaction - methods</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HANLEY, Robert</creatorcontrib><creatorcontrib>RIEGER-CHRIST, Kimberly M</creatorcontrib><creatorcontrib>CANES, David</creatorcontrib><creatorcontrib>EMARA, Norah R</creatorcontrib><creatorcontrib>SHUBER, Anthony P</creatorcontrib><creatorcontrib>BOYNTON, Kevin A</creatorcontrib><creatorcontrib>LIBERTINO, John A</creatorcontrib><creatorcontrib>SUMMERHAYES, Ian C</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>CrossRef</collection><collection>Nucleic Acids Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HANLEY, Robert</au><au>RIEGER-CHRIST, Kimberly M</au><au>CANES, David</au><au>EMARA, Norah R</au><au>SHUBER, Anthony P</au><au>BOYNTON, Kevin A</au><au>LIBERTINO, John A</au><au>SUMMERHAYES, Ian C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DNA Integrity Assay: A Plasma-Based Screening Tool for the Detection of Prostate Cancer</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>12</volume><issue>15</issue><spage>4569</spage><epage>4574</epage><pages>4569-4574</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><abstract>Purpose: The aim of this study was to evaluate the utility of the DNA integrity assay (DIA) as a plasma-based screening tool for the detection of prostate cancer. Experimental Design: Blood samples were collected from patients with biopsy-proven prostate cancer prior to prostatectomy ( n = 123) and processed as two-spin plasma preparations. The three control groups included: males &lt;40 years old with no history of cancer (group 1, n = 20); cancer-free postprostatectomy patients (group 2, n = 25), and patients with a negative prostate biopsy (group 3, n = 22). DNA in plasma preparations were isolated, hybrid-captured, and DNA fragments (200 bp, 1.3, 1.8, and 2.4 kb) were multiplexed in real-time PCR. A baseline cutoff was determined for individual fragment lengths to establish a DIA score for each patient sample. Results: Patients with prostate cancer (86 of 123; 69.9%) were determined to have a positive DIA score of ≥7. The DIA results from control groups 1, 2, and 3 showed specificities of 90%, 92%, and 68.2%, respectively. Of the patients with negative age-adjusted prostate-specific antigen (PSA) and prostate cancer, 19 of 30 (63%) had a positive DIA score. The area under the receiver operating characteristic curve for DIA was 0.788. Conclusion: While detecting 69.9% of those with prostate cancer, DIA maintained an overall specificity of 68.2% to 92%, a range favorably comparable to that currently accepted for PSA (60-70%). The variability in specificity between control groups is likely explained by the established 19% to 30% detection of prostate cancer on subsequent biopsies associated with control group 3. DIA detected 63% of the prostate cancers undetected by currently accepted PSA ranges.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>16899603</pmid><doi>10.1158/1078-0432.CCR-06-0130</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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ispartof Clinical cancer research, 2006-08, Vol.12 (15), p.4569-4574
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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Antineoplastic agents
Biological and medical sciences
cell-free DNA
DNA integrity assay (DIA)
DNA, Neoplasm - blood
DNA, Neoplasm - genetics
Gynecology. Andrology. Obstetrics
Humans
Male
Male genital diseases
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Pharmacology. Drug treatments
plasma, prostate cancer
Predictive Value of Tests
Prostatic Neoplasms - blood
Prostatic Neoplasms - diagnosis
Reverse Transcriptase Polymerase Chain Reaction - methods
Sensitivity and Specificity
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title DNA Integrity Assay: A Plasma-Based Screening Tool for the Detection of Prostate Cancer
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