RESUMEN
BACKGROUND: To evaluate PSA levels and kinetic cutoffs to predict positive bone scans for men with non-metastatic castration-resistant prostate cancer (CRPC) from the Shared Equal Access Regional Cancer Hospital (SEARCH) cohort. METHODS: Retrospective analysis of 531 bone scans of 312 clinically CRPC patients with no known metastases at baseline treated with a variety of primary treatment types in the SEARCH database. The association of patients' demographics, pathological features, PSA levels and kinetics with risk of a positive scan was tested using generalized estimating equations. RESULTS: A total of 149 (28%) scans were positive. Positive scans were associated with younger age (odds ratio (OR)=0.98; P=0.014), higher Gleason scores (relative to Gleason 2-6, Gleason 3+4: OR=2.03, P=0.035; Gleason 4+3 and 8-10: OR=1.76, P=0.059), higher prescan PSA (OR=2.11; P<0.001), shorter prescan PSA doubling time (PSADT; OR=0.53; P<0.001), higher PSA velocity (OR=1.74; P<0.001) and more remote scan year (OR=0.92; P=0.004). Scan positivity was 6, 14, 29 and 57% for men with PSA<5, 5-14.9, 15-49.9 and ⩾ 50 ng ml(-1), respectively (P-trend <0.001). Men with PSADT ⩾ 15, 9-14.9, 3-8.9 and <3 months had a scan positivity of 11, 22, 34 and 47%, correspondingly (P-trend <0.001). Tables were constructed using PSA and PSADT to predict the likelihood of a positive bone scan. CONCLUSIONS: PSA levels and kinetics were associated with positive bone scans. We developed tables to predict the risk of positive bone scans by PSA and PSADT. Combining PSA levels and kinetics may help select patients with CRPC for bone scans.
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Biomarcadores de Tumor , Neoplasias Óseas/diagnóstico , Antígeno Prostático Específico/sangre , Neoplasias de la Próstata Resistentes a la Castración/sangre , Anciano , Anciano de 80 o más Años , Neoplasias Óseas/secundario , Huesos/patología , Humanos , Masculino , Clasificación del Tumor , Oportunidad Relativa , Pronóstico , Neoplasias de la Próstata Resistentes a la Castración/patología , Neoplasias de la Próstata Resistentes a la Castración/terapia , Sensibilidad y EspecificidadRESUMEN
Pregnancy-specific protein B (PSPB) was isolated, purified, and partially characterized from elk and moose placenta. The procedure, which was monitored by bovine PSPB (bPSPB) RIA, included homogenization and extraction in aqueous solution, acidic and ammonium sulfate precipitation, and ion exchange, gel filtration, and affinity chromatographies. The estimated molecular sizes of moose PSPB (mPSPB) were 58 kDa and 31 kDa, and of elk PSPB (ePSPB) were 57 kDa, 45 kDa, and 31 kDa by SDS-PAGE. The isoelectric points of mPSPB were 4.8, 6.6, and 6.7, and of ePSPB were 4.8, 4.9, 6.1, and 6.2 as determined by isoelectric focusing and two-dimensional gel electrophoresis. The carbohydrate contents of mPSPB and ePSPB were approximately 3.15% and 4.98%, respectively. Although ePSPB and mPSPB were recognized by anti-bPSPB in an Ouchterlony double immunodiffusion test, they were found to share identical epitopes and partial identities compared to bPSPB. After treatment at different temperatures (20-60 degrees C) for 1 h, the immunoreactivities of ePSPB and mPSPB in serum were very stable. Only ePSPB in serum treated at 60 degrees C lost some immunoreactivity. After alteration of serum pH (pH 3-11) for 2 h, the immunoreactivities of ePSPB and mPSPB became lower at pH 3 and 4, and remained stable from pH 5 to 11. These data show that moose and elk PSPB have properties similar to those of bovine and ovine PSPB.
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Ácido Aspártico Endopeptidasas/aislamiento & purificación , Ciervos/metabolismo , Glicoproteínas/aislamiento & purificación , Placenta/química , Proteínas Gestacionales/aislamiento & purificación , Animales , Bovinos , Electroforesis en Gel de Poliacrilamida/veterinaria , Femenino , Concentración de Iones de Hidrógeno , Radioinmunoensayo/veterinaria , TemperaturaRESUMEN
Concentration of IgG1 in colostrum of Holstein cows is often low at calving. Unilateral prepartum milking was applied twice daily beginning 10 d prepartum to seven dry cows to determine whether premature lactogenesis caused cessation of IgG1 transfer into secretion. All four quarters were milked twice daily for 3 d postpartum. Samples of blood sera and mammary secretion were collected at each milking and analyzed for IgG1, progesterone, and prolactin. Four cows that produced > 4 L/d of milk by 4 d prepartum were retrospectively designated as responders. Three cows produced less and were designated as nonresponders. Milk volume was greater for responders than nonresponders from 6 d prepartum through parturition. Concentrations of prolactin and IgG1 in secretion were lower for responders than nonresponders and for milked than unmilked sides by 6 d prepartum. For responders, cumulative secretions of IgG1, milk, and prolactin were higher for milked than unmilked sides. For non-responders, the trend was similar, but differences were not significant. Cumulative secretion of IgG1 was higher for nonresponders. Differences between sides indicate that local control is important to the regulation of colostrogenesis. Differences in IgG1 between response groups indicate that maintenance of transport and dilution are important determinants of IgG1 concentration in colostrum.
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Bovinos/fisiología , Calostro/metabolismo , Inmunoglobulina G/metabolismo , Lactancia/fisiología , Prolactina/metabolismo , Animales , Femenino , Embarazo , Progesterona/metabolismoRESUMEN
Fifteen beef cows and 13 dairy cows were used to investigate the physiological basis of breed differences in IgG1 concentration in colostrum. Concentrations of progesterone and alpha-LA in sera and IgG1 in sera and secretion were quantified in samples collected prepartum. Serum progesterone concentration decreased significantly between 30 and 10 d prepartum, but breeds did not differ. Serum alpha-LA concentration was initially low but increased to 150 ng/ml in beef cows and 720 ng/ml in dairy cows at parturition. Serum IgG1 concentrations averaged 8.4 in beef cows and 5.7 mg/ml in dairy cows between 28 d and 24 d prepartum and subsequently declined to 6.7 in beef and 1.4 mg/ml in dairy cows between 4 d prepartum and calving. Overall, IgG1 concentration was greater in secretion from beef cows (113.4 mg/ml) than from dairy cows (42.7 mg/ml). The greater disappearance of IgG1 from serum suggested that more IgG1 was transferred into secretion of dairy cows, but concentration in secretion was lower. The reduced IgG1 concentration in secretion was associated with greater lactogenic activity in dairy cows, evidenced by fivefold higher alpha-LA concentration in sera. Dilution of IgG1 in secretion may be responsible for breed differences in colostral IgG1 concentration.