Prognostic and predictive value of intact and cleaved forms of the urokinase plasminogen activator receptor in metastatic prostate cancer

Charlotte Elberling Almasi, Klaus Brasso, Peter Iversen, Helle Pappot, Gunilla Høyer-Hansen, Keld Danø, Ib J Christensen

    52 Citations (Scopus)

    Abstract

    BACKGROUND: The purpose of this study was to investigate the prognostic value of different forms of the urokinase receptor, uPAR, in serum from prostate cancer (PC) patients. PATIENTS AND METHODS: The uPAR forms were measured in samples from 131 metastatic PC patients. These constituted a subset of patients included in a randomized clinical trial of treatment with total androgen blockade (TAB) versus polyestradiol phosphate (PEP). Pre-treatment serum levels of intact uPAR (uPAR(I-III)), intact plus cleaved uPAR (uPAR(I-III) + uPAR(II-III)) and domain I (uPAR(I)) were measured using time-resolved fluorescence immunoassays (TR-FIAs). RESULTS: High serum levels of each of the uPAR forms were significantly associated with short overall survival (OS). The prognostic impact was strongest in the TAB treated patients with all uPAR forms being statistically significant. In multivariate analysis, uPAR(I-III) + uPAR(II-III) was an independent prognostic factor in TAB treated patients (HR = 5.2, 95% confidence interval (CI): 2.5-10.6, P 
    Original languageEnglish
    JournalProstate
    Volume71
    Issue number8
    Pages (from-to)899-907
    Number of pages9
    ISSN0270-4137
    DOIs
    Publication statusPublished - 1 Jun 2011

    Keywords

    • Aged
    • Aged, 80 and over
    • Androgen Antagonists
    • Bone Neoplasms
    • Carcinoma
    • Estradiol
    • Humans
    • Male
    • Middle Aged
    • Prognosis
    • Prostatic Neoplasms
    • Randomized Controlled Trials as Topic
    • Receptors, Urokinase Plasminogen Activator
    • Retrospective Studies
    • Treatment Outcome

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