Comparison of enzyme-linked immunosorbent assay and radioimmunoassay for prostate-specific acid phosphatase in prostatic disease
Results of an enzyme-linked immunosorbent assay (ELISA) are compared with those of a standard radioimmunoassay (RIA) for detection and quantitation of prostate-specific acid phosphatase (EC 3.1.3.2) in serum. Control subjects, patients with benign prostatic hyperplasia, and patients in all four clinical stages of prostatic adenocarcinoma were tested. The upper limit of normal (95%of the population) by the ELISA was 2.0 ..mu..g/L, and by the RIA was 2.2 ..mu..g/L. In prostatic a denocarcinoma stage I (not detectable by digital rectal examination), ELISA was slightly more sensitive than RIA, but sensitivity was still relatively low (20%). As tumor mass increased (stages II through IV), the frequency of increased concentrations of prostatic acid phosphatase in serum also increased. We confirmed this increase in circulating enzyme in some cases of benign prostatic hyperplasia and suggest that this finding is related to either acinar cytolysis or an increase in acini size and number. Although prostate-specific acid phosphatase is not a cancer-specific enzyme, we conclude that its measurement may be of considerable value in monitoring prostatic disease.
- Research Organization:
- Donald N. Sharp Memorial Community Hospital, San Diego, CA
- OSTI ID:
- 5545324
- Journal Information:
- Clin. Chem. (Winston-Salem, N.C.); (United States), Vol. 28:1
- Country of Publication:
- United States
- Language:
- English
Similar Records
Serum prostate-specific acid phosphatase: development and validation of a specific radioimmunoassay. [/sup 125/I tracer technique]
Detection of prostatic cancer by solid-phase radioimmunoassay of serum prostatic acid phosphatase. [/sup 125/I tracer technique]
Related Subjects
NEOPLASMS
DIAGNOSIS
PHOSPHATASES
QUANTITATIVE CHEMICAL ANALYSIS
RADIOIMMUNOASSAY
BLOOD SERUM
COMPARATIVE EVALUATIONS
DISEASES
ENZYMES
ISOENZYMES
MEASURING METHODS
PATIENTS
PROSTATE
SENSITIVITY
BODY
CHEMICAL ANALYSIS
ESTERASES
GLANDS
HYDROLASES
ISOTOPE APPLICATIONS
MALE GENITALS
ORGANS
RADIOASSAY
TRACER TECHNIQUES
550601* - Medicine- Unsealed Radionuclides in Diagnostics
550600 - Medicine