The role of the detection of hematogenous micrometastasis in prostate adenocarcinoma and malignant melanoma by RT-PCR

Int J Mol Med. 1999 Apr;3(4):417-9. doi: 10.3892/ijmm.3.4.417.

Abstract

Recent studies reported the possibility of detecting prostate adenocarcinoma and malignant melanoma cells in peripheral blood using RT-PCR of prostatic specific antigen (PSA), prostatic specific membrane antigen (PSMA) and Tyrosinase mRNAs. The PCR results showed high variability, ranging between 0% and 100% of positivity in patients with advanced disease. Our purpose was to evaluate the presence of tumor marker mRNAs in peripheral blood of prostate cancer and melanoma patients by means of RT-nested-PCR. We tested 70 and 36 peripheral blood samples from prostate carcinoma and malignant melanoma patients, respectively. The RT-PCR analysis showed the presence of PSA cDNA in 9 out of 70 (12.9%); PSMA cDNA in 14 out of 70 (20%); and Tyrosinase cDNA in 2 out of 36 (5.5%) peripheral blood samples from melanoma patients. Our study confirms the applicability of this sensitive method to monitor disease status. Although, the RT-nested-PCR of Tyrosinase is able to detect neoplastic cells in peripheral blood specimens, we suggest the necessity of a great caution in interpreting PCR results when the nested method has been used.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / secondary*
  • Antigens, Surface*
  • Biomarkers, Tumor / analysis*
  • Carboxypeptidases / blood
  • DNA Replication
  • Female
  • Glutamate Carboxypeptidase II
  • Humans
  • Male
  • Melanoma / diagnosis
  • Melanoma / secondary*
  • Monophenol Monooxygenase / blood
  • Neoplasm Staging
  • Neoplastic Cells, Circulating*
  • Prostate-Specific Antigen / blood
  • Prostatic Neoplasms / pathology*
  • RNA, Messenger / analysis
  • RNA, Neoplasm / analysis*
  • Reverse Transcriptase Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Skin Neoplasms / pathology*

Substances

  • Antigens, Surface
  • Biomarkers, Tumor
  • RNA, Messenger
  • RNA, Neoplasm
  • Monophenol Monooxygenase
  • Carboxypeptidases
  • FOLH1 protein, human
  • Glutamate Carboxypeptidase II
  • Prostate-Specific Antigen