Integrin Alpha V in Urine: A Novel Noninvasive Marker for Prostate Cancer Detection

Front Oncol. 2021 Mar 10:10:610647. doi: 10.3389/fonc.2020.610647. eCollection 2020.

Abstract

Prostate cancer (PCa) diagnosis based on patient urine analysis provides non-invasive and promising method as compared to biopsy and a prostate-specific antigen (PSA) test. This study was conceived to investigate whether Integrin alpha V (ITGAV) protein is present in urine and assess the urinary ITGAV diagnostic potential for PCa.

Materials and methods: Urinary ITGAV expression was determined by Western blot analysis and quantified by ELISA in urine from men with PCa (n = 47), benign prostate hyperplasia (n = 42) and age-matched controls (n = 22).

Results: The level of ITGAV protein was significantly lower in PCa urine samples as compared to those in the control group (p < 0.00001). The decrease of ITGAV in urine was highly predictive of PCa with 91.5% sensitivity, 91.4% specificity, 0.93 area under the ROC curve, and its specificity was better than that of serum PSA.

Conclusion: Urinary ITGAV provides a novel noninvasive biomarker with high specificity.

Keywords: biomarker; cancer diagnostic marker; integrin alpha V; non-invasive cancer screening; prostate cancer; urine.