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Association between natural killer cell activity and prostate cancer: a pilot study
Jack Barkin1, Roberto Rodriguez-Suarez, Katia Betito
1Department of Urology, University of Toronto, Humber River Hospital, Toronto, Ontario, Canada.
The Canadian Journal of Urology
|April 25, 2017
Summary
This pilot study suggests a simple blood test for natural killer (NK) cell activity may help identify men at higher risk for prostate cancer. Low NK cell activity was linked to a positive prostate biopsy outcome.
Area of Science:
- Immunology
- Oncology
- Diagnostic Medicine
Background:
- Natural killer (NK) cells are crucial for detecting and eliminating tumor cells.
- Previous research established a link between NK cell activity and prostate cancer using traditional methods.
Purpose of the Study:
- To investigate the association between NK cell activity (NKA) and prostate cancer using a straightforward blood test.
- To evaluate the utility of an in vitro diagnostic device (IVDD) for NKA assessment prior to prostate biopsy.
Main Methods:
- A pilot study involving 43 subjects scheduled for prostate biopsy.
- Blood samples were analyzed for NKA using an IVDD (NK Vue) before biopsy.
- Receiver operating characteristic (ROC) analysis was employed to assess test performance.
Main Results:
- Prostate cancer was diagnosed in 22 out of 43 subjects.
- The NKA IVDD demonstrated an area under the curve of 75%, with 91% specificity and 57% sensitivity.
- A cutoff of 200 pg/mL for NKA indicated an 86% absolute risk of prostate cancer if values were below this threshold.
Conclusions:
- Low natural killer cell activity values correlate with a higher likelihood of a positive prostate biopsy.
- This pilot study indicates that NKA testing could be a valuable tool in prostate cancer risk assessment.
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