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An Orthotopic Murine Model of Human Prostate Cancer Metastasis
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Clinical study on estramustine binding protein (EMBP) in human prostate

H Shiina1, M Igawa, T Ishibe

  • 1Department of Urology, Shimane Medical University, Izumo, Japan.

The Prostate
|September 1, 1996
PubMed
Summary

Estramustine binding protein (EMBP) levels in prostate tissue correlate with androgen dependency. The EMBP/DHT ratio may predict prostate cancer progression, distinguishing it from prostate-specific antigen (PSA).

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Area of Science:

  • Urology
  • Oncology
  • Biochemistry

Background:

  • Estramustine binding protein (EMBP) is implicated in prostate tissue.
  • Androgen-dependent markers like dihydrotestosterone (DHT) and prostate-specific antigen (PSA) are crucial in prostate health.
  • Understanding EMBP's role is key to characterizing prostate conditions.

Purpose of the Study:

  • To investigate the characteristics of estramustine binding protein (EMBP) in human prostate tissues.
  • To compare EMBP concentrations with established androgen-dependent markers (DHT, PSA, prostatic acid phosphatase, zinc).
  • To evaluate the potential of EMBP as a biomarker for prostate cancer progression.

Main Methods:

  • Radioimmunoassay (RIA) was used to measure tissue EMBP concentration in control, benign prostatic hypertrophy (BPH), untreated prostate carcinoma (PC), and hormone-refractory PC (hr-PC) samples.
  • EMBP concentrations were correlated with DHT, PSA, prostatic acid phosphatase (PAP), and zinc levels.
  • The EMBP/DHT ratio was analyzed in relation to disease differentiation and progression.

Main Results:

  • EMBP concentration correlated with DHT and PSA in controls and BPH, but not in untreated PC.
  • EMBP levels in BPH responded to fluoxymesterone and estramustine phosphate administration.
  • The EMBP/DHT ratio was significantly higher in advanced PC (moderately/poorly differentiated, hr-PC) and associated with lower progression-free probability in untreated PC.

Conclusions:

  • EMBP in BPH and well-differentiated PC exhibits androgen dependency, unlike in advanced or hormone-refractory prostate cancer.
  • EMBP appears to be a distinct protein from PAP and PSA.
  • The tissue EMBP/DHT ratio shows potential as a predictive marker for prostate cancer disease progression.