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APE1/Ref-1 as a Serological Biomarker for the Detection of Bladder Cancer

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Purpose Apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) is a multifunctionalprotein that shows elevated expression in a number of cancers. We attempted to determinewhether serum APE1/Ref-1 is elevated in patients with bladder cancer. Materials and MethodsSerum APE1/Ref-1 levels were determined using enzyme-linked immunosorbent assay inserum from patients with bladder cancer who had not received chemotherapy or radiotherapy(n=51) and non-tumor controls (n=55). The area under the receiver operating characteristicarea under the curve was applied to determine the correlation between clinicalfactors and the serum levels of APE1/Ref-1. ResultsSerum levels of APE1/Ref-1 in bladder cancer patients were significantly elevated comparedto those of the control group (3.548±0.333 ng/100 μL [n=51] for bladder cancer vs. 1.547±0.319 ng/100 μL [n=55] for the control group), with a sensitivity and specificity of93% and 59%, respectively. Serum APE1/Ref-1 levels are associated with tumor stage,grade, muscle invasion, and recurrence. ConclusionSerum APE1/Ref-1 might be useful as a potential serologic biomarker for bladder cancer.

Abstract

Purpose Apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) is a multifunctionalprotein that shows elevated expression in a number of cancers. We attempted to determinewhether serum APE1/Ref-1 is elevated in patients with bladder cancer. Materials and MethodsSerum APE1/Ref-1 levels were determined using enzyme-linked immunosorbent assay inserum from patients with bladder cancer who had not received chemotherapy or radiotherapy(n=51) and non-tumor controls (n=55). The area under the receiver operating characteristicarea under the curve was applied to determine the correlation between clinicalfactors and the serum levels of APE1/Ref-1. ResultsSerum levels of APE1/Ref-1 in bladder cancer patients were significantly elevated comparedto those of the control group (3.548±0.333 ng/100 μL [n=51] for bladder cancer vs. 1.547±0.319 ng/100 μL [n=55] for the control group), with a sensitivity and specificity of93% and 59%, respectively. Serum APE1/Ref-1 levels are associated with tumor stage,grade, muscle invasion, and recurrence. ConclusionSerum APE1/Ref-1 might be useful as a potential serologic biomarker for bladder cancer.

참고문헌 (24)

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