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Table 2 Clinically significant different biomarkers for the diagnosis of PC

From: Recent advances and future perspectives in the therapeutics of prostate cancer

Test

Company

Biomaterial

Biomarker details

Clinical utility

Test outcome

Certification

References

PHI

Beckman Coulter Inc

Blood serum

Free PSA (fPSA), total PSA (tPSA), and [-2] proPSA

Initial biopsy and rebiopsy

Differentiates benign conditions and malignant prostate cancers

Decreases unnecessary biopsies

US FDA

[68]

4K score

OPKO Health Inc

Blood plasma

Free PSA (fPSA), total PSA (tPSA), intact PSA (iPSA), and human kallikrein 2 (hK2)

Initial biopsy and rebiopsy

Differentiates high-grade and indolent prostate cancer

Decreases unnecessary biopsies

CLIA

[69]

PCA3

Hologic Inc

Post DRE urine

PSA mRNA, lncRNA PCA3

Rebiopsy

Decreases unnecessary biopsies

US FDA

[70]

Exo-Dx

Exosome

Diagnostics

Urine

Exosomal mRNA (PCA3, ERG, and SPDEF)

Initial biopsy and rebiopsy

Differentiates high-grade and indolent prostate cancer

Decreases unnecessary biopsies

CLIA

[71]

SelectMDx

MDxHealth

Post DRE first void urine

DLX1, KLK3, HOXC6, mRNA and PSA

Initial biopsy and rebiopsy

Differentiates high-grade and indolent prostate cancer. Decreases unnecessary

biopsies

CLIA

[72]

TMPRSS2-ERG

Blood tissue and urine

Post DRE urine

Fusion gene TMPRSS2-ERG

Initial biopsy

Differentiates high-grade and indolent prostate cancer

Decreases unnecessary biopsies

No

[73]

Mi-Prostate

Score

Michigan

Labs

Post DRE first void urine

PCA3 and TMPRSS2-ERG mRNA, tPSA

Initial biopsy

Differentiates high-grade and indolent prostate cancer

Decreases unnecessary biopsies

CLIA

[74]

ConfirmMDx

MDx Health

Tissue

Hypermethylation of genes- GSTP1, APC and RASSF1, PSA

Rebiopsy

Decreases unnecessary biopsies

CLIA

[75]

  1. CLIA: Clinical Laboratory Improvement Amendments under Center of Medicare and Medicaid Services