The C-Terminal Fragment of Prostate-Specific Antigen,a 2331 Da Peptide,as a New Urinary Pathognomonic Biomarker Candidate for Diagnosing Prostate Cancer

Background and Objectives

Prostate cancer (PCa) is one of the most common cancers and leading cause of cancer-related deaths in men. Mass screening has been carried out since the 1990s using prostate-specific antigen (PSA) levels in the serum as a PCa biomarker. However, although PSA is an excellent organ-specific marker, it is not a cancer-specific marker. Therefore, the aim of this study was to discover new biomarkers for the diagnosis of PCa.

Materials and Methods

We focused on urine samples voided following prostate massage (digital rectal examination [DRE]) and conducted a peptidomic analysis of these samples using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF/MSⁿ). Urinary biomaterials were concentrated and desalted using CM-Sepharose prior to the following analyses being performed by MALDI-TOF/MSⁿ: 1) differential analyses of mass spectra; 2) determination of amino acid sequences; and 3) quantitative analyses using a stable isotope-labeled internal standard.

Results

Multivariate analysis of the MALDI-TOF/MS mass spectra of urinary extracts revealed a 2331 Da peptide in urine samples following DRE. This peptide was identified as a C-terminal PSA fragment composed of 19 amino acid residues. Moreover, quantitative analysis of the relationship between isotope-labeled synthetic and intact peptides using MALDI-TOF/MS revealed that this peptide may be a new pathognomonic biomarker candidate that can differentiate PCa patients from non-cancer subjects.

Conclusion

The results of the present study indicate that the 2331 Da peptide fragment of PSA may become a new pathognomonic biomarker for the diagnosis of PCa. A further large-scale investigation is currently underway to assess the possibility of using this peptide in the early detection of PCa.     

Pharmacotherapy for Adverse Events Reduces the Length of Hospital Stay in Patients Admitted to Otolaryngology Ward: A Single Arm Intervention Study

Background

To determine whether adverse events extend the duration of hospitalization, and to evaluate the effectiveness of medical intervention in ameliorating adverse events and reducing the prolonged hospital stay associated with adverse events.

Methods

A single arm intervention study was conducted from October 2012 to March 2014 in the otolaryngology ward of a 614-bed, university-affiliated hospital. Adverse events were monitored daily by physicians, pharmacists and nurses, and recorded in the electronic medical chart for each patient. Appropriate drug management of adverse events was performed by physicians in liaison with pharmacists. The Kaplan-Meier method was used to assess the length of hospitalization of patients who underwent medical intervention for adverse events.

Results

Of 571 patients admitted to the otolaryngology ward in a year, 219 patients (38.4%) experienced adverse events of grade ≥2. The duration of hospitalization was affected by the grade of adverse events, with a mean duration of hospital stay of 9.2, 17.2, 28.3 and 47.0 days for grades 0, 1, 2, and 3–4, respectively. Medical intervention lowered the incidence of grade ≥2 adverse events to 14.5%. The length of hospitalization was significantly shorter in patients who showed an improvement of adverse events after medical intervention than those who did not (26.4 days vs. 41.6 days, hazard ratio 1.687, 95% confidence interval: 1.260–2.259, P<0.001). A multivariate Cox proportional hazard analysis indicated that insomnia, constipation, nausea/vomiting, infection, non-cancer pain, oral mucositis, odynophagia and neutropenia were significant risk factors for prolongation of hospital stay.

Conclusion

Patients who experienced adverse events are at high risk of prolonged hospitalization. Medical intervention for adverse events was found to be effective in reducing the length of hospital stay associated with adverse events.     

DNase γ Is the Effector Endonuclease for Internucleosomal DNA Fragmentation in Necrosis

Apoptosis and necrosis, two major forms of cell death, can be distinguished morphologically and biochemically. Internucleosomal DNA fragmentation (INDF) is a biochemical hallmark of apoptosis, and caspase-activated DNase (CAD), also known as DNA fragmentation factor 40 kDa (DFF40), is one of the major effector endonucleases. DNase γ, a Mg²⁺/Ca²⁺-dependent endonuclease, is also known to generate INDF but its role among other apoptosis-associated endonucleases in cell death is unclear. Here we show that (i) INDF occurs even during necrosis in cell lines, primary cells, and in tissues of mice in vivo, and (ii) DNase γ, but not CAD, is the effector endonuclease for INDF in cells undergoing necrosis. These results document a previously unappreciated role for INDF in necrosis and define its molecular basis.     

Effects of Light and Inhibitors on Polylamellation and Shift of Microfibril Orientation in Boergesenia Cell wall

New round cells of Boergesenia forbesii, which develop fromprotoplasts, form crossed polylamellate cell walls. The frequencyof the shift in microfibril orientation in generating wall layerswas affected not by the photoperiod, but by the total lengthof the illumination period. The dependency of the shift uponlight intensity and quality, and its inhibition by 3-(3,4-dichlorophenyl)-l,l-dimethylureaindicated that the shift in fibril orientation was primarilydependent upon photosynthesis. KCN and NaN₃ strongly inhibitedwall thickening but the frequency of the shift only a little.Therefore, the system controlling microfibril orientation functionsindependently of wall synthesis. Both colchicine and cytochalasinB did not affect microfibril orientation as well as wall synthesisin Boergesenia cells. (Received August 1, 1981; Accepted December 14, 1981)     

Effects of irradiance, water temperature and nutrients on the growth of sporelings of the crustose coralline alga Lithophyllum yessoense Foslie (Corallinales, Rhodophyceae)

Lithophyllum yessoense Foslie is a markedly dominant subtidal, crustose coralline alga in south–western Hokkaido, Japan. In this study, the effects of irradiance, water temperature and nutrients (nitrate and phosphate) on the growth of sporelings of the alga were examined. The relative growth rate (RGR) was saturated at 17.6% d^?1 at a high irradiance (240 umol photon m²s^?1). Even at a low irradiance (10.7–49.9 umol photon m^?2s^?1), RGR was 7.1–12.7% d^?1 The survival rate of sporelings was greater than 80% at irradiance above 10.7 μmol photon m^?2s^?1 throughout the culture period. The growth of L. yessoense sporelings was promoted at 15°C and 20°C, but inhibited at 5°C. The half‐saturation constants (Ks) for growth were about 0.5 umol L^?1 and 0.14 umol L^?1 for nitrate and phosphate, respectively. Saturated nitrate and phosphate concentrations for the growth were about 4.0 μmol L^?1 and 0.4 μmol L^?1, respectively, suggesting that L. yessoense is adaptable to a relatively high water temperature, a wide range of irradiance, and low ambient nitrate and phosphate concentrations. The results provide a possible explanation of why L. yessoense is dominant in the environments of south‐western Hokkaido.     

Characteristics of the Deposition of Microfibrils during Formation of the Polylamellate Walls in the Coenocytic Green Alga Chamaedoris orientalis

Characteristics of the deposition of cellulose microfibrilsduring formation of polylamellate walls and the arrangementof cortical microtubules in the tip-growing bipolar cells ofChamaedoris orientalis were examined by replica preparationmethods and indirect immunofluorescence microscopy. The polylamellatewall is made up of two or three kinds of wall lamella whichdiffer in terms of the orientation of microfibrils. Individuallamellae were periodically initiated one after another fromthe pole that was situated exactly at each growing apex of thecell and they were deposited basipetally. The orientation ofmicrofibrils in each lamella was constant during deposition.Microfibrils in different lamellae were deposited at the sametime through the cell wall but the timing of the depositionwas staggered between neighboring lamellae so that the microfibrilswould not be interwoven. By contrast, cortical microtubuleswere persistently arranged longitudinally all over the celland no focal points to which they converged helically were visible,even around the cell apices. The mechanisms that regulate theformation of the polylamellate wall are discussed and a modelfor interpreting the involvement of the cortical microtubulesin such mechanisms is proposed. (Received July 31, 1989; Accepted January 27, 1990)     

Assembly of Cellulose Synthesizing Complexes on the Plasma Membrane of Boodlea coacta

The assembly of cellulose synthesizing complexes (terminal complexes,TCs) on the plasma membrane of Boodlea coacta was investigatedduring the formation of both the matrix-rich layer (MRL) andfibril-rich layers (FRLs) of cell walls. The TCs appeared tobe located mostly within the outer leaflet of the plasma membrane,and were observed as elliptical protrusions consisting of manyparticles of about 9 nm in diameter. Their length varied from100 to 500 nm (average, 220 nm) during MRL formation and from100 to 860 nm (average, 360 nm) during FRL formation. A correlationwas found between the length of TCs and the microfibril widthin both MRL and FRL. On the E-face of the plasma membrane, numerous round protrusions(30–130 nm in diameter), consisting of many particles,8–10 nm in diameter, were also present. Their densitywas greater during FRL formation than during MRL formation.Some of these structures larger than 100 nm were associatedwith microfibril impressions and some appeared to be bound tothe TCs. These protrusions increased in number with Calcofluortreatment but decreased in number when the dye was removed fromthe culture medium. Thus, the TCs may be assembled from massesof particles aggregated on the outer surface of the plasma membrane,and may grow longer by incorporation of these masses. The appearanceof the longer TCs during FRL formation is probably due to thegreater density of these masses. (Received May 1, 1985; Accepted August 16, 1985)     

Effects of 2,6-dichlorobenzonitrile and Tinopal LPW on the structure of the cellulose synthesizing complexes ofVaucheria hamata

Summary The effects of 2,6-dichlorobenzonitrile (DCB, a known inhibitor of cellulose synthesis) and Tinopal LPW (TPL, an agent which disrupts glucan crystallization) on the structure of cellulose synthesizing complexes (terminal complexes, TCs) in the xanthophycean algaVaucheria hamata were investigated. DCB (10 M) inhibits nascent fibril formation from the TC subunit (based on the absence of impressions) although it does not alter the overall shape of the rectangular TC during the short treatment of 20 min. With a prolonged treatment (60 min), the arrangement of TC subunits becomes disordered, and particles generally exhibited as doublets of subunits are released from each other. DCB also interferes with the formation of the overall shape of the TC although it does not disturb the conversion into TC rows of the subunits (the zymogenic precursor of the TC) packed in the globules. A 15 min treatment with TPL (1 mM) destroys the TC integrity by reducing the subunits into small fragments or particulate aggregates. The particulate rows of the TC are interrupted at many points, and fragments and particulate aggregates are dispersed by prolonged treatment (45 min) with TPL. Unlike DCB, TPL inhibits the conversion of globule subunits into TC rows. New insights on the structural characteristics necessary for cellulose microfibril assembly and possible mechanisms for the biogenesis of theVaucheria TC come from these data.Abbreviations DCB 2,6-dichlorobenzonitrile - TPL Tinopal LPW - TC terminal complex