PSA Semi-Quantitative Rapid Detection Kit

The PSA Semi-Quantitative Rapid Test Device (Whole Blood/Serum/Plasma) is a rapid chromatographic immunoassay for semi-quantitative detection of Prostate Specific Antigen (PSA) in human whole blood, serum or plasma. It is intended for use at point of care facilities to measure total prostate specific antigen (tPSA) in human whole blood, serum or plasma. It is for professional in vitro diagnostic use only.

 

Prostate specific antigen (PSA) is produced by prostate glandular and endothelial cells. It is a single chain glycoprotein with a molecular weight of approximately 34 kDa. (1) PSA exists in three major forms circulating in the serum. These forms are free PSA, PSA bound to α1–Antichymotrypsin (PSA-ACT) and PSA complexed with α2–macroglobulin (PSA-MG). (2) PSA has been detected in various tissues of the male urogenital system but only prostate glandular cells and endothelial cells secrete it. The PSA level in the serum of healthy men is between 0.1 ng/mL and 2.6 ng/mL. It can be elevated in malignant conditions such as prostate cancer, and in benign conditions such as benign prostatic hyperplasia and prostatitis.

 

A PSA level of 4 to 10 ng/mL is considered to be in the “gray-zone” and above 10 ng/mL is highly indicative of cancer. (3) Patients with PSA values between 4 - 10 ng/mL should undergo further analysis of the prostate by biopsy. Authorities have begun to explore the possibility of using PSA levels lower than 4.0 ng/mL as the upper limit of normal for screening examinations. By lowering the PSA cutoff from 4 to 3 ng/mL, an increase in cancer detection by 13.2% can be achieved. (4) The prostate specific antigen test is the most valuable tool available for the diagnosis of early prostate cancer. Many studies have confirmed that the presence of PSA is the most useful and meaningful tumor marker known for prostate cancer and prostate infection of Benign Prostatic Hyperplasia (BPH).

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Sources:

1. Wang MC, Valenzuela LA, Murphy GP, et al., Purification of human prostate specificity antigen. Invest Urol 1979; 17: 159-163.

2. Christens A, Laurell CB, Lilja H. Enzymatic activity of prostate –specific antigen and its reaction with extracellular serine proteinase Inhibitors. Eur J Biochem 1990; 194:755-763.

3. Catalona WJ, Southurick PC, Slawin KM, et al., Comparison of percent free PSA, PSA density and age-specific PSA cut-offs for prostate cancer detection and staging. Urology 2000 Aug 1:56(2):255-60.

4. Lodding P, Aus G, Bergdahl S, et al. Characteristics of screening detected prostate cancer in men 50 to 66 years old with 3 to 4 ng./mL. prostate specific antigen. Journal of Urology 159(3): 899-903, 1998.

5. Vancangh PJ, De Nayer P, Sauvage P, et al., Free to total prostate-specific antigen (PSA) ratio is superior to total PSA in differentially benign prostate hypertrophy from prostate cancer. Prostate Supplement, 1996, 7:30-34.

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