Простат-специфический антиген как маркер заболеваний предстательной железы и мишень для лекарственных препаратов (обзор литературы)
Простат-специфический антиген как маркер заболеваний предстательной железы и мишень для лекарственных препаратов (обзор литературы)
Ахвледиани Н.Д., Алленов С.Н., Матюхов И.П. Простат-специфический антиген как маркер заболеваний предстательной железы и мишень для лекарственных препаратов (обзор литературы). Consilium Medicum. 2017; 19 (7): 35–40. DOI: 10.26442/2075-1753_19.7.35-40
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Akhvlediani N.D., Allenov S.N., Matyukhov I.P. Prostate-specific antigen as a marker for prostate diseases and a target for drug therapy (literature review). Consilium Medicum. 2017; 19 (7): 35–40. DOI: 10.26442/2075-1753_19.7.35-40
Простат-специфический антиген как маркер заболеваний предстательной железы и мишень для лекарственных препаратов (обзор литературы)
Ахвледиани Н.Д., Алленов С.Н., Матюхов И.П. Простат-специфический антиген как маркер заболеваний предстательной железы и мишень для лекарственных препаратов (обзор литературы). Consilium Medicum. 2017; 19 (7): 35–40. DOI: 10.26442/2075-1753_19.7.35-40
________________________________________________
Akhvlediani N.D., Allenov S.N., Matyukhov I.P. Prostate-specific antigen as a marker for prostate diseases and a target for drug therapy (literature review). Consilium Medicum. 2017; 19 (7): 35–40. DOI: 10.26442/2075-1753_19.7.35-40
Простат-специфический антиген (ПСА) не только является параметром диагностики заболеваний предстательной железы (ПЖ), но и предоставляет возможность влияния на течение таких заболеваний, как доброкачественная гиперплазия ПЖ и синдром хронической тазовой боли при регулировании его активности. Функция ПСА в организме не ограничена его основной биологической ролью – снижением коагуляционных свойств спермы, ПСА вовлечен в различные каскады реакций, в том числе патологические. Препарат Афалаза, содержащий аффинно очищенные антитела к ПСА и эндотелиальной NO-синтазе в релиз-активной форме, модулирует активность ПСА и эндотелиальной NO-синтазы, оказывая антипролиферативное, противоотечное, противовоспалительное и эндотелиопротективное действие, обеспечивая улучшение показателей уродинамики и качества жизни у пациентов с доброкачественной гиперплазией ПЖ и синдромом хронической тазовой боли.
Ключевые слова: простат-специфический антиген, Афалаза, аффинно очищенные антитела к простат-сцецифическому антигену в релиз-активной форме, аффинно очищенные антитела к эндотелиальной NO-синтазе в релиз-активной форме.
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Prostate-specific antigen (PSA) not only is the factor of prostate diseases diagnosis but regulation of its activity also influences the state of such diseases as benign prostatic hypertrophy (BPH) and chronic pelvic pain syndrome (CPPS). Functions of PSA are not limited by its key biological role – decrease in the semen rheological properties, PSA is involved in various cascade reactions including pathological ones. The medication Afalaza containing affinity purified antibodies to PSA and endothelial NO-synthase (eNOS) in released-active forms modulates PSA and eNOS activity providing antiproliferative, anti-inflammatory and endothelium-protective effects that result in the improvement of urodynamic parameters and increase of life quality of patients with BPH and CPPS.
Key words: prostate-specific antigen, Afalaza, affinity purified antibodies to prostate-specific antigen in released-active forms, affinity purified antibodies to endothelial NO-synthase in released-active forms.
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1. Nickel JC. The overlapping lower urinary tract symptoms of benign prostatic hyperplasia and prostatitis. Curr Opin Urol 2006; 16 (1): 5–10.
2. Roehrborn CG, McConnell JD. Etiology, pathophysiology, epidemiology and natural history of benign prostatic hyperplasia. In: Walsh PC, Retik AB, Vaughn EB Jr et al., editors. Campbell’s urology. 8. Vol. 38. Philadelphia: WB Saunders Co, 2002; p. 1297–330.
3. Lepor H. Pathophysiology, epidemiology, and natural history of benign prostatic hyperplasia. Rev Urol 2004; 6: 3–S10.
4. Pushkar' D.Iu., Rasner P.I. Differentsial'naia diagnostika raka i dobrokachestvennoi giperplazii predstatel'noi zhelezy. Rus. med. zhurn. 2014; 17: 1298. [in Russian]
5. Ayyıldız SN, Ayyıldız A. PSA, PSA derivatives, proPSA and prostate health index in the diagnosis of prostate cancer. Turk J Urol 2014; 40 (2): 82–8.
6. Belanger A, van Halbeek H, Graves HC et al. Molecular mass and carbohydrate structure of prostate specific antigen: studies for establishment of an International PSA standard. Prostate 1995; 27: 187–97.
7. Lundwall A, Lilja H. Molecular cloning of human prostate specific antigen cDNA. FEBS Lett 1987; 214: 317–22.
8. Watt KW, Lee PJ, M’Timkulu T et al. Human prostate specific antigen: structural and functional similarity with serine proteases. Proc Natl Acad Sci USA 1986; 83: 3166–70.
9. Regiman PH, Vlietstra RJ, Suurmeijer L et al. Characterization of the human kallikrein locus. Genomics 1992; 14: 6–11.
10. Borgono CA, Diamandis EP. The emerging roles of human tissue kallikreins in cancer. Nat Rev Cancer 2004; 4 (11): 876–90.
11. Klokk TI, Xi Z, Saatcioglu F. Human tissue kallikrein – a family with many surprises. Turk J Biochem 2006; 31 (2): 69–71.
12. Zhang W-M, Leinonen J, Kalkkinen N et al. Purification and characterization of different molecular forms of prostate specific antigen in human seminal fluid. Clin Chem 1995; 41: 1567–73.
13. Wang MC, Papsidero LC, Kuriyama M et al. Prostate antigen: a new potential marker for prostatic cancer. Prostate 1981; 2: 89–96.
14. Brawer MK, Rennels MA, Nagle RB et al. Serum prostate specific antigen and prostate pathology in men having a simple prostatectomy. Am J Clin Pathol 1989; 92: 760–4.
15. Loran O.B. Diagnostika i differentsial'naya diagnostika dobrokachestvennoy giperplazii predstatel'noy zhelezy. V kn.: Dobrokachestvennaya giperplaziya predstatel'noy zhelezy. Pod red. N.A.Lopatkina. M., 1999; s. 56–69. [in Russian]
16. Morgan TO, Jacobsen SJ, McCarthy WF et al. Age-specific reference ranges for prostate-specific antigen in black men. N Engl J Med 1996; 335: 304–10.
17. Baillargeon J, Pollock BH, Kristal AR et al. The association of body mass index and prostate-specific antigen in a population-based study. Cancer 2005; 103: 1092–5.
18. Arab D, Ardestani Zadeh A, Mirmohammadkhani M et al. Prostate-specific antigen rising in Iranian men in correlation with body mass index, fasting blood sugar and blood lipid profile. J Nephropathol 2016; 5 (4): 134–8.
19. Lilja H, Abrahamsson PA. Three predominant proteins secreted by the human prostate gland. Prostate 1988; 12: 29–38.
20. Nadler RB, Humphrey PA, Smith DS et al. Effect of inflammation and benign prostatic hyperplasia on elevated serum prostate specific antigen levels. J Urol 1995; 154 (2 Pt. 1): 407–13.
21. Polascik TJ, Oesterling JE, Partin AW. Prostate specific antigen: a decade of discovery – what we have learned and where we are going. J Urol 1999; 162 (2): 293–306.
22. Irani J, Millet C, Levillain P et al. Serum-to-urinary prostate-specific antigen ratio: a potential means of distinguishing benign prostatic hyperplasia from prostate cancer. Eur Urol 1996; 29 (4): 407–12.
23. Christensson A, Laurell CB, Lilja H. Enzymatic activity of prostate specific antigen and its reaction with extracellular protease inhibitors. Eur J Biochem 1990; 194: 755–63.
24. Björk T, Ljungberg B, Piironen T et al. Rapid exponential elimination of free prostate-specific antigen contrasts the slow, capacity-limited elimination of PSA complexed to alpha 1-antichymotrypsin from serum. Urology 1998; 51: 57–62.
25. Mikolajczyk SD, Millar LS, Wang TJ et al. “BPSA”, a specific molecular form of free prostate-specific antigen, is found predominantly in the transition zone of patients with nodular benign prostatic hyperplasia. Urology 2000; 55: 41–5.
26. Peyromaure M, Fulla Y, Debre B, Dinh-Xuan AT. Pro PSA: a “pro cancer” form of PSA? Medical Hypotheses 2005; 64: 92–5.
27. Filella X, Gimenez N. Evaluation of [-2] proPSA and prostate health index (phi) for the detection of prostate cancer: a systematic review and meta-analysis. Clin Chem Lab Med 2013; 51: 729–39.
28. Li TS, Beling CG. Isolation and characterization of two specific antigens of human seminal plasma. Fertil Steril 1973; 24: 134–44.
29. Filella X, Foj L. Prostate Cancer Detection and Prognosis: From Prostate Specific Antigen (PSA) to Exosomal Biomarkers. Int J Mol Sci 2016; 17 (11): 1784.
30. Nelson PS, Gan L, Ferguson C et al. Molecular cloning and characterization of prostase, an androgen-regulated serine protease with prostate-restricted expression. Proc Natl Acad Sci USA 1999; 96: 3114–9.
31. Cleutjens KBJM, van Eekelen CCEM, Van der Korput HAGM et al. Two androgen response regions cooperate in steroid hormone regulated activity of the prostate-specific antigen promoter. J Biol Chem 1996; 271: 6379–88.
32. Boyle P, Koechlin A, Bota M et al. Endogenous and exogenous testosterone and the risk of prostate cancer and increased prostate specific antigen (PSA): a meta-analysis. BJU Int 2016.
33. Lilja H, Oldbring J, Rannevik G, Laurell C-B. Seminal vesicle-secreted proteins and their reactions during gelation and liquefaction of human semen. J Clin Invest 1987; 80: 281–5.
34. Cohen P, Graves HCB, Peehl DM et al. Prostate-specific antigen (PSA) is an insulin-like growth factor binding protein-3 protease found in seminal plasma. J Clin Endocrinol Metab 1991; 73: 401–7.
35. Lilja H. A kallikrein-like serine protease in prostatic fluid cleaves the predominant seminal vesicle protein. J Clin Invest 1985; 76: 1899–903.
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Авторы
Н.Д.Ахвледиани*, С.Н.Алленов, И.П.Матюхов
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2 *nikandro@mail.ru
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N.D.Akhvlediani*, S.N.Allenov, I.P.Matyukhov
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow,ul. Trubetskaia, d. 8, str. 2 *nikandro@mail.ru