Purpose: Reverse transcriptase-polymerase chain reaction (RT-PCR) offers a
potentially more sensitive assay for detecting cells expressing prostate-sp
ecific antigen (PSA) mRNA in peripheral circulation. But: the sensitivity a
nd specificity are variable depending on the position of the PSA amplificat
ion. To increase sensitivity and specificity, the whole PSA cDNA (1466 bp)
was separated into eight different parts.
Methods: We examined RT-PCR on 12 urogenital cell lines, including three pr
ostate cancer (LNCaP, PC3, DU145), five human renal cell carcinoma (SMKT-R3
, TOS-1, TOS-2, R4, ACHN), two urinary bladder cancer (YTS-1, KK-47) and tw
o testicular cancer (NEC8, NEC14) cell lines. The sizes of the eight fragme
nted PSA used in the experiment were PSA-1 (1-257 bp), PSA-2 (1-322 bp), PS
A-3 ( 172-507 bp), PSA-4 (172-851 bp), PSA-5 (595-1347 bp), PSA-6 (682 967
bp), PSA-7 (682-1347 bp) and PSA-8 (863-1466 bp).
Results: All cell lines had positive signals from PSA-6, PSA-7 and PSA-8. T
he positive signals from PSA-1, PSA-2 and PSA-3 were detected in some other
cell lines in addition to the three prostate cancer cell lines. Only LNCaP
which produces the PSA protein had a positive signal From PSA-5. PC3 and D
U145 (which do not produce PSA) and LNCaP had a positive signal from PSA-4.
Therefore, the inner primer PSA-4' (578-782 bp) used to increase sensitivi
ty and specificity. Nested RT-PCR on the 12 cell lines, using the PSA-4 and
4' primers, detected more clear bands in the three prostate cancer cells.
Conclusion: Nested RT-PCR: using PSA-4 (outer primer) and PSA-4' (inner pri
mer) may be useful for detecting prostate cancer cells in the peripheral bl
ood.