Abstract 462: The development of a highly efficient diagnostic marker combined with PSA of prostate cancer (PCa)

Prostate-Specific Antigen (PSA) is a well-known diagnosis maker for detecting prostate cancer (PCa) using a serum test. However, PSA testing remains controversial because it shows a high false-positive rate and lacks the sensitivity of PCa patients with low PSA levels, although patients have metastasis. Recently, we found an E3 ubiquitin ligase, WSB1, highly expressed in PCa patients with low PSA levels. Overexpressed WSB1 is found in various human cancers, such as pancreatic cancer, lung cancer, breast cancer, and PCa. Especially with PCa, WSB1 is highly expressed in metastatic PCa. Using RNA seq. database from PCa patients (65 primaries and 25 metastasis), we found that WSB1 is highly expressed in 90% (9/10) of patients among ten primary patients with normal PSA levels and 100% (6/6) of patients among six metastasis patients with normal PSA levels. WSB1 expression shows a significant correlation with aggressive PCa progression. Furthermore, WSB1 can secrete into cell culture media like PSA. Therefore, we suggest that WSB1 could be a highly efficient marker combined with PSA for PCa diagnosis as well as being developed as a screening test for the early detection of PCa in the high-risk group. Citation Format: SeungBaek Lee, JungJin Kim. The development of a highly efficient diagnostic marker combined with PSA of prostate cancer (PCa) [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 462.