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. 2018 Sep 2;8(3):62. doi: 10.3390/diagnostics8030062

Table 1.

Prostate cancer diagnostic and prognostic biomarkers.

Test Company Sample Input Testing Platform Outcome References
Clinically available biomarkers for diagnostic assessment
ExoDx® Exosome Diagnostics Urine Transcript quantification of PCA3 and TMPRSS2:ERG Initial biopsy [38,39]
Mi-Prostate Score University of Michigan Post-DRE urine Transcript quantification of PCA3 and TMPRSS2:ERG, in combination with PSA level Initial biopsy [82,83]
SelectMDx MDxHealth Post-DRE urine Transcript quantification of DLX1 and HOXC6 Initial biopsy [63]
Progensa PCA3 Hologic Post-DRE urine Transcript quantification of PCA3 and PSA Rebiopsy [60,61]
4Kscore® OPKO Diagnostics Blood Immunoassay panel for tPSA, fPSA, iPSA, and hK2 Rebiopsy [64,84,85,86]
ConfirmMDx MDxHealth Prostate tissue PCR-based determination of the methylation status of GSTP1, APC, and RASSF1 Rebiopsy [66,67,87,88]
Prostate Health Index Beckman Coulter Blood Immunoassay panel for tPSA, fPSA, and p2PSA Initial biopsy/rebiopsy [65,89,90]
Molecular panels for prognosis and risk stratification
NaDiA® ProsVueTM Beckman Coulter Blood Total serum PSA Management post-RP [70,71]
DecipherTM GenomeDx Biosciences RP Transcriptomic microarray profiling of 22 gene markers Management post-RP [75,91]
Oncotype DX® Genomic Health Prostate tissue Quantitative PCR for 12 PCa-related genes and 5 housekeeping controls Active surveillance or treatment initiation [76,77]
Prolaris® Myriad Genetics Prostate tissue Quantitative PCR for 31 cell cycle-related genes and 15 housekeeping controls Active surveillance or treatment initiation [78,79]
ProMark® Metamark Prostate tissue In situ measurement of 8 protein biomarkers by automated image analysis Active surveillance or treatment initiation [80,81,92]

PSA = prostate-specific antigen; tPSA = total PSA; fPSA = free PSA; p2PSA = [−2]proPSA; DRE = digital rectal examination; RP = radical prostatectomy.