Protein Kinase A in Prostate Cancer Tissue.

Study Overview
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Brief Summary
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Prostate cancer is the most common malignancy in men. documented risk factors of prostate cancer are age, ethnicity, various genomic mutations and family history of prostate cancer. The cellular mechanisms of malignant transformation are numerous and not completely understood. A possible mechanism is induction of an inflammation resulting in cellular atypia and pre-malignant changes in the affected tissue by inducing a pro-inflammatory response or changes in extra cellular matrix. Protein Kinase A (PKA) is a key stone enzyme in various intra-cellular processes. Various infections' inflammations and malignancies were proved to impact PKA activity. The research hypothesis is that prostate cancer tissue will show a unique profile of PKA activity, regulation and intracellular distribution.

Detailed Description
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The study will be conducted among men referred to prostate biopsy due to clinical suspicion of malignancy. 100 consecutive patients will undergo prostate biopsies. Biopsies will be taken from both lobes of the prostate (standard protocol) and additional biopsies will be taken according to MRI findings (Fusion biopsies) if relevant. One additional biopsy will be taken from each lobe of the prostate and immediately freezed in -80 Celsius degrees. Routine biopsies will be fixed in formaldehyde and embedded in paraffin and will undergo routine pathological analysis and staining. Following pathological analysis, paraffin slides will be undergo immunohistochemically staining for PKA, comparing cancerous tissue to normal surrounding tissue. the fresh frozen tissue will undergo western blot analysis for quantitative expression of PKA and its sub units.

Official Title
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Assessment of the Expression and Activity of Protein Kinase A in Prostate Cancer Tissue

Conditions
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Prostate Neoplasm, Inflammation, Benign Hyperplasia of Prostate

Intervention / Treatment
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* Diagnostic Test: prostate biopsy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men Clinical suspicion of prostate cancer Referred for biopsy Able to sign informed consent. Exclusion Criteria: Previous prostate irradiation Chronic prostatitis Previous prostate surgery Recent urinary tract infection (3 months prior to biopsy). Indwelling urinary catheter

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: prostate biopsy|trans rectal ultrasound guided biopsies of prostate . Biopsy smaples will be referred to staining and western blot analysis.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The distribution of PKA in prostate cancer versus benign tissue | Immunohistochemical staining of paraffin sections of prostatebiopsies for PKA, western blot analysisi of tissue. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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protein kinase A, immunohistochemistry, prostate cancer, prostate biopsy