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Clinical Chemistry 42: 1785-1788, 1996;
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Clinical Chemistry, Vol 42, 1785-1788, Copyright © 1996 by American Association for Clinical Chemistry

Prostate-specific antigen concentrations in serum in acute illnesses

SA Honda, AP Goldstein, T Morita, C Sugiyama, L Cody, CN Rios and NV Bhagavan
Kaiser foundation Hospital, Honolulu, HI, USA.

In light of recent studies showing that prostate-specific antigen (PSA) complexes with certain blood proteins, we studied the effects of acute- phase reactants and alpha 2-macroglobulin (A2MG) on serum concentrations of PSA. Serum samples were obtained from 419 men admitted to an acute-care facility. Various acute-phase reactants- including C-reactive protein, alpha 1-acid glycoprotein, alpha 1- antitrypsin, and alpha 1-antichymotrypsin-and A2MG were measured with a Beckman Array analyzer in parallel with determinations of PSA concentrations by two methods, the Hybritech Tandem RIA and the Abbott PSA IMx. Evaluation by Spearman rank correlation revealed a significant negative correlation of A2MG with PSA values (P < 0.01) and (as expected) a positive correlation of age with PSA values (P < 0.001). The former correlation suggests the possibility that patients with high serum concentrations of A2MG may give falsely decreased results for PSA concentrations in serum.





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