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Clinical Chemistry 43: 1868-1876, 1997;
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(Clinical Chemistry. 1997;43:1868-1876.)
© 1997 American Association for Clinical Chemistry, Inc.


Articles

ELISA determination of soluble urokinase receptor in blood from healthy donors and cancer patients

Ross W. Stephens1,a, Anders N. Pedersen1, Hans Jørgen Nielsen, Maria J. A. G. Hamers1, Gunilla Høyer-Hansen1, Ebbe Rønne1, Esben Dybkjær, Keld Danø1 and Nils Brünner1

1 The Finsen Laboratory, Rigshospitalet, Copenhagen, Denmark.
a Address correspondence to this author at: The Finsen Laboratory, Strandboulevarden 49, DK-2100 Copenhagen, Denmark. Fax +45 31 38 54 50; e-mail p1000027{at}inet.uni-c.dk

Measurement of urokinase receptor (uPAR) in tumor extracts has prognostic value, but assay of the soluble uPAR (suPAR) in peripheral blood may offer wider applications in cancer patient management. A tumor extract uPAR ELISA was modified to eliminate nonspecific plasma protein interference, enabling specific detection of suPAR in plasma and sera with >90% recovery of added calibrator. suPAR concentrations in citrate plasma correlated with sera in 93 healthy blood donors (r = 0.84, P <0.0001), with a median value for both of 1.2 µg/L. The plasma median for 19 advanced breast cancer patients was 2.9 µg/L suPAR, and a similar increase was found for 10 advanced colon cancer patients, consistent with release of suPAR from tumors into blood. Repetitive monitoring of suPAR in cancer patients' blood may have value in assessment of prognosis and tumor recurrence.




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Copyright © 1997 by the American Association for Clinical Chemistry.