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Rediscovering citrate as a biomarker for prostate cancer

For many years, PSA has been the most commonly used biomarker for prostate cancer screening and diagnosis. Although serum PSA measurement is highly sensitive, this biomarker has several limitations. Citrate, a molecule closely linked to the unique metabolism of prostate cancer, has the potential to be used as a complementary biomarker alongside PSA.

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Fig. 1: Reprogramming of citrate metabolism during prostate cancer.

References

  1. James, N., Lee, N. & Horton, R. Announcing the Lancet Commission on Prostate Cancer. Lancet 397, 1865–1866 (2021).

    Article  PubMed  Google Scholar 

  2. Leslie, S. W., Soon-Sutton, T. L., Anu, R. I., Sajjad, H. & Skelton, W. P. Prostate Cancer. StatPearls [Internet] https://www.ncbi.nlm.nih.gov/books/NBK470550/ (updated 13 Nov 2023).

  3. Frégeau-Proulx, L. et al. Multiple metabolic pathways fuel the truncated tricarboxylic acid cycle of the prostate to sustain constant citrate production and secretion. Mol. Metab. 62, 101516 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bader, D. A. & McGuire, S. E. Tumour metabolism and its unique properties in prostate adenocarcinoma. Nat. Rev. Urol. 17, 214–231 (2020).

    Article  PubMed  Google Scholar 

  5. Kline, E. E. et al. Citrate concentrations in human seminal fluid and expressed prostatic fluid determined via 1H nuclear magnetic resonance spectroscopy outperform prostate specific antigen in prostate cancer detection. J. Urol. 176, 2274–2279 (2006).

    Article  CAS  PubMed  Google Scholar 

  6. Gonthier, K. et al. Isocitrate dehydrogenase 1 sustains a hybrid cytoplasmic–mitochondrial tricarboxylic acid cycle that can be targeted for therapeutic purposes in prostate cancer. Mol. Oncol. https://doi.org/10.1002/1878-0261.13441 (2023).

  7. Costello, L. C., Franklin, R. B. & Feng, P. Mitochondrial function, zinc, and intermediary metabolism relationships in normal prostate and prostate cancer. Mitochondrion 5, 143–153 (2005).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Cooper, J. F. & Farid, I. The role of citric acid in the physiology of the prostate: a chromatographic study of citric acid cycle intermediates in benign and malignant prostatic tissue. J. Surg. Res. 3, 112–121 (1963).

    Article  CAS  PubMed  Google Scholar 

  9. Andersen, M. K. et al. Spatial differentiation of metabolism in prostate cancer tissue by MALDI-TOF MSI. Cancer Metab. 9, 9 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gregório, E. P., Alexandrino, A. P., Schuquel, I. T. A., da Costa, W. F. & Rodrigues, M. A. F. Seminal citrate is superior to PSA for detecting clinically significant prostate cancer. Int. Braz. J. Urol. 45, 1113–1121 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Étienne Audet-Walsh.

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Galey, L., Olanrewaju, A., Nabi, H. et al. Rediscovering citrate as a biomarker for prostate cancer. Nat Rev Urol 21, 573–575 (2024). https://doi.org/10.1038/s41585-024-00899-3

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