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Influence of Long-Distance Bicycle Riding on Serum/Urinary Biomarkers of Prostate Cancer.

Abstract
Herein, we present a study focused on the determination of the influence of long-distance (53 km) bicycle riding on levels of chosen biochemical urinary and serum prostate cancer (PCa) biomarkers total prostate-specific antigen (tPSA), free PSA (fPSA) and sarcosine. Fourteen healthy participants with no evidence of prostate diseases, in the age range from 49-57 years with a median of 52 years, underwent physical exercise (mean race time of 150 ± 20 min, elevation increase of 472 m) and pre- and post-ride blood/urine sampling. It was found that bicycle riding resulted in elevated serum uric acid (p = 0.001, median 271.76 vs. 308.44 µmol/L pre- and post-ride, respectively), lactate (p = 0.01, median 2.98 vs. 4.8 mmol/L) and C-reactive protein (p = 0.01, 0.0-0.01 mg/L). It is noteworthy that our work supports the studies demonstrating an increased PSA after mechanical manipulation of the prostate. The subjects exhibited either significantly higher post-ride tPSA (p = 0.002, median 0.69 vs. 1.1 ng/mL pre- and post-ride, respectively) and fPSA (p = 0.028, median 0.25 vs. 0.35 ng/mL). Contrary to that, sarcosine levels were not significantly affected by physical exercise (p = 0.20, median 1.64 vs. 1.92 µmol/mL for serum sarcosine, and p = 0.15, median 0.02 µmol/mmol of creatinine vs. 0.01 µmol/mmol of creatinine for urinary sarcosine). Taken together, our pilot study provides the first evidence that the potential biomarker of PCa-sarcosine does not have a drawback by means of a bicycle riding-induced false positivity, as was shown in the case of PSA.
AuthorsZbynek Heger, Jaromir Gumulec, Ales Ondrak, Jan Skoda, Zdenek Zitka, Natalia Cernei, Michal Masarik, Ondrej Zitka, Vojtech Adam
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 17 Issue 3 Pg. 377 (Mar 17 2016) ISSN: 1422-0067 [Electronic] Switzerland
PMID26999116 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers, Tumor
  • Uric Acid
  • Lactic Acid
  • C-Reactive Protein
  • Prostate-Specific Antigen
  • Sarcosine
Topics
  • Bicycling
  • Biomarkers, Tumor (blood, urine)
  • C-Reactive Protein (analysis)
  • Humans
  • Lactic Acid (blood)
  • Male
  • Middle Aged
  • Prostate-Specific Antigen (blood)
  • Prostatic Neoplasms (blood, diagnosis)
  • Reproducibility of Results
  • Sarcosine (blood, urine)
  • Uric Acid (blood)

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