Glutathione S-transferase Gene (GSTP1, pi-class) Methylation Assay
Glutathione S-transferase Gene (GSTP1, pi-class) Methylation AssayUpdated May 15 2008
    
Number
489320
CPT
83891; 83896 (x4); 83898 (x2); 83900; 83907; 83912
Synonyms
GSTP1
Special Instructions
Please provide a copy of the pathology report. Please direct any questions regarding this test to Customer Service at 800-533-0567.
Specimen
Formalin-fixed, paraffin-embedded tissue (FFPE)
Volume
Formalin-fixed, paraffin-embedded tissue block
Minimum VolumeMinimum Volume - Updated July 9 2008
Five 5μm tissue sections
Container
Paraffin block
Storage Instructions
Maintain specimen at room temperature.
Causes for Rejection
Paraffin block containing insufficient tissue.
Use
Prostate cancer is the most common cancer in men and the second leading cause of cancer-related deaths in the United States. Due to the reportedly high false negative rate of initial biopsy results after an elevated PSA level, new approaches for improved detection in prostate cancer are needed. Several studies have shown that hyper-methylation of the promoter regions of the GSTP1 and APC genes occur at a significantly higher frequency in prostate cancer samples than in benign conditions of the prostate gland.1,2 For that reason, gene methylation assays may be used as an adjunct to histopathology for patients where prostate disease is considered. It has been shown that the methylation levels for genes, such as GSTP1, may increase with patient age. Therefore, age should be considered along with other clinical features in the interpretation of test results.3
LimitationsLimitations - Updated September 24 2008
Preparation of DNA from tissue samples is dependent upon the quality of the provided specimen. Inadequate DNA extraction may occur in a significant number of paraffin-embedded samples.

Methodology
Quantitative methylation specific PCR
Footnotes
  1. Li LC, Carrol PR, Dahiga R. Epigenetic Changes in Prostate Cancer: Implications for Diagnosis and Treatment. Journal of the National Cancer Institute 97: 103; 2005.
  2. Bastian PJ, Ellinger J, Wellman A. et al. Diagnostic and Prognostic Information in Prostate Cancer with the Help of a Small Set of Hypermethylated Gene Loci. Clinical Cancer Research 11: 4097; 2005.
  3. Kwabe-Addo B, Chung W, Shen L. et al. Age Related DNA Methylation Changes in Normal Human Prostate Tissue. Clinical Cancer Research 13: 3796; 2007.

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