RT Journal Article SR Electronic T1 Proteomic-based stratification of intermediate-risk prostate cancer patients JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202302146 DO 10.26508/lsa.202302146 VO 7 IS 2 A1 Zhong, Qing A1 Sun, Rui A1 Aref, Adel T A1 Noor, Zainab A1 Anees, Asim A1 Zhu, Yi A1 Lucas, Natasha A1 Poulos, Rebecca C A1 Lyu, Mengge A1 Zhu, Tiansheng A1 Chen, Guo-Bo A1 Wang, Yingrui A1 Ding, Xuan A1 Rutishauser, Dorothea A1 Rupp, Niels J A1 Rueschoff, Jan H A1 Poyet, Cédric A1 Hermanns, Thomas A1 Fankhauser, Christian A1 Rodríguez Martínez, María A1 Shao, Wenguang A1 Buljan, Marija A1 Neumann, Janis Frederick A1 Beyer, Andreas A1 Hains, Peter G A1 Reddel, Roger R A1 Robinson, Phillip J A1 Aebersold, Ruedi A1 Guo, Tiannan A1 Wild, Peter J YR 2024 UL http://www.life-science-alliance.org/content/7/2/e202302146.abstract AB Gleason grading is an important prognostic indicator for prostate adenocarcinoma and is crucial for patient treatment decisions. However, intermediate-risk patients diagnosed in the Gleason grade group (GG) 2 and GG3 can harbour either aggressive or non-aggressive disease, resulting in under- or overtreatment of a significant number of patients. Here, we performed proteomic, differential expression, machine learning, and survival analyses for 1,348 matched tumour and benign sample runs from 278 patients. Three proteins (F5, TMEM126B, and EARS2) were identified as candidate biomarkers in patients with biochemical recurrence. Multivariate Cox regression yielded 18 proteins, from which a risk score was constructed to dichotomize prostate cancer patients into low- and high-risk groups. This 18-protein signature is prognostic for the risk of biochemical recurrence and completely independent of the intermediate GG. Our results suggest that markers generated by computational proteomic profiling have the potential for clinical applications including integration into prostate cancer management.