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Anti-inflammatory drugs may mask prostate cancer marker

Published on September 14, 2008 at 6:40 PM · No Comments

Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, may reduce serum levels of the prostate biomarker, PSA (prostate specific antigen), and hence may alter the detection of prostate cancer in individuals who take these medications.

That is the conclusion of a new study in the October 15, 2008 issue of CANCER, a peer reviewed journal of the American Cancer Society.

Chronic inflammation has been linked to many different types of malignancies, including prostate cancer. Researchers suspect that inflammation associated with prostate cancer may occur through a variety of mechanisms such as infection, hormonal changes, physical trauma, urine reflux, and dietary habits. Studies have shown that cyclooxygenase (COX) enzymes, which are inhibited by NSAIDs, play an important role in inflammation. In addition, several reviews have indicated that NSAID use is associated with a lower incidence of prostate cancer.

However, there is little data on the precise relationship between NSAID use and levels of PSA, a commonly measured marker used in prostate cancer screening. For their study, led by Dr. Singer of the University of Rochester Medical Center, researchers compared blood PSA levels and NSAID and acetaminophen consumption in a large group of men in the United States.

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