Publications by authors named "John Fulmer"

Objective: To validate post-transrectal ultrasonography (TRUS) prostate biopsy (bx) urine samples for PCA3 messenger ribonucleic acid testing, including correlation of PCA3 score with concurrent bx findings.

Methods: From July 2008 to July 2010, 2015 patients had urine collected immediately after a TRUS-guided prostate bx. Excluded were men with history of prostate carcinoma (CaP), <6 or ≥24 bx cores, and/or prostate-specific antigen (PSA) level ≥50 ng/mL, resulting in 1909 included men.

View Article and Find Full Text PDF
Article Synopsis
  • Urine PCA3 testing shows higher specificity compared to serum PSA for detecting prostate cancer, making it a promising tool for biopsy decision-making.
  • Over 278 PCA3 tests were performed, revealing a 97.5% informative rate, but the PCA3 results did not correlate with serum PSA levels.
  • The test demonstrated a sensitivity of 72.7% and specificity of 84.2%, suggesting it could aid in determining the need for repeat biopsies in patients with elevated PSA but negative biopsy results.
View Article and Find Full Text PDF

Reactive oxygen species (ROS) are increasingly believed to be important intracellular signaling molecules in mitogenic pathways involved in the pathogenesis of glomerulonephritis (GN). We explored the effects of the antioxidants alpha-lipoic acid and N-acetyl-l-cysteine on ERK activation in cultured mesangial cells and the role of ERK activation in the severity of glomerular injury in a rat model of anti-Thy 1 GN. In cultured mesangial cells, growth factors stimulated ERK phosphorylation by 150-450%.

View Article and Find Full Text PDF

Vascular leak syndrome is a major and often dose-limiting side effect of immunotoxins and cytokines. We postulated that this syndrome is initiated by damage to vascular endothelial cells. Our earlier studies identified a three-amino acid motif that is shared by toxins, ribosome-inactivating proteins, and interleukin-2, all of which cause this problem.

View Article and Find Full Text PDF

Ricin toxin (RT) is a plant-derived toxin of extraordinary toxicity; a single molecule successfully internalized into the cytoplasm of a cell is lethal for that cell. An estimated dose of 1-10 microg/kg is lethal to humans, making aerosolized ricin a potential agent for bioterrorism. Vaccination against ricin using either denatured toxin or its modified A chain subunit (RTA) has been successful in experimental animals but both vaccines have potential toxicities.

View Article and Find Full Text PDF