PROCURE BIOBANK
A multicentric biobank
A multicenter biobank dedicated to prostate cancer research.
The PROCURE biobank is the result of more than ten years of collaboration between four university hospital centers in Quebec, with the support of major donors and financial partners.
We have collected a considerable amount of biospecimens and data from some 2,000 men who had undergone prostatectomy:
- Prostate tissue, blood and urine at surgery; blood and urine during medical follow-up visits;
- Associated clinical, pathological and socio-demographic data.
OBJECTIVE
Helping research by providing biospecimens and data of great scientific value to better understand prostate cancer, diagnose it earlier and treat it in a targeted and precise manner.
SAMPLE AVAILABLE
- Biological fluids
Serum, plasma, buffy coat, PBMC, urine;
- Derived samples
Blood DNA and RNA;
- Prostatic tissues
Frozen in OCT; fixed and paraffin embedded (FFPE);
- Tissue microarrays (TMA)
Available soon.
PROCURE BIOBANK HAS DISTINCTIVE CHARACTERISTICS
- Harmonization of operating procedures and methods at the four collection sites;
- Sociodemographic data questionnaire completed by participants;
- Mainly Canadian and French-speaking cohort;
- Full tissue characterization by biobank pathologists;
- Collection of blood and urine at follow-up visits, leading to the possibility of longitudinal studies;
- Update of clinical data during medical follow-up visits.
CHARACTERISTICS OF THE COHORT
- Number of participants: 2004;
- Median medical follow-up: 7 years;
- Mean age at diagnosis: 62 +/- 6.4 years;
- Mean PSA at diagnosis: 7.9 +/- 10.3 ng/mL;
- Biochemical recurrence: 652 patients (33%);
- Cases of cancer resistant to hormone therapy (CRPC): 80 patients (4%);
- Mortality: 187 patients (9%).
FIRST RESEARCH PROJECT 2020
To grow, prostate cancer depends on sex hormones, called androgens. Treatment that deprives the production of androgens by chemical or surgical castration is the most effective basic treatment to stop the progression of this cancer. Unfortunately, after a while the cancer becomes “castration resistant”.
Dr. Éric Lévesque and his team are interested in the mechanisms of synthesis of these hormones and in particular the enzymes that produce them as well as the impact of the level of these hormones on the growth of prostate cancer.
The objective of this research project is to analyze in the blood of patients before and after castration and during the progression of their cancer the blood levels of these different hormones and to correlate these levels with the progression of the disease and certain of its characteristics.
In this research project, Dr. Lévesque hopes to be able to demonstrate that the level in the blood of certain of these hormones could predict whether or not patients will rapidly develop resistance to castration. Such information could be used to choose more appropriate treatments in these patients.
A total of 1929 blood samples from the biobank will be used for this project.
FOR MORE INFORMATION
Dr Alain Bergeron: alain.bergeron@crchudequebec.ulaval.ca
Ginette McKercher: ginette.mckercher@mail.mcgill.ca
PROCURE BIOBANK
- What we do
- PROCURE BIOBANK
- Anatomy
- Structure
- Function
PROCURE BIOBANK
PROCURE BIOBANK
A multicentric biobank
The PROCURE Biobank is the result of more than ten years of collaboration between four university hospital centers in Quebec, with the support of major donors and financial partners.
A biobank dedicated to prostate cancer research
We have collected a considerable amount of biospecimens and data from some 2,000 men who had undergone prostatectomy:
- Prostate tissue, blood and urine at surgery; blood and urine during medical follow-up visits;
- Associated clinical, pathological and socio-demographic data.
Helping research by providing biospecimens and data of great scientific value to better understand prostate cancer, diagnose it earlier and treat it in a targeted and precise manner.
- Biological fluids
- Serum, plasma, buffy coat, PBMC, urine
- Derived samples
- Blood DNA and RNA
- Prostatic tissues
- Frozen in OCT; fixed and paraffin embedded (FFPE)
- Tissue microarrays (TMA)
- Available soon
- Harmonization of operating procedures and methods at the four collection sites;
- Sociodemographic data questionnaire completed by participants;
- Mainly Canadian and French-speaking cohort;
- Full tissue characterization by biobank pathologists;
- Collection of blood and urine at follow-up visits, leading to the possibility of longitudinal studies;
- Update of clinical data during medical follow-up visits
- Number of participants: 2004
- Median medical follow-up: 7 years
- Mean age at diagnosis: 62 +/- 6.4 years
- Mean PSA at diagnosis: 7.9 +/- 10.3 ng/mL
- Biochemical recurrence: 652 patients (33%)
- Cases of cancer resistant to hormone therapy (CRPC): 80 patients (4%)
- Mortality: 187 patients (9%)
To grow, prostate cancer depends on sex hormones, called androgens. Treatment that deprives the production of androgens by chemical or surgical castration is the most effective basic treatment to stop the progression of this cancer. Unfortunately, after a while the cancer becomes “castration resistant”.
Dr. Éric Lévesque and his team are interested in the mechanisms of synthesis of these hormones and in particular the enzymes that produce them as well as the impact of the level of these hormones on the growth of prostate cancer.
The objective of this research project is to analyze in the blood of patients before and after castration and during the progression of their cancer the blood levels of these different hormones and to correlate these levels with the progression of the disease and certain of its characteristics.
In this research project, Dr. Lévesque hopes to be able to demonstrate that the level in the blood of certain of these hormones could predict whether or not patients will rapidly develop resistance to castration. Such information could be used to choose more appropriate treatments in these patients.
A total of 1929 blood samples from the biobank will be used for this project.
For more information
Dr. Alain Bergeron: alain.bergeron@crchudequebec.ulaval.ca
Ginette McKercher: ginette.mckercher@mail.mcgill.ca
Additional Information - Procure biobank
How I coped with prostate cancer
A man with prostate cancer shares the challenges of his cancer experience.
Urologist’s advice: Treatments and information on prostate cancer
Learn more about the role of the urologist and the importance for a patient to gather adequate information after receiving a prostate cancer diagnosis.
Prostate cancer: Tests, imaging and biomarkers
Discussion about the variety of approaches available to monitor this disease before, during, or after treatment.
Is prostate cancer hereditary?
Understanding the hereditary and genetic aspects of this disease can provide valuable information to both individuals affected and their families.
Symptoms, risk and screening
Are you over 50 or experiencing urinary problems? Discover why early screening for prostate diseases is important.
Diagnosis and treatment
Recently diagnosed with cancer? Educate yourself to fully understand your situation.
The role of hormone therapy
Has your doctor recommended hormone therapy? This video is for you!
States of prostate cancer following treatment
Do your recent tests show an increase in PSA levels? It could indicate a recurrence.
External radiation or Brachytherapy?
Explore the benefits and considerations of each treatment option for prostate cancer to determine which might be right for you.
Q-A – New therapies for advance prostate cancer
In this interview, we answer patients’ questions about new therapies for advanced prostate cancer.
Genetic predisposition to prostate cancer
Although rare, some hereditary genetic mutations can increase your risk of prostate cancer.
All about hormone therapy
Hormone therapy can reduce tumor size, control cancer, and prolong life. Is it the right treatment for your cancer?
Active surveillance in 5 points
As surprising as it may seem, your doctor may prefer to wait before starting treatment.
States of prostate cancer post-treatment
Gentlemen, you’re being treated for prostate cancer, and your latest blood tests show an increase in PSA levels?
Your role as a patient
Have you been diagnosed with prostate cancer? Your role as a patient is essential throughout your journey.
Me a guinea pig?
Did you know that participating in a clinical trial advances medical science and improves the lot of patients for future generations?
Sources and references
Last medical and editorial review: April 2024. See our web page validation committee and our collaborators by clicking here.
On this page:
Discover our animated video!
Symptoms, risk and screening
Are you over 50 years old, or have you been having urinary problems for some time now? This video is for you! Several diseases can affect your prostate, and it’s important to detect them early. Let’s take a closer look.
Anatomy
What is the prostate
The prostate is a gland:
- Located between the bladder and the penis, just in front of the rectum;
- Formed of 2 lobes which surround the urethra, a canal that runs through the center of the prostate, from the bladder to the penis, letting urine and sperm flow out of the body;
- The size of a walnut, which grows larger in size in your forties;
- That has a soft, spongy texture to the touch like a small, ripe plum.
The prostate is made of:
- Gland cells that secrete liquids for ejaculation;
- Muscle cells that participate in the evacuation of your sperm during ejaculation;
- Fiber cells that maintain the structure of the gland.
Around the prostate, we find:
- The seminal vesicles, glands that produce sperm and that are located on either side of the prostate;
- The vas deferens, the tube that carries sperm from the testicle to the seminal vesicles;
- The nerve bundles that control your bladder and erectile function and that are located on either side of your prostate.
Structure
Three main zones of the prostate
Peripheral zone
- The peripheral zone is the largest area of the prostate. It can easily be felt by the doctor during a digital rectal exam (DRE).
- Most prostate cancers start in the peripheral zone.
Transition zone
- This is the area located in the middle of the prostate, between the peripheral and central areas. It surrounds your urethra that runs through the prostate.
- With age, the transitional area increases in size until it becomes the largest portion of your prostate. This is called benign prostatic hyperplasia (BPH) or enlarged prostate.
Central zone
- It is the part of the prostate that is farthest from the rectum. This is why prostate tumors located in this area can not be felt by the doctor during a digital rectal examination.
- If the doctor is in doubt, the following information will help decide if additional investigation is necessary:
- Your PSA level
- Your age and family history
- Your ethnic origin
Fonction
In short
Your fertility and natural fertilization
- It produces … a prostatic fluid rich in enzymes, proteins and minerals that nourishes and protects your spermatozoa.
- It makes … a protein (APS) that is used to liquefy your sperm to facilitate the mobility of your spermatozoa.
- It allows … ejaculation by contracting.
- It promotes … fertility through its enzymes facilitating the penetration of sperm through the cervix.
- It is not related to the mechanism of erection. Therefore, the origin of erectile dysfunction lies elsewhere.
Additional details
Exocrine Function
The prostate is made up of thousands of tiny fluid-producing glands. Specifically, the prostate is an exocrine gland. Exocrine glands are so-called because they secrete through ducts to the outside of the body (or into a cavity that communicates with the outside). Sweat glands are another example of an exocrine gland.
The fluid that the prostate gland produces forms part of semen, the fluid that carries sperm during orgasm. This fluid, produced in the prostate, is stored with sperm in the seminal vesicles. When the male climaxes, muscular contractions cause the prostate to secrete this fluid into the urethra, where it is expelled from the body through the penis.
Urine Flow
The prostate wraps itself around the urethra as it passes from the bladder to the penis. Prostatic changes can affect urine flow. Increasing the size of the prostate or muscle tone may impede the flow of urine due to the close anatomical relationship between the urethra and the prostate.
Prostate Specific Antigen (PSA)
The prostate also produces a protein called prostate-specific antigen (PSA). PSA is released with the ejaculatory fluid and can also be traced in the bloodstream. The testing of PSA levels in the blood is used to detect prostate cancer. The level of PSA in the blood is usually measured in nanograms of PSA per milliliter of blood (ng/mL).
A raised PSA level
Usually, a PSA rate of less than 4 nanograms per milliliter of blood is normal, but age should also be taken into consideration as PSA levels gradually increase with age. A rise in PSA concentration may indicate the presence of:
- An enlarged prostate (benign prostatic hyperplasia)
- An inflammation or infection of the prostate (prostatitis)
- A prostate cancer
Your doctor will have you undergo other tests to determine the exact cause of the increase in your PSA.
We are here for you
You have questions or concerns? Don’t hesitate. Contact us at 1-855-899-2873 to discuss with one of our nurses specialized in uro-oncology. They are there to listen, support and answer your questions, and those of your family or your loved ones. It’s simple and free, like all of our other services.
Also take the time to visit each of our pages on this website, as well as our YouTube channel, in order to get familiar with the disease, our expert lectures, our section on available resources, the support that is offered to you, our events and ways to get involved to advance the cause..
Staying Informed
Pages that might interest you
Want to know more? Just click on one of the links below.
The latest PROCURE news that might interest you
Every week we publish a blog article. Here are some for you.
The medical content and editorial team at PROCURE
Our team is composed of urologists, and nurses certified in uro-oncology with a deep knowledge of prostate cancer and other diseases related to the genitourinary system. Meet our staff by clicking here.
Sources and references
- Prostate Cancer – Understand the disease and its treatments; Fred Saad, MD, FRCSC and Michael McCormack, MD, FRCSC, 4th et 5th editions
- Canadian Cancer Society
- Prostate Cancer Foundation-PCF.org
- National Cancer Institute-USA
- American Cancer Society
- Memorial Sloan Kettering Cancer Center
- Prostate Cancer UK
Last medical and editorial review: September 2023
Written by PROCURE. © All rights reserved