Supplemental Table 1: Characteristics of cases and controls enrolled in each study Study County Case Control Mean Age (range) of cases and controls Cancer stage Altimari 2008 Italy PCa*, samples collected before treatment# BPH^ and healthy controls 65 (50-74) for cases Pathological stage: T1 to T2 Gleason score ranges: 1-10 Baden 2009 USA PCa, samples collected before treatment BPH 62 (40-75) for cases and controls Unknown Bastian 2008 USA PCa patients who underwent radical prostatectomy Patients who had negative biopsies 58.9 (40-71) for both cases and controls Gleason score range: 5-10 Bryzgunova 2008 Russia PCa, samples collected before treatment Negative biopsy 67 for cases, 76.4 for with BPH BPH controls and 25.8 diagnosis and for healthy controls healthy controls Pathological stage: T1-T3 Cairns 2001 USA PCa who underwent radical prostatectomy No controls Unknown Pathological stage: T2 to T3 Gleason score ranges: 5-7. Chuang 2007 Taiwan PCa Negative biopsies with BPH diagnosis Unknown Pathological stage: T1 to T3 Gleason score ranges: 5-9 Crocitto 2004 USA PCa Negative biopsies 65 (48-53) for cases and controls Gleason score ranges: 5-9 Ellinger 2008 Germany PCa, samples collected before radical prostatectomy BPH PCa: 65.8 (49-79) BPH: 68.9 (55-83) Pathological stage: T1 to T4 Gleason score: 6-8 Invasion status: lymph node invasion, capsular penetration seminal vesicle invasion, extraprostatic extension and positive surgical margins Goessl 2001 Germany PCa BPH PCa: 65 BPH:62 Pathological stage: T1-T4 Goessl 2001b Germany PCa, samples collected before any type of treatment BPH PIN~ PCa: 65 (59-81) PIN: 69 (51-73) BPH: 62 (47-76) Pathological stage: T1-T3 Gonzalgo 2003 USA PCa and PIN, samples collected before any type of treatment Negative biopsies PCa: 68(53-80) PIN: 56(53-68) Controls: 63(59-72) Pathological stage: T2-T3 Gonzalgo 2004 USA PCa, samples collected after radical prostatectomy No controls PCa: 57(52-61) Pathological stage: T1-T3 Gleason Score: 5-7 Hoque 2005 USA PCa samples collected before curative surgery Age-matched PCa: 59 (39-81) controls with Controls: 57 (28-84) negative biopsies but have other types of cancer, or urological disorder such as Pathological stage: T2-T3 Gleason Score: 4-10 BPH. Jeronimo 2002 USA PCa, samples collected after radical prostatectomy BPH who underwent transurethral resection of the prostate PCa:63 (52-74) BPH: 64 (53-82) Stage: Unknown Papadopoulou 2006 Greece PCa, 12 collected before and 19 after treatments Healthy controls Unknown Unknown Payne 2009 USA and Germany PCa, samples collected before any type of treatment Negative biopsies and healthy controls PCa: 66 (47-77) Negative biopsy controls: 62 (48-74) Young controls:24 (19-30) Pathologic stage: T1-T4 Gleason Score:4-10 Reibenwein 2006 Austria Hormone refractory PCa and early PCa, samples collected after treatments Healthy controls Hormone refractory PCa: 67 (50-83) Early PCa: 70 (58-76) Healthy controls: age unknown Pathologic stage: T1-T4 Gleason Score:2-10 Roger 2006 Germany PCa, samples collected before any type of treatment Negative biopsies PCa: 65 (52-72) Controls: 61 (46-71) Pathologic stage: T1-T2 PSA: 0.4-9.6 ng/ml Roupret 2007 France PCa, samples collected after radical prostatectomy Age-matched controls with negative biopsies; some have BPH and some did not PCa: 63 (56-82) Controls: 62 (57-79) Pathologic stage: T2-T3 Gleason Score:4-10 Roupret 2008 UK PCa(relapsed) PCa (Not Relapsed), samples collected before any type of treatment Normal agematched control with negative biopsies: PSA above 3 ng/ml PCa (Relapsed): 75 (65-81) PCa (Not Relapsed): 73 (58-80), Matched controls: 62 (57-79) Pathologic stage PCa (Relapsed): T2-T4 PCa (Not Relapsed): T2-T4 Gleason Score PCa (Relapsed): 7-10, PCa (Not Relapsed):6-9 Suh 2000 USA PCa, samples collected before any type of treatment No controls Gleason Score: 4-6 Sunami 2009 USA PCa, samples collected before any type of treatment Healthy controls Unknown Pathological stage: T1-T4 Gleason Score: 5-10 Woodson 2008 USA PCa, samples collected before biopsies and any type of treatment Patients who had negative biopsies but diagnosed as BPH and PIN PCa: 66 (60-72) BPH: 61(55-68) PIN: 69 (54-64) Pathological stage: T2-T3 Gleason Score: 6-10 PCa*: Prostate cancer BPH^: Benign prostatic hyperplasia PIN~: Prostate intraepithelial neoplasia # samples collected before any type of treatment such as surgery, radical prostatectomy, and medicinal treatment. Supplemental Table 2. Sensitivity of each study for GST-P1 Treatment$ Study (22 studies) Age Specimen Altimari 2008 Bryzgunova 2008 ELLinger 2008 Goessl 2001b Gonzalo2003 Hoque 2005 Papadopoulou 2006 Payne 2009 Roger 2006 Roupret 2008 Suh 2000 Woodson 2008 Bastian 2008 Cairns 2001 Chuang 2007 Crocitto 2004 Goessl 2001a Gonzalo2004 Jeronimo 2002b Reibenwein 2006 Roupret 2007 Sunami 2009 # 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 65 67 67 68.9 62 62 63 63 57 62 62 61 61 62 62 61 58.9 58.9 58.9 58.9 65 62 62 62 62 57 63 63 63 63 67 70 62 Plasma Serum Urine Serum Urine (after massage) Urine (after massage) Urine Urine Urine Plasma Plasma Urine (after massage) Urine after rectal exam Urine after biopsy Blood Blood Ejaculate Urine (after massage) Serum Serum Serum Serum Urine plasma Prosate secretions Buffy Coat Serum Ejaculate Urine Prostatic secretion Urine Plasma Urine Plasma Plasma Serum Serum Urine Serum PCR method N-MSP^ BS## BS MSRE-qPCR N-MSP N-MSP N-MSP N-MSP ~ Q-MSP NA Q-MSP Q-MSP N-MSP N-MSP N-MSP N-MSP MSRE-qPCR Q-MSP MSRE-qPCR* MSRE-qPCR MSRE-qPCR MSRE-qPCR N-MSP MSRE-qPCR N-MSP N-MSP N-MSP N-MSP N-MSP N-MSP N-MSP N-MSP N-MSP N-MSP NA N-MSP N-MSP Q-MSP N-MSP Case PCa# PCa PCa PCa PCa PIN PCa PIN PCa PCa PCa PCa PCa PCa PCa relapsed PCa not relapsed PCa PCa PCa with no recurrent PCa with recurrent PCa (metastasis) PCa (homerefractory) PCa PCa PCa PCa PCa PCa PCa PCa PCa PCa PCa PCa PCa PCa (hormone reflactory) PCa PCa PCa PCa: Prostate cancer. Treatment: 1 denotes samples collected after treatment; 0 denotes samples collected before treatment. ^N-MSP: non-quantitative methylation specific PCR. *MSRE-qPCR: Methylation sensitive restriction endonuclease-qPCR. # BS:bisulfite genomic sequencing. ~ Q-MSP: quantitative methylation specific PCR. $ Case postive 51 5 5 71 29 2 7 4 25 9 31 68 3 2 20 20 4 18 7 11 5 5 6 11 11 10 23 4 22 86 13 9 21 25 7 20 3 79 10 Total cases Sensitivity 64 5 5 168 40 7 12 6 52 12 80 84 12 12 20 22 9 24 136 56 18 18 22 36 24 33 32 8 29 100 69 69 69 69 19 62 14 95 83 0.80 1.00 1.00 0.42 0.73 0.29 0.58 0.67 0.48 0.75 0.39 0.81 0.25 0.17 1.00 0.91 0.44 0.75 0.05 0.20 0.28 0.28 0.27 0.31 0.46 0.30 0.72 0.50 0.76 0.86 0.19 0.13 0.30 0.36 0.37 0.32 0.21 0.83 0.12