Background/Aim: Surface biomarkers, such as CD44 and CD133, have been demonstrated to be expressed in prostate cancer cells, and our previous study has shown that prostate cancer cell lines could be divided into three groups according to the single and combined expression pattern of CD44 and 133. In order to refine prognostication in prostate cancer cells, we further investigated genetic biomarkers, prostate cancer antigen 3 (PCA3), kallikrein 4 (KLK4), and KLK9 in different prostate cancer cell lines. Materials and Methods: CWR22Rv1, PC3, and DU145 cell lines were cultured until 95% confluence. The single expression of CD44 or CD133 and their combined expression were analyzed by flow cytometry, and gene expression of b-actin, PCA3, KLK4, and KLK9 was analyzed by real-time polymerase chain reaction. Results: The single expression of CD133 was less than 4% in all cell lines examined. PC3 and DU145 cells displayed a high expression of CD44 (>91%), whereas CWR22Rv1 was the only cell line that demonstrated a high co-expression of both CD44 and CD133 (>91%). In addition, PC3 and DU145 displayed low expression of PCA3, KLK4, and KLK9 when compared with their own b-actin expression. In contrast, CWR22Rva showed high expression of PCA3 and KLK4 although KLK9 expression was also low. Conclusion: Both surface and genetic biomarkers should be validated for a more accurate prognosis in prostate cancer.Prostate cancer is one of the most common cancers in men. Even during the COVID-19 pandemic, prostate cancer was still more widespread among deaths (1). Indeed, it has been shown that prostate cancer patients had higher susceptibility to COVID-19 infection, leading to higher mortality and hospitalization rates than other solid tumor patients (2). Therefore, the more accurate detecting methods have been critical for early cancer detection and tumor progression monitoring. Screening biomarkers has become a critical method for prostate cancer diagnosis and monitoring in order to achieve more accurate treatment (3).Prostate cancer cell lines have been useful tools to investigate whether certain biomarkers can be applied for detecting prostate cancer. We have previously demonstrated that the expression levels of biomarkers, such as CD44 and CD133, were distinct among different prostate cancer cell lines: DU145 and PC3 were CD44 high CD133 low , CWR22Rv1 was (CD44 + CD133 + ) high , and LNCaP displayed CD44 low CD133 low characteristics (4). Therefore, not only the single and co-expression of CD44 and CD133 should be investigated when using prostate cancer cell lines, but other biomarkers should also be taken into account. In addition to surface biomarkers, the expression of some genes has been shown to be prostate cancer specific.Prostate cancer antigen 3 (PCA3) is expressed exclusively in the prostate and is over-expressed in prostate cancer tissues (5,6). Kallikrein (KLK) gene family includes 15 serin proteases, and comprises the largest protease family in the human genome (7). Each KLK gene plays a role in prostate cancer, but ov...