Global expression of AMACR transcripts predicts risk for prostate cancer - a systematic comparison of AMACR protein and mRNA expression in cancerous and noncancerous prostate.

Background: The high false negative rates for initial prostate biopsies refer a large number of the men for repeat biopsies each year. Therefore, biomarkers associated with high risk of the presence of malignancy in histologically benign biopsies could provide a tool to discriminate the patients who...

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Publicado en:BMC Urology Vol. 16; pp. 1 - 11
Autores principales: Alinezhad, Saeid, Väänänen, Riina-Minna, Ochoa, Natalia Tong, Vertosick, Emily A., Bjartell, Anders, Boström, Peter J., Taimen, Pekka, Pettersson, Kim
Formato: pictorial research tables/charts Journal Article
Publicado: BioMed Central 2/29/2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/29/2016
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      pub: BioMed Central
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        atl: Global expression of AMACR transcripts predicts risk for prostate cancer - a systematic comparison of AMACR protein and mRNA expression in cancerous and noncancerous prostate.
      aug:
        au:
          Alinezhad, Saeid
          Väänänen, Riina-Minna
          Ochoa, Natalia Tong
          Vertosick, Emily A.
          Bjartell, Anders
          Boström, Peter J.
          Taimen, Pekka
          Pettersson, Kim
        affil: Division of Biotechnology, University of Turku, Tykistökatu 6A 6th floor, 20520 Turku, Finland
      sug:
        subj:
          Receptors, Cell Surface
          Adenocarcinoma
          Prostatic Neoplasms
          Prostate Metabolism
          Enzymes
          Prostate-Specific Antigen
          Blood Coagulation Factors
          RNA Metabolism
          Middle Age
          Prostatectomy
          Adenocarcinoma Metabolism
          Blood Coagulation Factors Metabolism
          Human
          Male
          Aged
          Receptors, Cell Surface Metabolism
          Neoplasm Staging
          Prostate-Specific Antigen Metabolism
          Immunohistochemistry
          Prostatic Neoplasms Metabolism
          Enzymes Metabolism
          Neoplasm Grading
          Reverse Transcriptase Polymerase Chain Reaction
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
      ab: Background: The high false negative rates for initial prostate biopsies refer a large number of the men for repeat biopsies each year. Therefore, biomarkers associated with high risk of the presence of malignancy in histologically benign biopsies could provide a tool to discriminate the patients who need repeat biopsy or intensive follow-up from those who do not. Here we examined the diagnostic applicability of alpha-methylacyl CoA racemase (AMACR) and androgen receptor (AR) mRNA expression and AMACR protein levels in benign and cancerous prostatic tissue.Methods: AMACR and AR mRNA levels were measured with quantitative, reverse-transcription PCR (qRT-PCR) assays in 79 radical prostatectomy (RP) cases (including 69 benign (RP-Be) and 69 cancerous (RP-PCa) samples) and 19 benign prostate samples obtained from cystoprostatectomies. To further determine the detailed areas of altered AMACR expression, AMACR mRNA level measurement and protein staining were performed for three cross-sectioned RP cases.Results: The median AMACR and AR expression levels were 194.6 (p < 0.0001) and 6.6 (p = 0.0004) times higher in RP-PCa samples than in the benign cystoprostatectomy (CP) samples, respectively. There was no statistically significant difference between RP-PCa and RP-Be samples, except for AMACR/KLK3 (Kallikrein-Related Peptidase 3) ratio, which was significantly higher in RP-PCa samples than in RP-Be samples (p = 0.016). In the systematic study of cross-sections, AMACR mRNA was detected in all of the studied areas including histologically benign tissue, but at significantly higher levels in carcinoma areas (p < 0.001). AMACR protein expression was detected in 80 % (28/35) of the areas that contained carcinoma and in 37 % (44/119) of the benign and PIN areas from the same patients.Conclusions: AMACR transcripts were detected in all RP-PCa and RP-Be samples but not in non-cancerous CP samples, which suggest a global increase of AMACR expression in cancerous prostates. Therefore patients with false negative biopsies might benefit from an AMACR mRNA measurement when assessing their cancer risk.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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