Li S C, Chen G F, Chan P S, Choi H L, Ho S M, Chan F L
Department of Anatomy, The Chinese University of Hong Kong, China.
Prostate. 2001 Sep 15;49(1):58-71. doi: 10.1002/pros.1118.
Interactions between the epithelial cells and stromal tissues, which include the epithelial basement membrane, extracellular matrix, inducible factors, and various cell types, are believed to play a significant role in prostate gland carcinogenesis. Remodeling of extracellular matrix and degradation of basement membrane are the prerequisites for tumor cell invasion, and these changes are correlated with the expression of various proteinases.
The present study examined the alterations of epithelial basement membrane, extracellular matrix, and proteinase activities in the Noble rat prostate gland after long-term treatments with androgen and estrogen (T+DES or T+E(2) for 4-12 months) by histochemistry, immunohistochemistry, electron microscopy, and gelatin-gel zymography.
After hormonal treatments, defects of epithelial basement membranes, such as focal disruption, diffuse staining and multilayering, were observed by histochemistry and immunohistochemistry in the dysplastic and neoplastic lesions induced in the lateral (LP) and ventral prostates (VP) but not in dorsal prostate (DP). An increase in the amount of extracellular matrix components, including hyaluronan (HA), chondroitin sulfate proteoglycan (CSPG) and tenascin, in the stroma of hormone-treated LP and VP was revealed by histochemistry and immunohistochemistry. Positive immunolabeling of matrix metalloproteinases 2 (MMP-2) and 9 (MMP-9) was detected in the fibromuscular layer surrounding the adenoma and adenocarcinoma induced in LP and VP after treatments with steroids for over 9-12 months. Zymography also detected an increase in activities of proteinases of apparent MW 120, 90, 86 and 68 kDa in the hormone-treated LP and VP, and these proteinases were characterized as metalloproteinases. In addition, two serine proteinases of MW 100 and 30 kDa were identified as being overexpressed in the hormone-treated LP and VP. Compared to LP and VP, there was no significant change in the proteinase activities in the hormone-treated DP.
The present study demonstrated that the epithelial basement membrane and stromal extracellular matrix were altered in dysplastic and neoplastic Noble rat prostates. Since HA and CSPG (or their complexes) are highly anionic molecules, their increased accumulation in the altered prostatic stroma would tend to hydrate this tissue. This would create an environment more favorable for tumor growth and invasion. These morphological changes were also correlated with the concurrent increase in gelatinolytic proteinase activities induced in these prostates. The results suggest that the remodeling of the stromal tissue might play a role in the early stage of prostate carcinogenesis as shown in the Noble rat model.
上皮细胞与基质组织之间的相互作用,包括上皮基底膜、细胞外基质、诱导因子和各种细胞类型,被认为在前列腺癌发生过程中起重要作用。细胞外基质重塑和基底膜降解是肿瘤细胞侵袭的先决条件,这些变化与各种蛋白酶的表达相关。
本研究通过组织化学、免疫组织化学、电子显微镜和明胶凝胶酶谱法,检测了用雄激素和雌激素长期处理(T+DES或T+E(2)处理4-12个月)后,诺布尔大鼠前列腺上皮基底膜、细胞外基质和蛋白酶活性的变化。
激素处理后,通过组织化学和免疫组织化学在外侧(LP)和腹侧前列腺(VP)诱导的发育异常和肿瘤性病变中观察到上皮基底膜缺陷,如局灶性破坏、弥漫性染色和多层化,但在背侧前列腺(DP)中未观察到。组织化学和免疫组织化学显示,激素处理的LP和VP基质中细胞外基质成分的量增加,包括透明质酸(HA)、硫酸软骨素蛋白聚糖(CSPG)和腱生蛋白。在用类固醇处理9-12个月以上后,在LP和VP诱导的腺瘤和腺癌周围的纤维肌层中检测到基质金属蛋白酶2(MMP-2)和9(MMP-9)的阳性免疫标记。酶谱分析还检测到激素处理的LP和VP中表观分子量为120、90、86和68 kDa的蛋白酶活性增加,这些蛋白酶被鉴定为金属蛋白酶。此外,在激素处理的LP和VP中,鉴定出两种分子量分别为100和30 kDa的丝氨酸蛋白酶过表达。与LP和VP相比,激素处理的DP中蛋白酶活性没有显著变化。
本研究表明,在发育异常和肿瘤性的诺布尔大鼠前列腺中,上皮基底膜和基质细胞外基质发生了改变。由于HA和CSPG(或其复合物)是高度阴离子分子,它们在改变的前列腺基质中积累增加会使该组织趋于水合。这将创造一个更有利于肿瘤生长和侵袭的环境。这些形态学变化也与这些前列腺中同时诱导的明胶溶解蛋白酶活性增加相关。结果表明,如在诺布尔大鼠模型中所示,基质组织的重塑可能在前列腺癌发生的早期阶段起作用。