Jerónimo C, Henrique R, Oliveira J, Lobo F, Pais I, Teixeira M R, Lopes C
Department of Genetics, Portuguese Oncology Institute-Porto, Rua Dr António Bernardino de Almeida, 4200-072 Porto, Portugal.
J Clin Pathol. 2004 Aug;57(8):872-6. doi: 10.1136/jcp.2003.014555.
Retinoids are involved in cell growth, differentiation, and carcinogenesis. Their effects depend on cytosolic transport and binding to nuclear receptors. CRBP1 encodes a protein involved in this process. Because altered CRBP1 expression and promoter hypermethylation occur in several tumours, these changes were investigated in prostate tumorigenesis.
The CRBP1 promoter was assessed by methylation specific polymerase chain reaction on tissue samples from 36 radical prostatectomy specimens (paired normal tissue, adenocarcinoma, and high grade prostatic intraepithelial neoplasia (HGPIN)), 32 benign prostatic hyperplasias (BPHs), and 13 normal prostate tissue samples from cystoprostatectomies. Methylation of DNA extracted from microdissected tissue was examined blindly. CRBP1 expression was assessed by immunohistochemistry on formalin fixed, paraffin wax embedded tissue.
Loss of CRBP1 expression was seen in 15 of 36 adenocarcinomas and 18 of 36 HGPINs. Fifteen adenocarcinomas and nine HGPINs showed overexpression, whereas the remainder showed normal expression. BPH displayed normal expression. No significant associations were found between CRBP1 expression and Gleason score or stage. CRBP1 promoter hypermethylation was found in 17 of 36 adenocarcinomas, three of 35 HGPINs, one of 36 normal prostate tissues from the same patients, none of 32 BPHs, and none of 13 normal prostate tissues from cystoprostatectomies. Loss of expression and hypermethylation of CRBP1 were not significantly associated.
Altered CRBP1 expression and hypermethylation are common in prostate carcinoma, although CRBP1 hypermethylation is not an early event in tumorigenesis. Moreover, both adenocarcinoma and HGPIN show frequent CRBP1 overexpression. The molecular mechanisms underlying altered CRBP1 expression in prostate cancer deserve further study.
维甲酸参与细胞生长、分化及致癌过程。其作用取决于胞质转运及与核受体的结合。CRBP1编码一种参与此过程的蛋白质。由于在多种肿瘤中出现CRBP1表达改变及启动子高甲基化,因此对前列腺肿瘤发生过程中的这些变化进行了研究。
采用甲基化特异性聚合酶链反应对36例根治性前列腺切除术标本(配对的正常组织、腺癌及高级别前列腺上皮内瘤变(HGPIN))、32例良性前列腺增生(BPH)以及13例膀胱前列腺切除术的正常前列腺组织样本中的CRBP1启动子进行评估。对从显微切割组织中提取的DNA甲基化情况进行盲法检测。通过免疫组织化学对福尔马林固定、石蜡包埋组织中的CRBP1表达进行评估。
36例腺癌中有15例、36例HGPIN中有18例出现CRBP1表达缺失。15例腺癌和9例HGPIN表现为过表达,其余表现为正常表达。BPH表现为正常表达。未发现CRBP1表达与Gleason评分或分期之间存在显著关联。在36例腺癌中有17例、35例HGPIN中有3例、同一患者的36例正常前列腺组织中有1例、32例BPH中均未发现、13例膀胱前列腺切除术的正常前列腺组织中均未发现CRBP1启动子高甲基化。CRBP1表达缺失与高甲基化之间无显著关联。
CRBP1表达改变和高甲基化在前列腺癌中常见,尽管CRBP1高甲基化并非肿瘤发生的早期事件。此外,腺癌和HGPIN均频繁出现CRBP1过表达。前列腺癌中CRBP1表达改变的分子机制值得进一步研究。