Lundberg Laboratory for Cancer Research, Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, Gula Stråket 8, SE-413 45 Göteborg, Sweden.
Endocr Relat Cancer. 2010 May 18;17(2):469-79. doi: 10.1677/ERC-10-0015. Print 2010 Jun.
Androgen-deprivation therapy (ADT) is the standard treatment for metastatic prostate cancer. One factor that has been implicated in the metastatic process is the cell adhesion molecule N-cadherin. In this study, we investigated if the expression of N-cadherin was influenced by androgen deprivation and was associated with metastasis in prostate cancer. The effect of androgen deprivation on N-cadherin expression was initially studied in androgen-dependent (AD) LNCaP and androgen-independent (AI) LNCaP-19 and PC-3 prostate cancer cell lines. Expression of N-cadherin increased in the absence of androgens in AI LNCaP-19 primary tumors and metastases and also in vitro, but not in AI PC-3 tumors, indicating a possible involvement of the androgen receptor in the regulation of N-cadherin. N-cadherin was absent in AD LNCaP tumors. No clear associations between N-cadherin and factors related with epithelial-mesenchymal transition or neuroendocrine differentiation could be established. In addition, N-cadherin was evaluated by immunohistochemistry in human prostate tumors. Expression of N-cadherin was more frequently found in tumors from patients treated with ADT than in tumors from patients with no prior hormonal treatment. N-cadherin expression was also associated with metastasis and Gleason score. Furthermore, increased N-cadherin was detected in prostate cancer biopsies already 3 months after initiation of ADT when tumors were in a regressed state. In summary the results indicate that androgen deprivation induces N-cadherin in prostate tumors. Moreover, N-cadherin was increased in castration-resistant tumors in patients with established metastases. This might indicate that castration induces molecular alterations in the tumor cells, resulting in a more invasive and metastatic phenotype.
去势治疗(ADT)是转移性前列腺癌的标准治疗方法。细胞黏附分子 N-钙黏蛋白(N-cadherin)是参与转移过程的一个因素。在这项研究中,我们研究了 N-钙黏蛋白的表达是否受到去势的影响,以及与前列腺癌转移是否相关。首先在雄激素依赖性(AD)LNCaP 和雄激素非依赖性(AI)LNCaP-19 和 PC-3 前列腺癌细胞系中研究了去势对 N-钙黏蛋白表达的影响。在 AI LNCaP-19 原发肿瘤和转移灶以及体外,去势时 N-钙黏蛋白表达增加,但在 AI PC-3 肿瘤中没有,这表明雄激素受体可能参与了 N-钙黏蛋白的调节。AD LNCaP 肿瘤中没有 N-钙黏蛋白。未发现 N-钙黏蛋白与上皮-间充质转化或神经内分泌分化相关因素之间存在明确的关联。此外,还通过免疫组织化学法在人前列腺肿瘤中评估了 N-钙黏蛋白。与未接受 ADT 治疗的患者的肿瘤相比,接受 ADT 治疗的患者的肿瘤中更频繁地发现 N-钙黏蛋白表达。N-钙黏蛋白的表达还与转移和 Gleason 评分相关。此外,在开始 ADT 后 3 个月,当肿瘤处于退缩状态时,已经在前列腺癌活检中检测到 N-钙黏蛋白的增加。总之,结果表明去势可诱导前列腺肿瘤中 N-钙黏蛋白的表达。此外,在已发生转移的患者中,去势抵抗性肿瘤中 N-钙黏蛋白增加。这可能表明去势诱导肿瘤细胞发生分子改变,导致更具侵袭性和转移性表型。