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N-钙黏蛋白在雄激素剥夺后增加,与前列腺癌转移相关。

N-cadherin increases after androgen deprivation and is associated with metastasis in prostate cancer.

机构信息

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.

出版信息

Endocr Relat Cancer. 2010 May 18;17(2):469-79. doi: 10.1677/ERC-10-0015. Print 2010 Jun.

Abstract

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.

摘要

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。

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