Liang Ke, Ke Zunjin, Huang Jianhong, Zhang Xijiong
Department of Urology, The First People's Hospital of Pinghu, Pinghu, Zhejiang 314200, P.R. China.
Department of Pathology, The First People's Hospital of Pinghu, Pinghu, Zhejiang 314200, P.R. China.
Oncol Lett. 2023 Jul 20;26(3):385. doi: 10.3892/ol.2023.13971. eCollection 2023 Sep.
The present study explored the clinical value of the protein expression levels of nucleotide binding oligomerization-like receptor family pyrin domain containing 1 (NLRP1) and nucleotide-binding oligomerization domain leucine-rich repeat and caspase recruitment domain-containing 4 (NLRC4) inflammasomes in the diagnosis and treatment of prostate cancer. A total of 54 patients with prostatic hyperplasia and 58 patients with prostate cancer were recruited at The First People's Hospital of Pinghu between January and May 2022. Immunohistochemical staining was used to determine the protein expression levels of the NLRP1 and NLRC4 inflammasomes in addition to the proinflammatory cytokines IL-18 and IL-1β in the two groups of patients. The protein expression levels of NLRP1 and NLRC4 inflammasome were significantly increased in patients with prostate cancer compared with patients with prostate hyperplasia. The differences in expression of NLRP1 and NLRC4 inflammatory vesicles in prostate cancer of different stages were also compared based on data from The Cancer Genome Atlas. The protein expression level of NLRP1 demonstrated a significant positive correlation with IL-1β and IL-18 expression, and the protein expression level of the NLRC4 inflammasome was significantly positively correlated with IL-18 expression. The protein expression levels of both NLRP1 and NLRC4 demonstrated a significant positive correlation with the Gleason score of prostate cancer. The expression of NLRP1 in tumor (T)3/T4 was significantly higher compared with T1 and expression of the NLRC4 inflammasome in T2 and T3/T4 was significantly higher compared with T1. Expression of the NLRP1 and NLRC4 inflammasomes was significantly higher in patients with prostate cancer, compared with patients with prostatic hyperplasia. Therefore, expression of NLRP1 and NLRC4 may promote tumorigenesis by promoting the maturation and release of proinflammatory cytokines IL-1β and IL-18. Expression of the NLRP1 and NLRC4 inflammasomes demonstrated a significant positive correlation with the risk of prostate cancer. Expression of the NLRP1 and NLRC4 inflammasomes in middle- and advanced-stage tumors was higher compared with early-stage tumors. These results suggested that inflammasome expression may serve a significant role in the progression of tumors and could provide a fixed value for the risk assessment and prognosis prediction of prostate cancer.
本研究探讨了含吡啉结构域的核苷酸结合寡聚化样受体家族成员1(NLRP1)和含核苷酸结合寡聚化结构域、富含亮氨酸重复序列及半胱天冬酶募集结构域的4(NLRC4)炎性小体的蛋白表达水平在前列腺癌诊断和治疗中的临床价值。2022年1月至5月期间,平湖市第一人民医院招募了54例前列腺增生患者和58例前列腺癌患者。采用免疫组织化学染色法测定两组患者中NLRP1和NLRC4炎性小体以及促炎细胞因子白细胞介素-18(IL-18)和白细胞介素-1β(IL-1β)的蛋白表达水平。与前列腺增生患者相比,前列腺癌患者中NLRP1和NLRC4炎性小体的蛋白表达水平显著升高。基于癌症基因组图谱的数据,还比较了不同分期前列腺癌中NLRP1和NLRC4炎性小泡表达的差异。NLRP1的蛋白表达水平与IL-1β和IL-18的表达呈显著正相关,NLRC4炎性小体的蛋白表达水平与IL-18的表达呈显著正相关。NLRP1和NLRC4的蛋白表达水平均与前列腺癌的Gleason评分呈显著正相关。肿瘤(T)3/T4期NLRP1的表达显著高于T1期,T2期和T3/T4期NLRC4炎性小体的表达显著高于T1期。与前列腺增生患者相比,前列腺癌患者中NLRP1和NLRC4炎性小体的表达显著更高。因此,NLRP1和NLRC4的表达可能通过促进促炎细胞因子IL-1β和IL-18的成熟和释放来促进肿瘤发生。NLRP1和NLRC4炎性小体的表达与前列腺癌风险呈显著正相关。中晚期肿瘤中NLRP1和NLRC4炎性小体的表达高于早期肿瘤。这些结果表明,炎性小体表达可能在肿瘤进展中起重要作用,并可为前列腺癌的风险评估和预后预测提供参考值。