Background
Implantation of rat prostate cancer cells into the normal rat prostate results in tumor‐stimulating adaptations in the tumor‐bearing organ. Similar changes are seen in prostate cancer patients and they are related to outcome. One gene previously found to be upregulated in the non‐malignant part of tumor‐bearing prostate lobe in rats was the transcription factor CCAAT/enhancer‐binding protein‐β (C/EBPβ).
Methods
To explore this further, we examined C/EBPβ expression by quantitative RT‐PCR, immunohistochemistry, and Western blot in normal rat prostate tissue surrounding slow‐growing non‐metastatic Dunning G, rapidly growing poorly metastatic (AT‐1), and rapidly growing highly metastatic (MatLyLu) rat prostate tumors―and also by immunohistochemistry in a tissue microarray (TMA) from prostate cancer patients managed by watchful waiting.
Results
In rats, C/EBPβ mRNA expression was upregulated in the surrounding tumor‐bearing prostate lobe. In tumors and in the surrounding non‐malignant prostate tissue, C/EBPβ was detected by immunohistochemistry in some epithelial cells and in infiltrating macrophages. The magnitude of glandular epithelial C/EBPβ expression in the tumor‐bearing prostates was associated with tumor size, distance to the tumor, and metastatic capacity. In prostate cancer patients, high expression of C/EBPβ in glandular epithelial cells in the surrounding tumor‐bearing tissue was associated with accumulation of M1 macrophages (iNOS+) and favorable outcome. High expression of C/EBPβ in tumor epithelial cells was associated with high Gleason score, high tumor cell proliferation, metastases, and poor outcome.
Conclusions
This study suggest that the expression of C/EBP‐beta, a transcription factor mediating multiple biological effects, is differentially expressed both in the benign parts of the tumor‐bearing prostate and in prostate tumors, and that alterations in this may be related to patient outcome.