Purpose
Following patients after prostatectomy can be expensive and stressful, therefore, a novel and reliable approach to improve stratification is needed both at diagnosis of PCa and following its treatment. We evaluate the association of both ERG and claudin-4, -5 and betacatenin expression in tumor tissues of patients with organ confined and advanced prostatic adenocarcinomas.
Methods
A total of 30 patients were included in the study. Nine men, who underwent radical prostatectomy for organ confined (pT2N0M0) cancer (OCC); 11 patients with clinically advanced cancer (CAC); and 11 controls with benign prostatic hypertrophy (BPH). Using immunohistochemistry applied to tissue microarrays, each group was evaluated for beta-catenin, claudin-4, -5 and ERG expression.
Results
The expression of ERG was higher in the CAC group as compared to OCC and BPH (p = 0.7684, p = 0.0224, respectively). Among these patients, 5 from the CAC (45%) and 5 from the OCC group (56%) stained positively for ERG (p = 1.0). The mean staining score for those with ERG+ advanced cancer was greater than that for the ERG+ organ-confined cancer (p = 0.0209). ERG staining correlated with Gleason score (Pearson correlation: 0.498, p = 0.0051), but not with serum PSA level (Pearson correlation: 0.404, p = 0.1202). When analyzing outcome data high ERG expressing tumors have shown a significantly worse overall survival (p = 0.0084).
Conclusions
Our results of presence or absence of claudin-4 and -5 and ERG staining intensities suggest their potential as prognostic factors for prostate cancer.