Transglutaminase 4 has been shown to enhance various
biological properties of
prostate cancer cells, e.g., cell-matrix adhesion, invasiveness and the epithelial-mesenchymal transition. The objectives of this study were to investigate the associations between
transglutaminase 4 expression and the established features and biochemical recurrence of
prostate cancer.
Transglutaminase 4 immunostaining was performed on a tissue microarray. The expression of
transglutaminase 4 was evaluated by a scoring method based on the intensity and extent of staining. The clinical and pathological information was obtained through a review of medical records. Follow-up data were obtained by consulting the hospital medical records and the
prostate cancer database of our department and by contacting patients or family members. We then compared the
transglutaminase 4 expression levels between the
prostate cancer tissues and the paracarcinoma tissues and evaluated the correlation of
transglutaminase 4 expression with the clinical parameters and biochemical recurrence of
prostate cancer. Our results indicated that the
transglutaminase 4 staining was significantly higher in tumour tissue than in paracarcinoma tissue (P<0.001) and was positively associated with higher Gleason score (P<0.001) and higher
prostate-specific antigen level (P=0.005). Patients with
transglutaminase 4 overexpression experienced shorter biochemical recurrence-free survival after surgery (P=0.042) in the univariate analysis but not in the multivariate analysis (P=0.139), which indicated that
transglutaminase 4 may serve as a potential predictor of biochemical recurrence of
prostate cancer.