A meta-analysis and The Cancer Genome Atlas data of prostate cancer risk and prognosis using epithelial cell adhesion molecule (EpCAM) expression.

Abstract

BACKGROUND:

Epithelial cell adhesion molecule (EpCAM) expression has been reported in many types of cancer, including prostate cancer (PCa). However, the role of EpCAM expression remains inconsistent. We conducted a meta-analysis to assess the clinicopathological and prognostic significance of EpCAM expression in PCa.

METHODS:

Publications were searched online using electronic databases. The available data were obtained from The Cancer Genome Atlas (TCGA). The odds ratios (ORs) or hazard ratios (HRs) with their 95% confidence intervals (CIs) were calculated.

RESULTS:

We identified seven studies in which immunohistochemistry was used and that included 871 prostatic tissue samples. EpCAM expression was significantly higher in PCa samples than in benign and normal tissue samples (OR = 77.93, P = 0.002; OR = 161.61, P <  0.001; respectively). No correlation of EpCAM overexpression with pT stage and lymph node metastasis was observed; however, EpCAM overexpression showed a significant correlation with Gleason score (OR = 0.48, P = 0.012) and bone metastasis (OR = 145.80, P <  0.001). Furthermore, TCGA data showed that EpCAM overexpression was not closely correlated with age, pT stage, lymph node metastasis, number of lymph node, prostate-specific antigen level, Gleason score, biochemical recurrence, and overall survival. Based on multivariate Cox proportional-hazards regression analysis, a significant correlation was observed between EpCAM overexpression and 5-year worse biochemical recurrence free-survival.

CONCLUSIONS:

EpCAM overexpression may be correlated with the development of bone metastasis and worse biochemical recurrence free-survival of PCa. Further studies are needed to verify these findings.

• Authors: Yu Hu, Qiong Wu, Jialin Gao, Yongrui Zhang, Yuantao Wang
• Journal: BMC urology (BMC Urol) Vol. 19 Issue 1 Pg. 67 (Jul 19 2019) ISSN: 1471-2490 [Electronic] England
• PMID: 31324239 (Publication Type: Journal Article, Meta-Analysis)

Chemical References

• EPCAM protein, human
• Epithelial Cell Adhesion Molecule

Topics

• Databases, Genetic
• Epithelial Cell Adhesion Molecule (biosynthesis, genetics)
• Gene Expression Regulation, Neoplastic
• Genome (genetics)
• Humans
• Male
• Neoplasm Grading
• Prognosis
• Prostatic Neoplasms (diagnosis, genetics, metabolism)
• Risk Factors