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Syndecan-1 expression in locally invasive and metastatic prostate cancer.

AbstractOBJECTIVES:
To determine the significance of syndecan-1 expression, a cell-surface heparan sulfate proteoglycan in localized and metastatic prostate cancer.
METHODS:
We performed a retrospective analysis of 76 men with Gleason sum 6 or 7 prostate cancer treated by radical prostatectomy and a separate cohort of 75 men with metastatic prostate cancer. Syndecan-1 immunoreactivity was measured in primary prostate specimens or in samples from metastatic sites and correlated with patient outcome.
RESULTS:
Syndecan-1 was expressed in normal basal and secretory epithelial cells, 26% of radical prostatectomy specimens, and 35% of metastatic disease. No association was found between syndecan-1 positivity and prostate-specific antigen recurrence in the collective cohort of Gleason sum 6 and 7 cancers. However, when stratified by Gleason sum, syndecan-1 immunoreactivity (immunoreactivity score 150 or greater) was associated with a greater recurrence rate in Gleason sum 7 cancers. Expression of syndecan-1 was significantly greater in soft tissue than in bone metastasis (P = 0.048, Fisher's exact test).
CONCLUSIONS:
Consistent with a possible biochemical role for syndecan-1 in prostate cancer progression and metastasis, syndecan-1 expression correlated with serologic recurrence in Gleason sum 7 prostate cancer and was highly expressed in soft-tissue metastases.
AuthorsDavid Chen, Bosede Adenekan, Lu Chen, E Darracott Vaughan, William Gerald, Ziding Feng, Beatrice S Knudsen
JournalUrology (Urology) Vol. 63 Issue 2 Pg. 402-7 (Feb 2004) ISSN: 1527-9995 [Electronic] United States
PMID14972511 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Biomarkers, Tumor
  • Membrane Glycoproteins
  • Neoplasm Proteins
  • Proteoglycans
  • SDC1 protein, human
  • Syndecan-1
  • Syndecans
  • Prostate-Specific Antigen
Topics
  • Adenocarcinoma (genetics, metabolism, pathology)
  • Biomarkers, Tumor (blood)
  • Cohort Studies
  • Disease-Free Survival
  • Humans
  • Life Tables
  • Male
  • Membrane Glycoproteins (biosynthesis, genetics, physiology)
  • Middle Aged
  • Neoplasm Invasiveness
  • Neoplasm Metastasis
  • Neoplasm Proteins (biosynthesis, blood, genetics, physiology)
  • Prostate-Specific Antigen (blood)
  • Prostatic Neoplasms (genetics, metabolism, pathology)
  • Proteoglycans (biosynthesis, genetics, physiology)
  • Retrospective Studies
  • Syndecan-1
  • Syndecans

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