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1.
Am J Pathol ; 159(2): 591-7, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11485917

ABSTRACT

Peroxisome proliferator-activated receptor gamma (PPARgamma) is a member of the nuclear receptor superfamily of ligand-activated transcription factors and is expressed in several types of tissue. Although PPARgamma reportedly is expressed in normal urothelium, its function is unknown. We examined the expression of PPARgamma in normal urothelium and bladder cancer in an attempt to assess its functional role. Immunohistochemical staining revealed normal urothelium to express PPARgamma uniformly. All low-grade carcinomas were positive either diffusely or focally, whereas staining was primarily focal or absent in high-grade carcinomas. A nonneoplastic urothelial cell line (1T-1), a low-grade (RT4) carcinoma cell line, and two high-grade (T24 and 253J) carcinoma cell lines in culture expressed PPARgamma mRNA and protein. Luciferase assay indicated that PPARgamma was functional. PPARgamma ligands (15-deoxy-Delta(12,14)-prostaglandin J(2), troglitazone and pioglitazone) suppressed the growth of nonneoplastic and neoplastic urothelial cells in a dose-dependent manner. However, neoplastic cells were more resistant than were nonneoplastic cells. Failure to express PPARgamma or ineffective transcriptional activity may be some of the mechanisms responsible for resistance to the inhibitory action of PPARgamma ligands.


Subject(s)
Prostaglandin D2/pharmacology , Receptors, Cytoplasmic and Nuclear/physiology , Thiazolidinediones , Transcription Factors/physiology , Transcription, Genetic , Urinary Bladder Neoplasms/genetics , Urothelium/physiology , Aged , Blotting, Western , Cell Division/drug effects , Cell Line , Chromans/pharmacology , Dose-Response Relationship, Drug , Humans , Immunologic Factors/pharmacology , Ligands , Male , Pioglitazone , Prostaglandin D2/analogs & derivatives , RNA, Messenger/analysis , Receptors, Cytoplasmic and Nuclear/drug effects , Receptors, Cytoplasmic and Nuclear/genetics , Reverse Transcriptase Polymerase Chain Reaction , Thiazoles/pharmacology , Transcription Factors/drug effects , Transcription Factors/genetics , Transfection , Troglitazone , Tumor Cells, Cultured , Urinary Bladder Neoplasms/pathology , Urothelium/cytology , Urothelium/pathology
2.
Prostate ; 47(1): 66-75, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11304731

ABSTRACT

BACKGROUND: Almost all attempts at establishing prostate carcinoma cell lines have resulted in generation of cells that are androgen-independent, including commonly used LNCaP which expresses androgen receptor (AR) and AR-negative Du145 and PC-3. We attempted to clarify the mechanism(s) responsible for the failure to respond to androgen. METHODS: Cell lines LNCaP, CWR22R, PC-3, Du145, and CA7T2CL were used to examine the AR promoter function with a reporter gene assay and its methylation status by Southern blot, PCR of bisulfite-converted DNA, and 5-aza-2'-deoxycytidine treatment. Structural abnormalities of the AR were identified by sequencing of reverse-transcribed mRNA. RESULTS: All tested AR-positive prostate carcinoma cells were capable of AR transcription at a significantly higher level than PC-3 and Du145, thus suggesting relative deficiency of the transcription factors in the AR-negative cells, further associated with methylation. Examination of CWR22R cells, which express the AR but are androgen-independent, identified an in-frame duplication of exon 3, which resulted in insertion of 39 amino acids in the DNA-binding domain. CONCLUSIONS: Relative deficiency of transcription factors associated with methylation is responsible for the lack of AR promoter function in most of AR-negative cell lines. Mutations in the AR gene are present in the cells that express the AR but are androgen-independent.


Subject(s)
Adenocarcinoma , Gene Expression Regulation, Neoplastic , Prostatic Neoplasms , Receptors, Androgen/genetics , Androgens/pharmacology , Animals , DNA Methylation , DNA Mutational Analysis , DNA, Neoplasm/metabolism , Humans , Male , Mice , Mice, Nude , Promoter Regions, Genetic , Transcription, Genetic , Tumor Cells, Cultured
3.
Pathol Int ; 51(10): 807-11, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11881735

ABSTRACT

A case in which malignant lymphoma occurred in association with a tuberculosis focus in a 70-year-old man is reported. Surrounding the epithelioid cell granulomas with caseous necrosis was a dense and diffuse monotonous infiltration of atypical lymphoid cells. Acid-fast bacilli were found in the granulomas and pulmonary tuberculosis was diagnosed. The infiltrating atypical lymphoid cells occasionally invaded the respiratory epithelium producing lymphoepithelial lesions. Immunohistochemically, the lymphoid cells were positive for CD20, and clonal rearrangement of the immunoglobulin heavy chain gene was demonstrated by polymerase chain reaction (PCR). We diagnosed the lesion as a pulmonary malignant lymphoma of bronchus-associated lymphoid tissue (BALT) occurring in the background of tuberculosis. This is the first reported case of pulmonary BALT lymphoma coexistent with pulmonary tuberculosis.


Subject(s)
Bronchi/pathology , Lymphoma, B-Cell, Marginal Zone/complications , Tuberculosis, Pulmonary/complications , Aged , Antigens, CD20/analysis , Epithelioid Cells/microbiology , Epithelioid Cells/pathology , Gene Rearrangement , Granuloma/microbiology , Granuloma/pathology , Humans , Immunoglobulin Heavy Chains/genetics , Lymphoid Tissue/metabolism , Lymphoid Tissue/pathology , Lymphoma, B-Cell, Marginal Zone/pathology , Male , Mycobacterium tuberculosis/isolation & purification , Polymerase Chain Reaction , Tomography, X-Ray Computed , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/pathology
4.
Biochim Biophys Acta ; 1493(3): 319-24, 2000 Oct 02.
Article in English | MEDLINE | ID: mdl-11018256

ABSTRACT

One of the tight junction components, zonula occludens protein 2 (ZO-2), is expressed as two isoforms, ZO-2A and ZO-2C, in normal epithelia. In pancreatic adenocarcinoma of the ductal type ZO-2A is absent, but none of the common mechanisms of gene inactivation is responsible for lack of ZO-2A expression. In the current study, we report the complete organization of the human zo-2 gene (tjp-2), its alternative splicing, and its expression in normal and neoplastic tissues of several organ sites. In addition to pancreatic adenocarcinoma, ZO-2 was found to be de-regulated in breast adenocarcinoma, but not in colon or prostate adenocarcinoma. The latter are considered to be of acinar rather than ductal type. Thus, our data indicate the importance of zo-2 (tjp-2) gene regulation in ductal cancer development and should help to understand the defects of intercellular interactions, critical for suppressing the malignant phenotype.


Subject(s)
Gene Expression Regulation, Neoplastic , Membrane Proteins/genetics , Exons , Introns , Membrane Proteins/biosynthesis , Molecular Sequence Data , Protein Isoforms/biosynthesis , Tumor Cells, Cultured , Zonula Occludens-2 Protein
5.
Am J Pathol ; 157(3): 795-803, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10980119

ABSTRACT

The objective of the present study is to examine the role of prostate stromal cells on growth and progression of prostate cancer. Co-inoculation of androgen-independent carcinoma cells (PC-3 and CA-7T2) with prostate-derived stromal (P-ST) cells significantly enhanced the growth of carcinoma cells in athymic nude mice. For the in vitro study, a three-dimensional co-culture system was used. It consisted of two layers of collagen gel. Stromal cells were suspended in the lower layer, whereas cancer cells were suspended in the upper layer. Compared to the control culture, the presence of P-ST cells in the lower collagen layer significantly stimulated the growth of carcinoma cells. Such an effect was not demonstrated when carcinoma cells were co-cultured with either bone marrow-derived or skin-derived stromal cells. We identified hepatocyte growth factor (HGF) as the principal growth factor released by P-ST cells but not by bone marrow-derived or skin-derived stromal cells. Neutralizing antibodies against HGF completely abrogated the stimulatory effect of P-ST cells. Exogenous HGF likewise stimulated the growth of carcinoma cells in vitro and in vivo. These results suggest that HGF produced by P-ST cells is a paracrine growth factor that stimulates the growth of androgen-independent prostate cancer cell lines.


Subject(s)
Adenocarcinoma/pathology , Hepatocyte Growth Factor/physiology , Prostate/physiology , Prostatic Neoplasms/pathology , Stromal Cells/physiology , Adenocarcinoma/metabolism , Animals , Antibodies, Blocking/pharmacology , Bone Marrow Cells/physiology , Coculture Techniques , Culture Media, Conditioned , Growth Inhibitors/pharmacology , Growth Inhibitors/physiology , Humans , Male , Mice , Mice, Nude , Neoplasm Transplantation , Prostate/drug effects , Prostatic Neoplasms/metabolism , Skin/cytology , Skin/metabolism , Stromal Cells/metabolism , Transplantation, Heterologous , Tumor Cells, Cultured
7.
Jpn J Cancer Res ; 90(8): 829-36, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10543254

ABSTRACT

Chronic inflammation is a significant risk factor for the development of urinary bladder cancer. We have shown that inflammation induced by killed Escherichia coli and also by its lipopolysaccharide (LPS) strikingly enhances N-methyl-N-nitrosourea (MNU)-initiated rat bladder carcinogenesis. Aspirates from the bladder lumen contained a large quantity of hydrogen peroxide (H2O2) and several cytokines. In this study, we tested the hypothesis that reactive oxygen intermediates (ROI) released from activated polymorphonuclear leukocytes (PMN) are involved in inflammation-associated bladder carcinogenesis. Using an immortalized nontumorigenic rat urothelial cell line, MYP3, we examined the effect of LPS-activated PMN on malignant transformation. MYP3 cells pretreated with or without MNU were exposed daily to LPS-activated PMN for one week and were then tested for growth in soft agar. In contrast to no colony formation by the parental cells, a varying number of colonies developed from cells treated with LPS-activated PMN. Although combined treatment with MNU and PMN was most effective (P<0.01), cells treated with LPS-activated PMN alone also formed a small number of colonies. Addition of catalase, which decomposes H2O2, and/or an antioxidant, alpha-tocopherol, reduced the number of colonies induced by LPS-activated PMN (P<0.05). Cells derived from colonies were tumorigenic in athymic nude mice. However, tumorigenicity in mice was greater with cells treated with both MNU and PMN than with cells treated with PMN alone. Our results suggest that ROI released from LPS-activated PMN may be one of the mechanisms involved in the carcinogenesis associated with active urinary tract infection.


Subject(s)
Cell Transformation, Neoplastic/metabolism , Lipopolysaccharides/pharmacology , Neutrophils/metabolism , Urothelium/pathology , 8-Hydroxy-2'-Deoxyguanosine , Animals , Catalase/pharmacology , Cell Line , Cell Transformation, Neoplastic/drug effects , Cell Transformation, Neoplastic/genetics , Cell Transformation, Neoplastic/immunology , Deoxyguanosine/analogs & derivatives , Deoxyguanosine/biosynthesis , Diffusion Chambers, Culture , Genes, p53/genetics , Genes, ras/genetics , Humans , Hydrogen Peroxide/metabolism , Lymphocyte Activation , Mice , Mice, Nude , Neoplasm Transplantation , Neutrophils/drug effects , Neutrophils/immunology , Rats , Tumor Stem Cell Assay , Urothelium/drug effects , Urothelium/metabolism , Vitamin E/pharmacology
8.
Int J Cancer ; 83(3): 349-58, 1999 Oct 29.
Article in English | MEDLINE | ID: mdl-10495427

ABSTRACT

We have observed that 2 forms of zonula occludens 2 (ZO-2) protein, ZO-2A and ZO-2C, are expressed in normal human pancreatic duct cells, but only ZO-2C in pancreatic duct adenocarcinoma. We report here partial organization of the zo-2 gene. Transcription of 2 forms of ZO-2 mRNA is driven by alternative promoters P(A) and P(C). Lack of expression of ZO-2A in neoplastic cells is caused by inactivation of the downstream promoter P(A). Analysis of the promoter P(A) sequence and function in normal and neoplastic cells demonstrated that neither structural changes (mutations) nor a change in the pool of transcription factors is responsible for its inactivation. Although hypermethylation was found in a large number of cancer clones, treatment with 5-aza-2'-deoxycytidine did not fully cause the promoter function to recover. We conclude that the initial down-regulation of zo-2 promoter P(A) activity in pancreatic duct carcinomas is due to the structural or functional alteration(s) in the regulatory elements, localized outside the analyzed promoter region. Methylation of P(A) is responsible for the inactivation of the suppressed promoter at the late stages of tumor development.


Subject(s)
Membrane Proteins/genetics , Pancreatic Ducts/metabolism , Pancreatic Neoplasms/genetics , Promoter Regions, Genetic , Base Sequence , DNA Methylation , Humans , Molecular Sequence Data , Reverse Transcriptase Polymerase Chain Reaction , Tumor Cells, Cultured , Zonula Occludens-2 Protein
9.
Int J Oncol ; 15(4): 661-7, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10493946

ABSTRACT

Epidermal growth factor (EGF) is a potent mitogen, and its action is mediated by MAP kinase (MAPK). Reportedly EGF activates STAT, induces the expression of p21waf1, and subsequently inhibits the growth of several types of cancer cells. In this study, we used human bladder cancer cells (T24 and RT4), immortalized non-tumorigenic human urothelial cells (1T-1, 1T-2, and 1T-3), and epidermal carcinoma cells (A431). EGF inhibited the growth of T24 and A431, and stimulated the growth of 1T-1, 1T-3 and 1T-2, but did not affect the growth of RT4. EGF activated MAPK strongly in 1T-1, and slightly in A431, T24, 1T-2, and 1T-3 but marginally in RT4. We detected the activation of STAT in T24, 1T-3 and A431 after EGF treatment. EGF enhanced the expression of p21waf1 mRNA in T24, 1T-2, 1T-3 and A431, and activated the p21waf1 promoter in T24 cells. These results suggest that i) EGF inhibits the growth of T24 cells via induction of p21waf1 mediated by STAT, and ii) the balance between the STAT-induced p21waf1 and MAPK activities regulates the growth of human bladder cells after EGF treatment.


Subject(s)
DNA-Binding Proteins/metabolism , Epidermal Growth Factor/pharmacology , Mitogen-Activated Protein Kinases/metabolism , Trans-Activators/metabolism , Urinary Bladder Neoplasms/metabolism , Urinary Bladder/metabolism , Blotting, Northern , Blotting, Western , Cell Division/drug effects , Cell Line , Cyclin-Dependent Kinase Inhibitor p21 , Cyclins/genetics , Enzyme Activation/drug effects , ErbB Receptors/biosynthesis , Humans , Promoter Regions, Genetic/drug effects , RNA, Messenger/biosynthesis , Regulatory Sequences, Nucleic Acid/drug effects , Reverse Transcriptase Polymerase Chain Reaction , STAT1 Transcription Factor , Signal Transduction/drug effects , Transcriptional Activation/drug effects , Urinary Bladder/cytology , Urinary Bladder Neoplasms/pathology
10.
Int J Oncol ; 15(4): 743-9, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10493957

ABSTRACT

An in vitro study was conducted to determine if malignant transformation can be induced in human urothelial cells immortalized with human papillomavirus E6/E7 genes. A clone designated 1T1 was isolated and then stably transfected with an acyl CoA oxidase (ACOX)-expression construct. The cells generated H2O2 in a large quantity from the substrate linoleic acid (LA). After 56 days of LA treatment, cells persistently formed an epithelial cyst in athymic nude mice with an occasional intracystic epithelial nodule. Our results indicate that human urothelial cells can be transformed to low grade neoplastic cells by H2O2 and suggest that H2O2 may be involved in the development of bladder cancer.


Subject(s)
Carcinoma, Squamous Cell/chemically induced , Cell Transformation, Neoplastic/chemically induced , Hydrogen Peroxide/metabolism , Oxidoreductases/biosynthesis , Peroxisomes/enzymology , Urothelium/enzymology , Acyl-CoA Oxidase , Aged , Animals , Blotting, Northern , Blotting, Western , Carcinoma, Squamous Cell/pathology , Cell Division/drug effects , Cell Transformation, Neoplastic/metabolism , Cells, Cultured , Humans , Hydrogen Peroxide/adverse effects , Karyotyping , Linoleic Acid/pharmacology , Male , Matrix Metalloproteinase 2/metabolism , Matrix Metalloproteinase 9/metabolism , Mice , Mice, Inbred BALB C , Mice, Nude , Neoplasm Transplantation , Oxidoreductases/genetics , Rats , Transfection , Urothelium/cytology , Urothelium/drug effects
11.
Carcinogenesis ; 20(6): 957-62, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10357773

ABSTRACT

Hepatocyte growth factor (HGF) plays an important role in the growth, progression and angiogenesis of various tumors. It is reported that patients with urinary bladder cancer have elevated levels of HGF in urine and that bladder cancer tissue contains an increased amount of HGF. Thus, the data suggest a functional role of HGF in urinary bladder cancer. We evaluated the mechanistic role of HGF in urinary bladder carcinoma in vitro using the rat urothelial cell lines MYP3 (anchorage-dependent and non-tumorigenic in athymic nude mice), LMC19, MYU3L, T6 and AS-HTB1 (anchorage-independent and tumorigenic). The HGF receptor c-met was expressed by all of the cell lines, as determined by northern blot. In MYP3 cells, HGF strongly stimulated anchorage-dependent growth, but not migration, invasion or secretion of matrix metalloproteinases (MMPs). In LMC19, T6 and AS-HTB1 cells, HGF stimulated migration, invasion and secretion of MMPs. Anchorage-dependent growth stimulation was limited to AS-HTB1 cells. MYU3L cells were refractory to HGF in both growth and invasion assays. However, a neutralizing antibody and an anti-sense oligonucleotide to HGF partially inhibited the growth only of MYU3L cells, the finding being indicative of an autocrine stimulatory mechanism. HGF mRNA expression and protein synthesis were induced in bladder stromal cells by the conditioned medium of carcinoma cell lines, and IL-1beta and basic fibroblast growth factor were identified as cancer cell-derived HGF-releasing factors. These results suggest that HGF acts as a mitogen in a non-tumorigenic cell line, whereas in tumorigenic cell lines it acts as an invasion and migration factor by either a paracrine or an autocrine mechanism.


Subject(s)
Hepatocyte Growth Factor/physiology , Urinary Bladder Neoplasms/pathology , Animals , Base Sequence , Cell Line , DNA Primers , Hepatocyte Growth Factor/genetics , Metalloendopeptidases/metabolism , Mice , Mice, Nude , Neoplasm Invasiveness , Neoplasm Metastasis , Proto-Oncogene Proteins c-met/genetics , RNA, Messenger/genetics , Rats , Tumor Cells, Cultured , Urinary Bladder Neoplasms/metabolism , Urokinase-Type Plasminogen Activator/metabolism
12.
Int J Cancer ; 82(1): 137-44, 1999 Jul 02.
Article in English | MEDLINE | ID: mdl-10360833

ABSTRACT

Differential display of hamster mRNA identified a fragment present in normal pancreatic duct cells that is not expressed in pancreatic duct carcinoma cells. Sequence analysis showed an 88% and 82% identity, respectively, to the cDNA of the canine and human tight junction zo-2 gene. Semi-quantitative RT-PCR analysis of human ZO-2 revealed a striking difference in the expression of various regions of the ZO-2 transcript in normal and neoplastic cells and the presence of an abnormality at the 5'-end of mRNA. RACE analysis identified 2 human ZO-2 mRNAs that encode proteins of different lengths, designated as ZO-2A and ZO-2C. The difference between the 2 forms of ZO-2 is the absence of 23 amino acid residues at the N terminus of ZO-2C compared with ZO-2A. Although ZO-2C was expressed in normal pancreatic cells and a majority of neoplastic tissues analyzed, ZO-2A was undetectable except in one case in all of the pancreatic adenocarcinomas analyzed. This suggests the presence of a yet to be identified motif important for cell-growth regulation within the 23-amino acid residue N-terminal peptide of ZO-2A, MPVRGDRGFPPRRELSGWLRAPG.


Subject(s)
Adenocarcinoma/metabolism , Membrane Proteins/genetics , Pancreatic Ducts/metabolism , Pancreatic Neoplasms/metabolism , Amino Acid Sequence , Animals , Base Sequence , Blotting, Northern , Blotting, Western , Cricetinae , Humans , Immunohistochemistry , Membrane Proteins/analysis , Molecular Sequence Data , RNA, Messenger/analysis , Reverse Transcriptase Polymerase Chain Reaction , Zonula Occludens-2 Protein
13.
Jpn J Cancer Res ; 89(10): 991-4, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9849575

ABSTRACT

Using the heterotopically transplanted rat urinary bladder (HTB) model that was developed in our laboratory, we examined the relationship between the duration of epidermal growth factor (EGF) treatment and acquisition of EGF-independence of urinary bladder tumors that were induced by EGF stimulation. After treatment with N-methyl-N-nitrosourea (MNU) (0.25 mg/0.5 ml of 0.9% NaCl once a week for 3 consecutive weeks), animals at week 3 received EGF [250 ng/0.5 ml phosphate-buffered saline (PBS)] into the HTBs once a week for 20, 28, or 36 weeks. For examination of the effect of EGF withdrawal, one half of the rats received the vehicle (PBS) only beginning at week 23 or week 31 for 8 weeks. When animals were examined at week 23, the incidence and the mean number of tumors per bladder were low, irrespective of EGF treatment. In the bladders that had been exposed to EGF during the first 20 weeks after MNU administration, however, both the incidence and the mean number of tumors per bladder had increased significantly at week 31, regardless of whether or not EGF treatment was continued beyond week 23. Between weeks 31 and 39, EGF treatment demonstrated no effect; both the incidence of tumors and the mean number of tumors were the same as those at week 31. These results suggest that EGF exerts its promoting effect only during the early phase of MNU-initiated bladder carcinogenesis, but that its effect becomes manifest during the subsequent 8 weeks. EGF independence may be due to establishment of an autocrine growth-stimulatory mechanism in bladder tumors.


Subject(s)
Carcinogens/toxicity , Carcinoma, Transitional Cell/chemically induced , Epidermal Growth Factor/toxicity , Urinary Bladder Neoplasms/chemically induced , Animals , Carcinoma, Transitional Cell/pathology , Male , Methylnitrosourea , Neoplasm Invasiveness , Rats , Rats, Inbred F344 , Time Factors , Urinary Bladder Neoplasms/pathology
14.
J Urol ; 160(5): 1741-7, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9783944

ABSTRACT

PURPOSE: Touch preparation cytology has been used in oncology as a technique to assist in predicting local tumor recurrence. We prospectively investigated the relationship between this cytological evaluation and the standard histological method of assessing specimens, measuring the distance from the tumor to the various anatomical boundaries and disease recurrence in radical retropubic prostatectomy patients. MATERIALS AND METHODS: In a prospective study of 91 consecutive clinical stages T1c and T2 cancer cases radical retropubic prostatectomy touch preparation cytology was performed intraoperatively in an anatomical fashion (apex, posterior, lateral right and left, and base). A single blinded cytopathologist reviewed all prostate touch preparation specimens and categorized them as malignant, benign or atypical cells. Benign or atypical cells were classified as negative cytology. Detailed histological margin analysis of the surgical specimens was also done in which distances between the tumor front, and prostate capsule (inner and outer edge) and surgical margins (apex, posterior, right and left lateral, and base) were measured. All specimens were re-staged by the same pathologist. Median followup was 38 months. Disease recurrence was determined biochemically (prostate specific antigen), and with bone scans, prostatic fossa biopsies and digital rectal examinations. RESULTS: Of the 91 specimens 25 were excluded from study because distance measurements could not be made for technical reasons. Multivariate analysis was performed on the remaining 66 patients based on the variables of stage, age, cytology status, distance from tumor to the inner prostatic capsule, distance from tumor to the surgical margin and postoperative Gleason sum. The only variable with independent prognostic value was postoperative Gleason sum (p = 0.04). Cytology status was not statistically significant (p = 0.07) nor were distance data to the inner capsule (p >0.05) and surgical margin (p >0.05). CONCLUSIONS: Although touch preparation cytology does not enhance prognostic information already provided by Gleason sum, it does correlate highly with postoperative Gleason sum. Other gross macroscopic variables, that is pathological stage, margin status and distance measurements, although lacking in independent predictive value, correlated with postoperative Gleason sum. The constancy of Gleason sum leads us to believe that the key to predicting prostatic cancer behavior lies not on the macroscopic but on the molecular or cellular level. Of the various factors analyzed in this study postoperative Gleason sum remains the most powerful predictor of recurrence risk.


Subject(s)
Neoplasm Recurrence, Local/pathology , Prostatic Neoplasms/pathology , Aged , Cytological Techniques , Follow-Up Studies , Humans , Male , Middle Aged , Neoplasm Invasiveness , Neoplasm Recurrence, Local/epidemiology , Neoplasm Staging , Predictive Value of Tests , Prospective Studies , Prostatectomy , Prostatic Neoplasms/surgery
15.
Clin Cancer Res ; 4(7): 1625-30, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9676836

ABSTRACT

Transforming growth factor beta (TGF-beta) is a potent inhibitor of proliferation in most cells and exerts its effects through an interaction with membrane receptors type I (TGF-betaRI) and type II (TGF-betaRII). Recently, we have demonstrated a correlation between the loss of expression of TGF-betaRI and TGF-betaRII and increasing Gleason score in archival human prostate cancer tissues. To evaluate the potential prognostic value of this observation, the present study investigated the expression of TGF-beta receptors in association with disease progression after the initial diagnosis in 52 archival human prostate cancer tissues. The expression of both TGF-betaRI and TGF-betaRII was correlated with the Gleason score, clinical tumor stage, 4-year survival rate, and serological recurrence rate after radical prostatectomy. Results revealed that there was a significant association between the Gleason score and the loss of expression of TGF-betaRI (P < 0.025) and TGF-betaRII (P < 0.01). However, only the loss of TGF-betaRI expression showed a statistically significant association with the clinical tumor stage (P < 0.05), 4-year survival rate (P < 0.05), and serological recurrence rate after radical prostatectomy (P < 0.025). Therefore, these data indicate that the loss of TGF-betaRI expression as measured by immunohistochemical staining may be a potential prognostic marker in prostate cancer patients.


Subject(s)
Neoplasm Proteins/metabolism , Prostatic Neoplasms/metabolism , Prostatic Neoplasms/pathology , Receptors, Transforming Growth Factor beta/metabolism , Humans , Male , Neoplasm Staging , Prognosis , Prostate/metabolism , Prostatic Neoplasms/mortality , Survival Rate
16.
Prostate ; 35(4): 255-62, 1998 Jun 01.
Article in English | MEDLINE | ID: mdl-9609548

ABSTRACT

BACKGROUND: Epidermal growth factor (EGF) and interleukin (IL)-6 are implicated in the growth of benign and malignant prostatic epithelial cells. We investigated the role of EGF and IL-6 during the process of prostate carcinogenesis. METHODS: Using growth in soft agar as an index of transformation, we examined the effect of EGF and IL-6 on the enhancement of N-methyl-N-nitrosourea (MNU)-initiated transformation of immortalized, nontumorigenic prostatic epithelial cell lines (PWR-1E and RWPE-1) developed in our laboratory. The effect of EGF and IL-6 on the growth of MNU-induced transformants isolated from soft agar was assessed both in monolayer culture and in a soft agar. RESULTS: After a 1 hr exposure to N-methyl-N-nitrosourea (50 microg/ml), cells (5 x 10(4)) were grown in soft agar in the presence of EGF (5 ng/ml) or IL-6 (10 or 100 ng/ml). Addition of EGF or IL-6 significantly increased colony formation in soft agar of both immortalized prostatic epithelial cell lines initiated with MNU (P < 0.001-0.05). Only a very small number of colonies was observed with the parental cell lines PWR-1E and RWPE-1 not exposed to MNU, and their numbers increased by the addition of EGF or IL-6. All of the transformants, derived by exposure to MNU and isolated from soft agar, exhibited a higher cell growth potential in monolayer cultures than did their parental cell lines. Furthermore, as compared to the parental cell lines, growth response of MNU-transformants to 5alpha-dihydrotestosterone (5alpha-DHT), EGF, or IL-6 in monolayer culture was better in 5 of 8, 6 of 8, and 7 of 8 cell lines, respectively. All of the MNU-transformants exhibited a far higher colony-forming efficiency in soft agar than did the parental cell lines. However, the degree of responsiveness to EGF or IL-6 in soft agar varied among the MNU-transformants. CONCLUSIONS: The results of the present study suggest that IL-6 and EGF may enhance prostate carcinogenesis in vitro by preferentially stimulating the growth of transformed cells.


Subject(s)
Cell Transformation, Neoplastic , Epidermal Growth Factor/pharmacology , Epithelial Cells/drug effects , Interleukin-6/pharmacology , Methylnitrosourea/toxicity , Prostate/drug effects , Cell Adhesion , Cell Culture Techniques/methods , Cell Division/drug effects , Cell Line , Epithelial Cells/cytology , Epithelial Cells/physiology , Humans , Kinetics , Male , Prostate/cytology , Prostate/physiology , Receptors, Interleukin-6/analysis , Receptors, Interleukin-6/biosynthesis , Time Factors
17.
Carcinogenesis ; 19(1): 73-9, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9472696

ABSTRACT

p53 mutation is commonly associated with high-grade, high-stage human urothelial carcinomas. Recent studies suggest that p53 mutation in low-grade, low-stage bladder carcinomas may be correlated with the progression of the disease. In the present study, we used antisense RNA methodology in vitro to evaluate the significance of the loss of p53 function at an early stage of urinary bladder carcinogenesis. An immortalized nontumorigenic rat urothelial cell line (MYP3) that strongly expresses wild-type (WT) p53 was transfected with a plasmid (pcDL-SR alpha-296) containing a rat WT p53 cDNA in antisense orientation. The transfection resulted in a significant reduction in p53 mRNA expression and protein synthesis, in stimulation of anchorage-dependent growth, and in acquisition of anchorage-independent growth potential. Three such clones, when tested in athymic nude mice, all formed muscle-invasive, high-grade transitional cell carcinomas at s.c. injection sites. When cells were inoculated into an orthotopic site (urinary bladder), one of two antisense transfectants tested formed bulky tumors in the bladder in all seven nude mice and metastases to lungs in three of the seven mice. Analysis of these cells revealed a decrease in the expression of p21 (WAF1, sdi1, or CIP1) and retinoblastoma (Rb) gene product. Phosphorylation of Rb protein was not inhibited when the cells were starved. No significant difference was observed in the expression of p16 protein. In cell cycle analysis, all antisense transfectants tested escaped from G1 arrest by starvation. Furthermore, secretion of interleukin (IL)-6 into culture medium was increased significantly. Treatment with anti-IL-6 antibody suppressed anchorage-dependent growth. This study directly demonstrates that the loss of p53 function at an early stage of urothelial carcinogenesis may result in acquisition of a malignant phenotype by regulating IL-6 production as well as cell cycle related genes.


Subject(s)
Cell Transformation, Neoplastic , Genes, p53 , RNA, Antisense/pharmacology , Tumor Suppressor Protein p53/biosynthesis , Urinary Bladder Neoplasms/genetics , Urinary Bladder Neoplasms/pathology , Urothelium/pathology , Animals , Cell Cycle , Cell Division , DNA Primers , Genes, p53/drug effects , Humans , Mice , Mice, Nude , Polymerase Chain Reaction , Rats , Transfection , Transplantation, Heterologous , Urothelium/drug effects
18.
J Urol ; 159(3): 1064-8, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9474232

ABSTRACT

PURPOSE: Peyronie's disease is a connective tissue disorder resulting in fibrotic plaque formation on the tunica albuginea of the penis. One approach to repair consists of plaque excision and patching with one of many potential patch materials. Because the optimal patch material for covering the resultant defect has not been determined, this study compares histological and cavernosometric changes in the penis as a result of the placement of three different types of patch grafts used in surgery for Peyronie's disease. MATERIALS AND METHODS: Eleven mongrel dogs were divided into three groups, each receiving a different patch material (superficial dorsal penile vein, silicone fabric, and dermabraded preputial flap). Each dog had dynamic infusion cavernosometry (DIC) performed prior to placement of the patch over a 6 x 3 mm. defect surgically created in the tunica albuginea. Three months later, DIC was repeated prior to sacrifice. Histology of the penis was examined using Masson's trichrome, and hematoxylin and eosin stains. RESULTS: The only difference among the cavernosometric parameters (preop versus postop) was a higher initial pressure in the dermabraded preputial flap group postoperatively. The dogs undergoing vein patch had moderate fibrosis with apparent reformation of the tunica albuginea over the patch site. The normal venous architecture of the graft was no longer recognizable. Those dogs receiving a silicone patch had moderate fibrosis with a fibrous sheath of compressed histiocytes and fibroblasts enveloping the graft site. Finally, the dermabraded preputial flap patch group had mild-moderate fibrosis with focal loss of the cavernosal space underlying the flap. CONCLUSIONS: We feel that continued use of the vein patch for repair of Peyronie's disease is warranted.


Subject(s)
Implants, Experimental , Penile Induration/surgery , Penis/surgery , Animals , Disease Models, Animal , Dogs , Fibrosis , Male , Penile Induration/pathology , Penis/pathology
19.
Endocrinology ; 138(11): 5071-4, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9348243

ABSTRACT

LNCaP is an androgen-responsive prostatic carcinoma cell line that exhibits a bell-shaped growth response curve to increasing doses of dihydrotestosterone (DHT) in culture. Although the precise mechanism responsible for this unique growth response to androgen stimulation remains unclear, many studies have suggested that androgen modulates the level of various growth factors. In an early study, we demonstrated that LNCaP proliferation was stimulated by interleukin (IL)-6 in a paracrine manner, because these cells did not express a significant amount of IL-6. In the present study, the role of IL-6 in mediating androgen regulated proliferation in LNCaP cells was investigated. DHT, at increasing doses up to 10(-8) M, resulted in a release of IL-6 from LNCaP cells. This dose-dependent effect of DHT on LNCaP proliferation could be partially inhibited by the addition of antibody against IL-6 into the culture medium. These results indicate that the DHT-induced expression of IL-6 stimulates proliferation of LNCaP cells in culture in an autocrine manner.


Subject(s)
Androgens/pharmacology , Carcinoma/pathology , Interleukin-6/physiology , Prostatic Neoplasms/pathology , Antibodies/immunology , Carcinoma/metabolism , Cell Division/drug effects , Dihydrotestosterone/pharmacology , Dose-Response Relationship, Drug , Humans , Interleukin-6/immunology , Interleukin-6/metabolism , Male , Prostatic Neoplasms/metabolism , Tumor Cells, Cultured/drug effects
20.
Carcinogenesis ; 18(10): 1867-70, 1997 Oct.
Article in English | MEDLINE | ID: mdl-9363992

ABSTRACT

Transforming growth factor beta1 (TGFbeta1) is a potent growth inhibitor for most cells, including neoplastic cells. However, there are several types of malignant cells that are resistant to its growth-inhibitory effect. LMC19, a highly malignant rat urothelial cell line, lacks TGFbeta1 receptor (TbetaRI) and is insensitive to the growth-suppresive effect of TGFbeta1. We transfected an expression vector containing human TbetaRI into this cell line. In control cells transfected with the neo gene alone, no inhibitory effect on growth was observed in vitro by the addition of anti-TGFbeta1 antibody or recombinant TGFbeta1 into serum-free medium. In contrast, the growth of all transfectants tested was inhibited significantly under serum-free conditions because of their endogenous TGFbeta synthesis. The growth was reduced further by the addition of recombinant TGFbeta1. This response pattern is consistent with TGFbeta1 mediating its effects by an autocrine and paracrine mechanism. The tumorigenicity of the cells was tested in a heterotopically transplanted urinary bladder system, which was generated as an orthotopic test site in athymic nude mice. All nine mice tested receiving control cells formed deeply invasive, undifferentiated-cell carcinomas and multiple metastatic foci in the lungs. In contrast, none of the mice receiving transfectants of TbetaRI formed bladder tumors or metastases. Taken together, these observations indicate that TbetaRI exhibits a potent tumor suppressor effect in bladder carcinoma.


Subject(s)
Receptors, Transforming Growth Factor beta/physiology , Transforming Growth Factor beta/metabolism , Urinary Bladder Neoplasms/metabolism , Animals , Culture Media, Serum-Free , Lung Neoplasms/secondary , Mice , Mice, Nude , Neoplasm Transplantation , Rats , Receptors, Transforming Growth Factor beta/genetics , Transfection , Transforming Growth Factor beta/antagonists & inhibitors , Transforming Growth Factor beta/immunology , Tumor Cells, Cultured , Urinary Bladder Neoplasms/pathology
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