IMMUNOHISTOCHEMISTRY IN THE DIAGNOSTICS OF PROSTATE CANCER

Background: over the past decade, there was an active search of new diagnostic methods of prostate cancer, providing a more accurate assessment of its outcomes.

Aim: to conduct a systematic search for scientific information on the evaluation of promising biomarkers used to diagnose prostate cancer.

Materials and methods. The search for scientific publications was carried out in evidence-based medicine databases (PubMed, Cochrane Library, TripDatabase, ResearchGate) and in electronic scientific libraries (CyberLeninka). Initially, the decision was made to limit the search by the period of 10 years (from January, 2007 to November, 2017), however, due to the limited number of publications found, we expanded our search interval to the period of 15 years (from January 2002 to November 2017). Firstly, the search was carried in automatic mode, after which the search became "manual", which allowed us to reveal a number of additional publications. The inclusion criteria were: 1) papers published in English, Russian and Spanish languages; 2) trials conducted on humans; 3) trials considering only clinically-significant outcomes of prostate cancer (overall mortality cancer-specific mortality, disease-free survival). The exclusion criteria was the publication’s failure to meet the above described inclusion criteria.

Results: all biological markers included in this review can be identified by immunohistochemical studies of prostate tissue samples, obtained through tissue biopsy or prostatectomy. An analysis of the available literature sources made it possible to identify 9 protein molecules whose ability to predict significant clinical outcomes of the disease (survival and mortality) was evaluated in clinical trials.

Conclusions: there is a limited number of publications in the available literature sources dedicated to the capacity of tissue biomarkers to assess prostate cancer outcomes, which justifies the need for further prospective cohort studies. In addition, it seems reasonable to evaluate the combined effect of proteins belonging to different functional groups, which will allow to develop the individualized treatment schemes.

Key words: immunohistochemistry, prostate cancer, tissue biomarkers, survival, mortality.

Erlan А. Ospanov 1, http://orcid.org/0000-0002-1344-5477

Тasbolat А. Аdylkhanov 1, http://orcid.org/0000-0002-9092-5060

Sholpan Е. Тоkanova 1, http://orcid.org/0000-0003-0304-4976

Yuliya М. Semenova 1, http://orcid.org/0000-0003-1324-7806

Nataliya S. Kulabukhova 1, http://orcid.org/0000-0001-8814-9827

Marzhan А. Dauletyarova 1, http://orcid.org/0000-0001-8178-4051

Malcolm A. Moore 2

1 Semey State Medical University,

Semey, Kazakhstan;

2 Director-Coordination, Asia Pacific Organization for Cancer Prevention,

Korean Cancer Center, Goyang, Korea.

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10.     Boxler S., Djonov V., Kessler T.M., Hlushchuk R., Bachmann L.M., Held U., Markwalder R., Thalmann G.N. Matrix metalloproteinases and angiogenic factors: predictors of survival after radical prostatectomy for clinically organ-confined prostate cancer? Am J Pathol. 2010;177:2216–24

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39.     Revelos K., Petraki C., Gregorakis A., Scorilas A., Papanastasiou P., Tenta R., Koutsilieris M. p27(kip1) and Ki-67 (MIB1) immunohistochemical expression in radical prostatectomy specimens of patients with clinically localized prostate cancer. In vivo 2005;19:911–20

40.     Richardsen E., Uglehus R.D., Due J., Busch C., Busund L.T. COX-2 is overexpressed in primary prostate cancer with metastatic potential and may predict survival. A comparison study between COX-2, TGF-beta, IL-10 and Ki67. Cancer Epidemiol 2010;34:316–22

41.     Ritter M.A., Gilchrist K.W., Voytovich M., Chappell R.J., Verhoven B.M. The role of p53 in radiation therapy outcomes for favorable-to-intermediate-risk prostate cancer. Int J Radiat Oncol Biol Phys 2002;53:574–80

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10.     Boxler S., Djonov V., Kessler T.M., Hlushchuk R., Bachmann L.M., Held U., Markwalder R., Thalmann G.N. Matrix metalloproteinases and angiogenic factors: predictors of survival after radical prostatectomy for clinically organ-confined prostate cancer? Am J Pathol 2010;177:2216–24

11.     Bruno S., Darzynkiewicz Z. Cell cycle dependent expression and stability of the nuclear protein detected by Ki-67 antibody in HL-60 cells. Cell Proliferation. 1992; 25 (1): 31–40

12.     Bullwinkel J., Baron-Lühr B., Lüdemann A., Wohlenberg C., Gerdes J., Scholzen T. Ki-67 protein is associated with ribosomal RNA transcription in quiescent and proliferating cells. J. Cell. Physiol. 2006; 206 (3): 624–35

13.     Chakravarti A., Heydon K., Wu C.L., Hammond E., Pollack A., Roach M., Wolkov H., Okunieff P., Cox J., Fontanesi J., Abrams R., Pilepich M., Shipley W. Loss of p16 expression is of prognostic significance in locally advanced prostate cancer: an analysis from the Radiation Therapy Oncology Group protocol 86-10. J Clin Oncol. 2003;21:3328–34

14.     Concato J., Jain D., Li W.W., Risch H.A., Uchio E.M., Wells C.K. Molecular markers and mortality in prostate cancer. BJU Int. 2007 Dec;100(6):1259-63.

15.     Cuylen S., Blaukopf C., Politi A.Z., Müller-Reichert T., Neumann B., Poser I., Ellenberg J., Hyman A.A., Gerlich D.W. Ki-67 acts as a biological surfactant to disperse mitotic chromosomes. Nature. 2016; 535 (7611): 308–12

16.     Darzynkiewicz Z., Zhao H., Zhang S., Lee M.Y., Lee E.Y., Zhang Z. Initiation and termination of DNA replication during S phase in relation to cyclins D1, E and A, p21WAF1, Cdt1 and the p12 subunit of DNA polymerase δ revealed in individual cells by cytometry. Oncotarget. 2015; 6 (14): 11735–50

17.     Dunsmuir W.D., Gillett C.E., Meyer L.C., Young M.P., Corbishley C., Eeles R.A., Kirby R.S. Molecular markers for predicting prostate cancer stage and survival. BJU Int. 2000;86:869–7

18.     Fero M.L., Rivkin M., Tasch M., Porter P., Carow C.E., Firpo E., Polyak K., Tsai L.H., Broudy V., Perlmutter R.M., Kaushansky K., Roberts J.M. A syndrome of multiorgan hyperplasia with features of gigantism, tumorigenesis, and female sterility in p27(Kip1)-deficient mice. Cell. 1996;85 (5): 733–44

19.     Gleave M.E., Miayake H., Goldie J., Nelson C., Tolcher A. Targeting bcl-2 gene to delay androgen-independent progression and enhance chemosensitivity in prostate cancer using antisense bcl-2 oligodeoxynucleotides. Urology. 1999 Dec;54(6A Suppl):36-46

20.     Hla T., Neilson K. Human cyclooxygenase-2 cDNA. Proc. Natl. Acad. Sci 1992; U.S.A. 89 (16): 7384–8

21.     Khor L.Y., Bae K., Paulus R., Al-Saleem T., Elizabeth Hammond M., Grignon D.J., Che M., Venkatesan V., Byhardt R.W., Rotman M., Hanks G.E., Sandler H.M., Pollack A. MDM2 and Ki-67 predict for distant metastasis and mortality in men treated with radiotherapy and androgen deprivation for prostate cancer: RTOG 92-02. Am J Clin Oncol 2009;27:3177–84.

22.     Krajewska M., Krajewski S., Epstein J.I., Shabaik A., Sauvageot J., Song K., Kitada S., Reed J.C. Immunohistochemical analysis of bcl-2, bax, bcl-X, and mcl-1 expression in prostate cancers. Am J Pathol. 1996 May;148(5):1567-76

23.     Kudahetti S., Fisher G., Ambroisine L., Foster C., Reuter V., Eastham J., Møller H., Kattan M.W., Cooper C.S., Scardino P., Cuzick J., Berney D.M. p53 immunochemistry is an independent prognostic marker for outcome in conservatively treated prostate cancer. BJU Int 2009;104:20–4

24.     Kudahetti S.C., Fisher G., Ambroisine L., Prowse D., Kattan M.W., Foster C.S., Møller H., Oliver T., Fletcher A., Cooper C., Reuter V., Scardino P., Cuzick J., Berney D.M. Immunohistochemistry for p16, but not Rb or p21, is an independent predictor of prognosis in conservatively treated, clinically localised prostate cancer. Pathology. 2010;42:519–23

25.     Lavi A., Cohen M. Prostate cancer early detection using PSA – current trends and recent updates. Harefuah. 2017 Mar;(3):185-188

26.     Lipponen P., Vesalainen S. Expression of the apoptosis suppressing protein bcl-2 in prostatic adenocarcinoma is related to tumor malignancy. Prostate. 1997 Jun 15;32(1):9-15

27.     Li T., Su Y., Mei Y., Leng Q., Leng B., Liu Z., Stass S.A., Jiang F. ALDH1A1 is a marker for malignant prostate stem cells and predictor of prostate cancer patients' outcome. Lab Invest 2010;90:234–44

28.     Mahal B.A., Chen Y.W., Muralidhar V., Mahal A.R., Choueiri T.K., Hoffman K.E., Hu J.C., Sweeney C.J., Yu J.B., Feng F.Y., Kim S.P., Beard C.J., Martin N.E., Trinh Q.D., Nguyen P.L. Racial disparities in prostate cancer outcome among prostate-specific antigen screening eligible populations in the United States. Ann Oncol. 2017 May 1;28(5):1098-1104

29.     Menter D.G., Schilsky R.L., DuBois R.N. Cyclooxygenase-2 and cancer treatment: understanding the risk should be worth the reward. Clin. Cancer Res. 2010; 16(5): 1384–90

30.     Nagase H., Woessner J.F. Matrix metalloproteinases. The Journal of Biological Chemistry. 1999;274 (31): 21491–4

31.     Nakayama K., Ishida N., Shirane M., Inomata A., Inoue T., Shishido N., Horii I., Loh D.Y., Nakayama K. Mice lacking p27(Kip1) display increased body size, multiple organ hyperplasia, retinal dysplasia, and pituitary tumors. Cell. 1996; 85 (5): 707–20

32.     Nobori T., Miura K., Wu D.J., Lois A., Takabayashi K., Carson D.A. Deletions of the cyclin-dependent kinase-4 inhibitor gene in multiple human cancers. Nature 1994; 368 (6473): 753–6

33.     PDQ Screening and Prevention Editorial Board. Prostate Cancer Screening. Bethesda (MD): National Cancer Institute (US); 2017. Доступно:  https://www.ncbi.nlm.nih.gov/books/NBK65945/

34.     Pereira F., Rosenmann E., Nylen E., Kaufman M., Pinsky L., Wrogemann K. The 56 kDa androgen binding protein is an aldehyde dehydrogenase. Biochem Biophys. Res. Commun 1991;175 (3): 831–8

35.     Polyak K., Lee M.H., Erdjument-Bromage H., Koff A., Roberts J.M., Tempst P., Massagué J. Cloning of p27Kip1, a cyclin-dependent kinase inhibitor and a potential mediator of extracellular antimitogenic signals. Cell 2004; 78 (1): 59–66

36.     Pollack A., Cowen D., Troncoso P., Zagars G.K., von Eschenbach A.C., Meistrich M.L, McDonnell T. Molecular markers of outcome after radiotherapy in patients with prostate carcinoma: Ki-67, bcl-2, bax, and bcl-x. Cancer. 2003;97:1630–8

37.     Rahmanzadeh R., Hüttmann G., Gerdes J., Scholzen T. Chromophore-assisted light inactivation of pKi-67 leads to inhibition of ribosomal RNA synthesis. Cell Prolif 2007; 40 (3): 422–30

38.     Rayess H., Wang M.B., Srivatsan E.S. Cellular senescence and tumor suppressor gene p16. International Journal of Cancer 2012;130 (8): 1715–25

39.     Revelos K., Petraki C., Gregorakis A., Scorilas A., Papanastasiou .P, Tenta R., Koutsilieris M. p27(kip1) and Ki-67 (MIB1) immunohistochemical expression in radical prostatectomy specimens of patients with clinically localized prostate cancer. In vivo 2005;19:911–20

40.     Richardsen E., Uglehus R.D., Due J., Busch C., Busund L.T. COX-2 is overexpressed in primary prostate cancer with metastatic potential and may predict survival. A comparison study between COX-2, TGF-beta, IL-10 and Ki67. Cancer Epidemiol. 2010;34:316–22

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Category of articles: Reviews

Bibliography link

Ospanov E.А., Аdylkhanov Т.А., Тоkanova Sh.Е., Semenova Yu.М., Kulabukhova N.S., Dauletyarova M.А., Moore M.A. Immunohistochemistry in the diagnostics of prostate cancer. Nauka i Zdravookhranenie [Science & Healthcare]. 2017, 6, pp. 131-146.


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