Claudin-1 upregulation is associated with favorable tumor features and a reduced risk for biochemical recurrence in ERG-positive prostate cancer
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Claudin-1 upregulation is associated with favorable tumor features and a reduced risk for biochemical recurrence in ERG-positive prostate cancer. / Kind, Simon; Büscheck, Franziska; Höflmayer, Doris; Hube-Magg, Claudia; Kluth, Martina; Tsourlakis, Maria Christina; Steurer, Stefan; Clauditz, Till S; Luebke, Andreas M; Burandt, Eike; Wilczak, Waldemar; Hinsch, Andrea; Dum, David; Weidemann, Sören; Fraune, Christoph; Beyer, Burkhard; Steuber, Thomas; Huland, Hartwig; Graefen, Markus; Fisch, Margit; Simon, Ronald; Sauter, Guido; Schlomm, Thorsten; Minner, Sarah; Eichenauer, Till.
in: WORLD J UROL, Jahrgang 38, Nr. 9, 09.2020, S. 2185-2196.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Claudin-1 upregulation is associated with favorable tumor features and a reduced risk for biochemical recurrence in ERG-positive prostate cancer
AU - Kind, Simon
AU - Büscheck, Franziska
AU - Höflmayer, Doris
AU - Hube-Magg, Claudia
AU - Kluth, Martina
AU - Tsourlakis, Maria Christina
AU - Steurer, Stefan
AU - Clauditz, Till S
AU - Luebke, Andreas M
AU - Burandt, Eike
AU - Wilczak, Waldemar
AU - Hinsch, Andrea
AU - Dum, David
AU - Weidemann, Sören
AU - Fraune, Christoph
AU - Beyer, Burkhard
AU - Steuber, Thomas
AU - Huland, Hartwig
AU - Graefen, Markus
AU - Fisch, Margit
AU - Simon, Ronald
AU - Sauter, Guido
AU - Schlomm, Thorsten
AU - Minner, Sarah
AU - Eichenauer, Till
PY - 2020/9
Y1 - 2020/9
N2 - BACKGROUND: Claudin-1 is a membrane-tight junction protein and important for the sealing of the paracellular cleft in epithelial and endothelial cells. Differential expression of Claudin-1 is linked to disease outcome in various cancers.MATERIAL AND METHODS: To evaluate the potential relevance of Claudin-1 expression in prostate cancer, a tissue microarray containing samples of 17,747 tumors with annotated clinico-pathological and molecular data was immunohistochemically analyzed for Claudin-1 expression.RESULTS: In normal prostate, glandular cells were always Claudin-1-negative while there was a strong staining of gland-surrounding basal cells. In contrast to normal prostatic glands, a positive Claudin-1 immunostaining, was found, however, in 38.7% of 12,441 interpretable cancers and was considered weak in 12.7%, moderate in 13.2%, and strong in 12.8% of cases. Positive Claudin-1 immunostaining was associated with favorable tumor features like low pT (p = 0.0032), low Gleason grade (p< 0.0001), and a reduced risk of PSA recurrence (p = 0.0005). A positive Claudin-1 staining was markedly more frequent in ERG-positive (63%) than in ERG-negative cancers (23%; p < 0.0001). Subset analyses revealed that all associations of Claudin-1 expression and favorable phenotype and prognosis were driven by ERG-positive cancers. Multivariate analyses revealed, however, that even in ERG-positive cancers, the prognostic impact of high Claudin-1 expression was not independent of established clinico-pathological parameters. Comparison with 12 previously analyzed chromosomal deletions identified conspicuous associations with PTEN and 12p13 deletions potentially indicating functional interactions.CONCLUSION: These data identify a peculiar role for Claudin-1 in prostate cancer. The protein is overexpressed in a fraction of prostate cancers and increased Claudin-1 expression levels predict a favorable prognosis in ERG-positive cancer.
AB - BACKGROUND: Claudin-1 is a membrane-tight junction protein and important for the sealing of the paracellular cleft in epithelial and endothelial cells. Differential expression of Claudin-1 is linked to disease outcome in various cancers.MATERIAL AND METHODS: To evaluate the potential relevance of Claudin-1 expression in prostate cancer, a tissue microarray containing samples of 17,747 tumors with annotated clinico-pathological and molecular data was immunohistochemically analyzed for Claudin-1 expression.RESULTS: In normal prostate, glandular cells were always Claudin-1-negative while there was a strong staining of gland-surrounding basal cells. In contrast to normal prostatic glands, a positive Claudin-1 immunostaining, was found, however, in 38.7% of 12,441 interpretable cancers and was considered weak in 12.7%, moderate in 13.2%, and strong in 12.8% of cases. Positive Claudin-1 immunostaining was associated with favorable tumor features like low pT (p = 0.0032), low Gleason grade (p< 0.0001), and a reduced risk of PSA recurrence (p = 0.0005). A positive Claudin-1 staining was markedly more frequent in ERG-positive (63%) than in ERG-negative cancers (23%; p < 0.0001). Subset analyses revealed that all associations of Claudin-1 expression and favorable phenotype and prognosis were driven by ERG-positive cancers. Multivariate analyses revealed, however, that even in ERG-positive cancers, the prognostic impact of high Claudin-1 expression was not independent of established clinico-pathological parameters. Comparison with 12 previously analyzed chromosomal deletions identified conspicuous associations with PTEN and 12p13 deletions potentially indicating functional interactions.CONCLUSION: These data identify a peculiar role for Claudin-1 in prostate cancer. The protein is overexpressed in a fraction of prostate cancers and increased Claudin-1 expression levels predict a favorable prognosis in ERG-positive cancer.
U2 - 10.1007/s00345-019-03017-w
DO - 10.1007/s00345-019-03017-w
M3 - SCORING: Journal article
C2 - 31745645
VL - 38
SP - 2185
EP - 2196
JO - WORLD J UROL
JF - WORLD J UROL
SN - 0724-4983
IS - 9
ER -