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- W2024872389 abstract "You have accessJournal of UrologyProstate Cancer: Basic Research II1 Apr 20121320 ALTERED EXPRESSION OF FARNESYL PYROPHOSPHATE SYNTHASE IN PROSTATE CANCER – EVIDENCE FOR A ROLE OF THE MEVALONATE PATHWAY FOR DISEASE PROGRESSION Tilman Todenhöfer, Jörg Hennenlotter, Ursula Kühs, Stefan Aufderklamm, Valentina Gerber, Ulrich Vogel, Arnulf Stenzl, and Christian Schwentner Tilman TodenhöferTilman Todenhöfer Tübingen, Germany More articles by this author , Jörg HennenlotterJörg Hennenlotter Tübingen, Germany More articles by this author , Ursula KühsUrsula Kühs Tübingen, Germany More articles by this author , Stefan AufderklammStefan Aufderklamm Tübingen, Germany More articles by this author , Valentina GerberValentina Gerber Tübingen, Germany More articles by this author , Ulrich VogelUlrich Vogel Tübingen, Germany More articles by this author , Arnulf StenzlArnulf Stenzl Tübingen, Germany More articles by this author , and Christian SchwentnerChristian Schwentner Tübingen, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1667AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Preclinical studies demonstrated direct and indirect effects of drugs inhibiting the mevalonate pathway, such as nitrogen-containing bisphosphonates (NBPs) and statins, on tumor growth and cancer progression. However, the exact role of this pathway in prostate cancer (PC) progression has not been identified yet. Aim of the study was to evaluate the expression of the enzyme farnesyl pyrophosphate synthase (FPPS), the molecular target of NBPs and key enzyme of the mevalonate pathway, in PC tissue. METHODS PC and corresponding benign prostatic tissue samples of 114 consecutive men who underwent radical prostatectomy were constructed to a tissue microarray (median Age 65, median PSA 9 ng/ml, median Gleason 6). FPPS staining was performed using a polyclonal antibody and expression was quantified by the Remmele/Stegner immunoreactivity score (IRS) including both percentage of positive cells and staining intensity (1-12). Patients' clinical follow-up was assessed with a median follow-up of 69 months. IRS was correlated to pathological and clinical data by Wilcoxon-Kruskall-Wallis tests and linear regression analysis. Impact of FPPS expression on clinical course was assessed univariate by the Kaplan Meier method and multivariate by Cox proportional hazard analysis. RESULTS Mean IRS for FPPS in PC and benign tissue areas were 5.7 (95% CI 5.0-6.5) and 2.6 (2.1-3.0, p<0.0001). In PC tissue of patients with locally advanced disease (pT≥3), mean IRS were 6.87 (5.57-8.17) vs. 5.09 (4.22-5.96) in patients with organ-confined disease (p=0.035). IRS of PC tissue significantly correlated with Gleason score (p=0.007). No significant correlation was observed between preoperative PSA and FPPS expression of PC tissue (p=0.13). Patients with moderate or strong FPPS expression (IRS>3) in tumor areas had a lower biochemical recurrence-free survival compared to the low/no expression group (p=0.01). No significant correlation was observed between FPPS expression and cancer-specific or metastasis free survival. CONCLUSIONS This is the first study investigating the expression of FPPS in PC specimens. The association of FPPS with established histopathological risk parameters indicates a potential contribution of the mevalonate pathway to the progression of PC. Inhibition of this pathway in PC patients might have an effect on tumor progression beyond inhibition of PC-related bone disease. Moreover, FPPS expression might be a prognostic indicator for potential antitumor effects of mevalonate pathway-inhibiting drugs. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e535 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tilman Todenhöfer Tübingen, Germany More articles by this author Jörg Hennenlotter Tübingen, Germany More articles by this author Ursula Kühs Tübingen, Germany More articles by this author Stefan Aufderklamm Tübingen, Germany More articles by this author Valentina Gerber Tübingen, Germany More articles by this author Ulrich Vogel Tübingen, Germany More articles by this author Arnulf Stenzl Tübingen, Germany More articles by this author Christian Schwentner Tübingen, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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