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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Cancer
2015 ; 112
(2
): 382-90
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The tumour hypoxia marker pimonidazole reflects a transcriptional programme
associated with aggressive prostate cancer
#MMPMID25461803
Ragnum HB
; Vlatkovic L
; Lie AK
; Axcrona K
; Julin CH
; Frikstad KM
; Hole KH
; Seierstad T
; Lyng H
Br J Cancer
2015[Jan]; 112
(2
): 382-90
PMID25461803
show ga
BACKGROUND: The hypoxia marker pimonidazole is a candidate biomarker of cancer
aggressiveness. We investigated the transcriptional programme associated with
pimonidazole staining in prostate cancer. METHODS: Index tumour biopsies were
taken by image guidance from an investigation cohort of 52 patients, where 43
patients received pimonidazole before prostatectomy. Biopsy location within the
index tumour was verified for 46 (88%) patients, who were included for gene
expression profiling and immunohistochemistry. Two independent cohorts of 59 and
281 patients were used for validation. RESULTS: Expression of genes in
proliferation, DNA repair and hypoxia response was a major part of the
transcriptional programme associated with pimonidazole staining. A signature of
32 essential genes was constructed and showed positive correlation to Ki67
staining, confirming the increased proliferation in hypoxic tumours as suggested
from the gene data. Positive correlations were also found to tumour stage and
lymph node status, but not to blood prostate-specific antigen level, consistent
with the findings for pimonidazole staining. The association with aggressiveness
was confirmed in validation cohorts, where the signature correlated with Gleason
score and had independent prognostic impact, respectively. CONCLUSIONS:
Pimonidazole staining reflects an aggressive hypoxic phenotype of prostate cancer
characterised by upregulation of proliferation, DNA repair and hypoxia response
genes.