Zeynep BAYRAMOĞLU, Betül ÜNAL, Sema Sezgin GÖKSU, Cumhur İbrahim BAŞSORGUN

Prostat karsinomunda Notch1 gen ekspresyonunun değerlendirilmesi

Amaç: Prostat kanseri dünyada en yaygın görülen kanserlerden biridir ve sıklığı giderek artmaktadır. Şu anda, prostat karsinomu için etkin bir tedavi yöntemi olmamakla birlikte immünoterapiyi ve spesifik sinyal yolaklarını hedefleyen yeni tedavi stratejileri araştırılmaktadır. Biz bu çalışmada prostat kanseri hastalarında immünohistokimya ve Real-Time polimeraz zincir reaksiyonu ile Notch1 gen ekspresyonunu ve klinikopatolojik özellikler ile ilişkisini araştırmayı amaçladık.Yöntemler: Bu araştırma bir kohort çalışma olarak planlandı. Hastane arşivimizden 60 tane prostat kanseri ve 20 tane benign prostat hiperplazisi olan hastaların parafin blokları seçildi. Benign prostat hiperplazisi olan 20 hasta kontrol grubu olarak kullanıldı. Notchl gen ekspresyonu seviyeleri immünohistokimya ve Real-Time polimeraz zincir reaksiyonu kullanılarak analiz edildi.Bulgular: Çalışmamızda 60 prostat karsinomu tanılı hastamızın 17'sinde (%28,3) Notch1 gen ekspresyonunu anlamlı düzeyde yüksek bulduk. Ayrıca yüksek Gleason skoru (P=0,07), yüksek ISUP skoru (P=0,008) ve yüksek prostat spesifik antijen düzeyi (P=0,018) ile Notch1 ekspresyonu arasında anlamlı bir korelasyon bulduk.Sonuçlar: Prostat karsinogenezinde Notch1'in önemli olduğu sonucuna vardık. Bu nedenle, Notch1 prostat karsinomlu hastalarda hedefe yönelik tedavilerde önemli bir adım olacaktır.

Anahtar Kelimeler:

RT-PCR, İmmünohistokimya, Notch1, Prostat kanseri, ISUP, PSA

Evaluation of Notch1 gene expression in prostate carcinoma

Aim: Prostate cancer is one of the most common cancers in the world and its incidence is rapidly increasing. Currently, several new treatment strategies that target specific signaling pathways as well as immunotherapy are being explored for prostate cancer. In the current study, we aimed to investigate the frequency and clinicopathologic features associated with Notch1 gene expression using immunohistochemistry and real-time-polymerase chain reaction in patients with prostate cancer.Methods: This research was planned as a cohort study. Tissue samples of 60 patients with prostate cancer and 20 patients with benign prostatic hyperplasia were selected from the archives. Twenty patients with benign prostatic hyperplasia were used as the control group. The relative expression levels of Notch1 gene were determined by real-time-polymerase chain reaction while Notch1 protein expression was analyzed using immunohistochemistry.Results: We found Notch1 gene expression at a significant level in 17 (28.3%) of 60 patients with prostate carcinoma. We found a significant correlation between high Gleason scores (P=0.007), high ISUP (International Society of Urologic Pathologists) grade group scores (P=0.008) and high prostate-specific antigen levels (P=0.018) for Notch1 gene expression. Conclusions: We conclude that Notch1 is important in prostate carcinogenesis. Therefore, determining Notch1 will be an essential step in targeted therapies in patients with prostate carcinoma.

Keywords:

RT-PCR, Immunohistochemistry, Notch1, Prostate cancer, ISUP, PSA,

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