You have accessJournal of UrologyProstate Cancer: Markers II1 Apr 20102136 TRANSFORMING GROWTH FACTOR-β (TGF-β])-INDUCED DNA METHYLTRANSFERASE (DNMT) IS ASSOCIATED WITH WORSE CLINICAL OUTCOME AFTER RADICAL PROSTATECTOMY Qiang Zhang, Thomas Jang, Lin Chen, Brian Helfand, Smith Norm, Borko Jovanovic, Yinglu Guo, and Chung Lee Qiang ZhangQiang Zhang Chicago, IL More articles by this author , Thomas JangThomas Jang New Brunswick, NJ More articles by this author , Lin ChenLin Chen Chicago, IL More articles by this author , Brian HelfandBrian Helfand Chicago, IL More articles by this author , Smith NormSmith Norm Chicago, IL More articles by this author , Borko JovanovicBorko Jovanovic Chicago, IL More articles by this author , Yinglu GuoYinglu Guo Beijing, People's Republic of China More articles by this author , and Chung LeeChung Lee Chicago, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2224AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Gradual loss of sensitivity to and over-expression of TGF-β are features associated with advanced prostate cancer. Previously, we reported that TGF-β induced DNMT and corresponding downregulation of TGF-β receptors (TβRs) are associated with aggressive prostate cancer cell lines. However, the association between DNMT expression and clinical outcome following radical prostatectomy has yet to be defined. In this study, we evaluate the prognostic significance of DNMTs expression in men with prostate cancer following prostatectomy. METHODS A total of 287 radical prostatectomy specimens were obtained from Northwestern University's Prostate SPORE tissue bank to determine the association between DNMT expression in radical prostatectomy specimens and clinical outcome. Levels of TGF-β, TβRs, and DNMT were analyzed using a high-throughput tissue microarray analysis. Tumor grade was categorized as follows: Gleason score 4-5, Gleason score 7, and Gleason score 8-10. Disease recurrence was defined as PSA>0.2 ng/ml and based on patient follow-up information from the Prostate SPORE clinical-linked database. Median follow-up was 60 months (range 22 to 82). RESULTS There were 165 specimens had Gleason score 4-6, 55 had Gleason score 7, and 67 had Gleason score 8-10. High levels of DNMT1 expression occurred in 27.9%, 1.8% and 1.3% of Gleason score 8-10, Gleason score 7 and Gleason score 4-6 tumors, respectively. High levels of DNMT 3a expression occurred in 40.6%, 11.9% and 6.7% of of Gleason score 8-10, Gleason score 7 and Gleason score 4-6 tumors, respectively. High levels of DNMT3b expression occurred in 58.7%, 18.3% and 22.8% of Gleason score 8-10, Gleason score 7 and Gleason score 4-6, respectively. TGF-β1 and DNMTs (1, 3a and 3b) directly correlated with increasing Gleason score. There was a significant correlation between the expression of TGF-β1 and DNMT1, DNMT3a and DNMT3b. DNMT1 was inversely correlated to TβRI and TβRII. Kaplan Meier curves show that expression levels of TGF-β1, age, Gleason Score and DNMT1were associated with PSA recurrence. When these significant variables were retained in a COX proportional hazards model, only DNMT1 <3 or 3 was found to be predictive of PSA recurrence (Hazard ratio 4.03, 95%CI 1.0-4.12, p= 0.0004). CONCLUSIONS Tumor derived TGF-β-induced DNMTs mediates promoter hypermethylation of its own receptors, which contributes to insensitivity in growth inhibition by this cytokine, and may independently predict disease recurrence of prostate cancer patients following prostatectomy. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e830 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Qiang Zhang Chicago, IL More articles by this author Thomas Jang New Brunswick, NJ More articles by this author Lin Chen Chicago, IL More articles by this author Brian Helfand Chicago, IL More articles by this author Smith Norm Chicago, IL More articles by this author Borko Jovanovic Chicago, IL More articles by this author Yinglu Guo Beijing, People's Republic of China More articles by this author Chung Lee Chicago, IL More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...