You have accessJournal of UrologyProstate Cancer: Basic Research V1 Apr 2012968 REGULATION OF MCP-1 EXPRESSION THROUGH ANGIOTENSIN II TYPE 1 RECEPTOR IN CASTRATION-RESISTANT PROSTATE CANCER Suguru Shirotake, Akira Miyajima, Takeo Kosaka, Nobuyuki Tanaka, Eiji Kikuchi, and Mototsugu Oya Suguru ShirotakeSuguru Shirotake Tokyo, Japan More articles by this author , Akira MiyajimaAkira Miyajima Tokyo, Japan More articles by this author , Takeo KosakaTakeo Kosaka Tokyo, Japan More articles by this author , Nobuyuki TanakaNobuyuki Tanaka Tokyo, Japan More articles by this author , Eiji KikuchiEiji Kikuchi Tokyo, Japan More articles by this author , and Mototsugu OyaMototsugu Oya Tokyo, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1067AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Tumor associated macrophage infiltration and the main regulator, monocyte chemoattractant protein-1 (MCP-1) expression, have been reported to be associated with a poor prognosis in prostate cancer (CaP). However, the mechanism of regulation of MCP-1 in CaP is still unclear. Since angiotensin II (AngII) type 1 receptor (AT1R) is known to be one of the regulators of MCP-1 in hypertensive disease and we have already investigated the correlation between AT1R and tumor angiogenesis in CaP, here we examined the regulation of MCP-1 through AT1R in CaP. METHODS Specimens were obtained from 138 CaP patients; androgen dependent CaP in 121 cases obtained by prostatectomy and castration resistant CaP (CRPC) in 17 cases obtained by autopsy. All specimens were immunostained for MCP-1 and CD68+ macrophages (Mφ). Clinicopathological characteristics were reviewed retrospectively. We also investigated the regulation of MCP-1 expression through AT1R using 3 human CaP cell lines; LNCaP, C4-2, and C4-2AT6. CV11974 and TCV116 are active metabolites of candesartan and were used for the in vitro and in vivo experiments. RESULTS Specimens with a high Gleason score (7≤) and advanced stage (pT3≤), and those of CRPC had significantly higher MCP-1 expression and higher Mφ infiltration than low malignant CaP. Kaplan-Meier curves showed that the 5-year PSA recurrence-free survival rate was 77.0% in the low MCP-1 group vs 54.5% in the high MCP-1 group (p=0.017). Multivariate analysis revealed that preoperative high PSA (15≤) (risk ratio, 2.48) and high MCP-1 (risk ratio, 2.20) were independent risk factors for PSA recurrence. Higher expression of MCP-1 and AT1R in C4-2 and C4-2AT6 cells than in LNCaP cells was observed. AngII induced significantly higher MCP-1 in C4-2AT6 cells than in LNCaP cells, while MCP-1 expression was reduced by CV11974. C4-2AT6 tumors treated with TCV116 also exhibited significantly lower MCP-1 expression and Mφ infiltration than the control tumors. In C4-2AT6 cells, immunoblotting demonstrated that CV11974 inhibited the phosphorylation of Akt by AngII stimulation, but that the MAPK and JAK/STAT pathways were not activated by AngII. MCP-1 induced by AngII was suppressed by PI3K inhibitor in C4-2AT6 cells. CONCLUSIONS Both high MCP-1 and high Mφ in CaP specimens correlated with a high PSA recurrence rate. AT1R blockade inhibited MCP-1 expression through the PI3K/Akt pathway and also suppressed Mφ infiltration in CRPC. AT1R is one of the regulators of MCP-1 expression, and may potentially become a new therapeutic target molecule for the treatment of CRPC. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e394 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Suguru Shirotake Tokyo, Japan More articles by this author Akira Miyajima Tokyo, Japan More articles by this author Takeo Kosaka Tokyo, Japan More articles by this author Nobuyuki Tanaka Tokyo, Japan More articles by this author Eiji Kikuchi Tokyo, Japan More articles by this author Mototsugu Oya Tokyo, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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