You have accessJournal of UrologyProstate Cancer: Epidemiology and Natural History II1 Apr 2010253 PATHOLOGICAL CHARACTERISTICS AND MANGANESE SUPEROXIDE DISMUTASE GENETIC POLYMORPHISM OF PROSTATE CANCER IN MEN 70 YEARS OR OLDER: AN AUTOPSY STUDY Taro Iguchi, Ching Wang, Nicolas Delongchamps, Gustavo de la Roza, Yujiro Nitta, Toshihide Naganuma, Katsuyuki Kuratsukuri, Junji Uchida, Hidenori Kawashima, Gabriel Haas, and Tatsuya Nakatani Taro IguchiTaro Iguchi Osaka, Japan More articles by this author , Ching WangChing Wang Syracuse, NY More articles by this author , Nicolas DelongchampsNicolas Delongchamps Paris, France More articles by this author , Gustavo de la RozaGustavo de la Roza Syracuse, NY More articles by this author , Yujiro NittaYujiro Nitta Osaka, Japan More articles by this author , Toshihide NaganumaToshihide Naganuma Osaka, Japan More articles by this author , Katsuyuki KuratsukuriKatsuyuki Kuratsukuri Osaka, Japan More articles by this author , Junji UchidaJunji Uchida Osaka, Japan More articles by this author , Hidenori KawashimaHidenori Kawashima Osaka, Japan More articles by this author , Gabriel HaasGabriel Haas Syracuse, NY More articles by this author , and Tatsuya NakataniTatsuya Nakatani Osaka, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.312AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Increased life expectancy and the availability of less invasive treatment methods have led to an interest in the characterization of prostate cancer (PCa) in elderly men. Manganese superoxide dismutase (MnSOD) is an enzyme involved with oxidative stress. A polymorphism encoding for either valine (V) or alanine (A) at codon 16 of human MnSOD gene has been described. We previously reported that MnSOD AA genotypes were associated with PCa. We now investigated whether MnSOD genotypes are associated with clinically aggressive PCa in elderly men by using autopsy prostates where we can certainly account for all cancers present. METHODS A total of 194 prostates were from deceased men (age range 46-92 years) who have not been diagnosed with PCa in their lifetime were eligible for analysis. Prostates were processed whole-mounted at 5-mm intervals. Cancers were defined as clinically “significant” or “insignificant” based on established histological criteria. Genomic DNA was extracted from normal area of the prostate and MnSOD genotyping was performed using PCR restriction fragment length polymorphism analysis. RESULTS Fifty-seven out of 194 prostates had histological evidence of PCa. Thirty-three out of 74 prostates (45%) from men older than 69 had histological evidence of PCa. Twenty-six out of 137 (19%) from men younger than 70 had PCa. Clinically significant PCa were more common in old than in young men (64% vs 23%, p<0.05). MnSOD AA genotype was not associated with PCa (OR=1.90, 95%CI: 0.97-3.71, adjusted for age). In elderly men MnSOD AA genotype was strongly associated with “significant” PCa, but not in younger group (Table). On the other hand, MnSOD AA genotype was not associated with “insignificant” PCa regardless of age (Table). CONCLUSIONS Men older than 69 are more likely to have larger, higher grade, and clinically significant PCa as compared to younger men. MnSOD polymorphism is associated with aggressive PCa risk in elderly men. These results suggest that oxidative stress may be involved in the progression of PCa. Autopsy studies provide important information regarding the prevalence and genetic characteristics of PCa in SPECIFIC age groups. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e99-e100 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Taro Iguchi Osaka, Japan More articles by this author Ching Wang Syracuse, NY More articles by this author Nicolas Delongchamps Paris, France More articles by this author Gustavo de la Roza Syracuse, NY More articles by this author Yujiro Nitta Osaka, Japan More articles by this author Toshihide Naganuma Osaka, Japan More articles by this author Katsuyuki Kuratsukuri Osaka, Japan More articles by this author Junji Uchida Osaka, Japan More articles by this author Hidenori Kawashima Osaka, Japan More articles by this author Gabriel Haas Syracuse, NY More articles by this author Tatsuya Nakatani Osaka, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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