You have accessJournal of UrologyProstate Cancer: Basic Research I1 Apr 2010107 INCREASED SPHINGOSINE KINASE-1 ACTIVITY AND EXPRESSION IN PROSTATE CANCER Bernard Malavaud, Dimitri Pchejetski, Catherine Mazerolles, Geisilène Silva Russano de Paiva, Cyril Clavet, Nicolas Doumerc, Stuart Pitson, Pascal Rischmann, and Olivier Cuvillier Bernard MalavaudBernard Malavaud Toulouse, France More articles by this author , Dimitri PchejetskiDimitri Pchejetski Toulouse, France More articles by this author , Catherine MazerollesCatherine Mazerolles Toulouse, France More articles by this author , Geisilène Silva Russano de PaivaGeisilène Silva Russano de Paiva Toulouse, France More articles by this author , Cyril ClavetCyril Clavet Toulouse, France More articles by this author , Nicolas DoumercNicolas Doumerc Toulouse, France More articles by this author , Stuart PitsonStuart Pitson Adélaïde, Australia More articles by this author , Pascal RischmannPascal Rischmann Toulouse, France More articles by this author , and Olivier CuvillierOlivier Cuvillier Toulouse, France More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.156AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Sphingosine kinase-1 (SphK1) was shown in preclinical models and non-genitourinary cancers to be instrumental in cancer progression, adaptation to hypoxia and tumor angiogenesis. No data were available in human prostate cancer. The present study was designed to assess SphK1 expression and activity in radical prostatectomy specimens and to research correlations with relevant clinical features. METHODS A 3-mm thick slice was obtained at the veru montanum level from 30 consecutive patients undergoing laparoscopic prostatectomy. Relationship between SphK1 enzymatic activity and PSA, Gleason sum, pathological stage, resection margin status and treatment failure was researched by univariate and multivariate analysis. SphK1 pattern of expression was then assessed on tissue micro array. RESULTS A significant two-fold increase (11.1¡À8.4 vs. 5.9¡À3.2 (p<0.04)) was observed in cancer. The upper quartile of SphK1 activity was associated with higher PSA (16.7 vs. 6.4 ng/mL, p=0.04), higher tumor volumes (20.7 vs. 9.8, p=0.002), higher rates of positive margins (85.7 vs. 28.6%, p=0.01) and surgical failure (71.4 vs. 9.5%, p=0.003) than the lower three quartiles. Odds Ratios for treatment failure showed a strong relationship with SphK1 activity (OR:23.7, p=0.001), positive resection margins (OR:15.0, p=0.007) and Gleason Sum (¡Ý4+3, OR:8.0, p=0.003). In logistic regression, SphK1 activity (p=0.04) and Gleason Sum (p=0.09) were independent predictors of treatment failure. Tissue microarrays showed discrete epithelial expression that varied with Gleason sum with strong relationship between SphK1 expression and higher Gleason sum. CONCLUSIONS Relationships between SphK1 activity and relevant clinical features support a central role for SphK1 in prostate cancer that could herald promising avenues in cancer risk-assessment and treatment. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e44 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bernard Malavaud Toulouse, France More articles by this author Dimitri Pchejetski Toulouse, France More articles by this author Catherine Mazerolles Toulouse, France More articles by this author Geisilène Silva Russano de Paiva Toulouse, France More articles by this author Cyril Clavet Toulouse, France More articles by this author Nicolas Doumerc Toulouse, France More articles by this author Stuart Pitson Adélaïde, Australia More articles by this author Pascal Rischmann Toulouse, France More articles by this author Olivier Cuvillier Toulouse, France More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Read full abstract