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Low Tristetraprolin Expression Is Associated with Lethal Prostate Cancer.


ABSTRACT: BACKGROUND:Inflammation is linked to prostate cancer progression and is mediated by NF-?B. Tristetraprolin is a key node of NF-?B activation and we investigated its biological and prognostic role in lethal prostate cancer. METHODS:In vitro assays assessed the function of tristetraprolin and the association between low mRNA tristetraprolin levels and lethal prostate cancer (metastatic disease or death) was assessed across independent prostatectomy cohorts: (i) nested case-control studies from Health Professionals Follow-up Study and Physicians' Health Study, and (ii) prostatectomy samples from Cleveland Clinic, Mayo Clinic, Johns Hopkins and Memorial Sloan Kettering Cancer Center. Tristetraprolin expression levels in prostatectomy samples from patients with localized disease and biopsies of metastatic castration-resistant prostate cancer (mCRPC) were assessed in a Cornell University cohort. RESULTS:In vitro tristetraprolin expression was inversely associated with NF-?B-controlled genes, proliferation, and enzalutamide sensitivity. Men with localized prostate cancer and lower quartile of tumor tristetraprolin expression had a significant, nearly two-fold higher risk of lethal prostate cancer after adjusting for known clinical and histologic prognostic features (age, RP Gleason score, T-stage). Tristetraprolin expression was also significantly lower in mCRPC compared with localized prostate cancer. CONCLUSIONS:Lower levels of tristetraprolin in human prostate cancer prostatectomy tissue are associated with more aggressive prostate cancer and may serve as an actionable prognostic and predictive biomarker. IMPACT:There is a clear need for improved biomarkers to identify patients with localized prostate cancer in need of treatment intensification, such as adjuvant testosterone suppression, or treatment de-intensification, such as active surveillance. Tristetraprolin levels may serve as informative biomarkers in localized prostate cancer.

SUBMITTER: Gerke T 

PROVIDER: S-EPMC6494092 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Low Tristetraprolin Expression Is Associated with Lethal Prostate Cancer.

Gerke Travis T   Beltran Himisha H   Wang Xiaodong X   Lee Gwo-Shu Mary GM   Sboner Andrea A   Karnes R Jeffrey RJ   Klein Eric A EA   Davicioni Elai E   Yousefi Kasra K   Ross Ashley E AE   Börnigen Daniela D   Huttenhower Curtis C   Mucci Lorelei A LA   Trock Bruce J BJ   Sweeney Christopher J CJ  

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 20181112 3


<h4>Background</h4>Inflammation is linked to prostate cancer progression and is mediated by NF-κB. Tristetraprolin is a key node of NF-κB activation and we investigated its biological and prognostic role in lethal prostate cancer.<h4>Methods</h4><i>In vitro</i> assays assessed the function of tristetraprolin and the association between low mRNA tristetraprolin levels and lethal prostate cancer (metastatic disease or death) was assessed across independent prostatectomy cohorts: (i) nested case-co  ...[more]

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