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ORIGINAL ARTICLE |
expression increases with increasing Gleason score and with hormone insensitivity in prostate carcinoma
1 Histopathology Department, John Radcliffe Hospital, Headington, Oxford, UK
2 Department of Pathology, Adelaide and Meath Hospital Incorporating the National Childrens Hospital, and Trinity College, Dublin, Ireland
3 Department of Pathology, Coombe Womens Hospital, and Trinity College Dublin
4 Department of Pathology, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin
Correspondence to:
Dr C Hughes
Histopathology Department, John Radcliffe Hospital, Headington, Oxford OX3 9DZ, UK; caroline.hughes{at}orh.nhs.uk
Aim: To investigate and compare topoisomerase II-
expression in benign prostatic hyperplasia (BPH), prostate cancer of varying Gleason scores and hormone-insensitive prostate cancer.
Methods: The immunohistochemical expression of topoisomerase II-
antibody in the above-mentioned diagnostic categories was investigated and compared.
Results: Increased expression of topoisomerase II-
was seen in the prostate cancers of Gleason scores 7 and 810 (p = 0.000) compared with prostate cancers of Gleason score 6 and BPH (p = 0.245). Statistically significant differences were found in the topoisomerase II-
gene expression between prostate cancers categorised by Gleason Score. Also, increased expression of topoisomerase II-
was seen in the known hormone-resistant prostate carcinomas compared with prostate cancers with no hormone treatment in the subgroup with Gleason scores 810, which approached statistical significance (p = 0.081). No statistically significant difference was observed in topoisomerase II-
expression between the groups with BPH and prostate carcinoma of Gleason score 6 (p = 0.245).
Conclusion: Topoisomerase II-
expression was found to increase with the known prognostic marker Gleason score and with hormone insensitivity. Objective evidence is provided for clinical trials with drugs targeting topoisomerase II-
to be targeted to patients with prostate cancers of Gleason Score >6 and, in particular, prostate cancers of Gleason Scores 810.
Abbreviations: BPH, benign prostatic hyperplasia
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