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Published Online First: 23 March 2006. doi:10.1136/jcp.2005.029975
Journal of Clinical Pathology 2006;59:721-724
Copyright © 2006 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

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ORIGINAL ARTICLE

Topoisomerase II-{alpha} expression increases with increasing Gleason score and with hormone insensitivity in prostate carcinoma

C Hughes1, A Murphy2, C Martin3, E Fox4, M Ring3, O Sheils3, B Loftus2, J O’Leary3

1 Histopathology Department, John Radcliffe Hospital, Headington, Oxford, UK
2 Department of Pathology, Adelaide and Meath Hospital Incorporating the National Children’s Hospital, and Trinity College, Dublin, Ireland
3 Department of Pathology, Coombe Women’s 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-{alpha} expression in benign prostatic hyperplasia (BPH), prostate cancer of varying Gleason scores and hormone-insensitive prostate cancer.

Methods: The immunohistochemical expression of topoisomerase II-{alpha} antibody in the above-mentioned diagnostic categories was investigated and compared.

Results: Increased expression of topoisomerase II-{alpha} was seen in the prostate cancers of Gleason scores 7 and 8–10 (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-{alpha} gene expression between prostate cancers categorised by Gleason Score. Also, increased expression of topoisomerase II-{alpha} was seen in the known hormone-resistant prostate carcinomas compared with prostate cancers with no hormone treatment in the subgroup with Gleason scores 8–10, which approached statistical significance (p = 0.081). No statistically significant difference was observed in topoisomerase II-{alpha} expression between the groups with BPH and prostate carcinoma of Gleason score 6 (p = 0.245).

Conclusion: Topoisomerase II-{alpha} 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-{alpha} to be targeted to patients with prostate cancers of Gleason Score >6 and, in particular, prostate cancers of Gleason Scores 8–10.


Abbreviations: BPH, benign prostatic hyperplasia




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