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Benign prostat hiperplazisi düşük ve yüksek dereceli PIN ve prostat adenokarsinomu olarak CD24 ekspresyonu

CD24 expression in benign prostate hyperplasia low and high grade PIN and prostate adenocarcinoma

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Abstract (2. Language): 
Purpose: CD24 recently identified novel prognostic marker gene that functions as an alternative ligand of P-selectin, an adhesion receptor expressed on activated endothelial cells and platelets. It has been implicated in metastatic tumor progression of various solid tumors. We aimed to investigate CD24 expression in prostate adenocarcinomas, low and high grade prostatic intraepithelial neoplasias (PINs) and benign prostate hyperplasias (BPHs), and to evaluate its relationship with histopathological parameters, and serum PSA level. Material and Methods: We examined immunohistochemically the expression of CD24 protein in 76 prostate adenocarcinomas, 16 low grade PIN, 16 high grade PIN, and 14 BPH and correlated our findings with histopathological parameters, and serum PSA level. Results: While we detected CD24 expression in prostat adenocarcinomas and PIN specimens, there was no expression in benign prostate tissues. CD24 immunoreactivity was detected in 48 (63.2%) out of 76 prostate adenocarcinomas. Expression of CD24 was significantly higher in prostate adenocarcinoma and high grade PIN compared with BPH (p=0,000, p=0,040 ) In prostate adenocarcinomas cytoplasmic CD24 expression was significantly positively correlated with Gleason score (p=0.000, r= 0.465) and PSA level (p=0.022, r=0.263). Conclusions: Our findings demonstrated that positive CD24 expression occurs in prostate adenocarcinomas with high Gleason score, and high PSA level. We suggest that CD24 might constitute an important moleculer marker for prostate cancer.
Abstract (Original Language): 
Amaç: CD24 aktive endotel hücreleri ve trombositler üzerinde eksprese edilen bir adezyon reseptörü olan P-selektin'in alternatif ligandı olarak fonksiyon gören son zamanlarda tanımlanan yeni bir prognostik belirleyici gendir. CD24'ün çeşitli solid tümörlerin metastatik tümör gelişiminde rol oynadığı düşünülmektedir. Çalışmamızda prostat adenokarsinomlarında, düşük ve yüksek dereceli prostat intraepitelyal neoplazilerde (PIN) ve benign prostat hiperplazisinde (BPH) CD24 ekspresyonunun histopatolojik parametreler ve serum PSA seviyesi ile ilişkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Yetmişaltı prostat adenokarsinomu, 16 düşük dereceli PIN, 16 yüksek dereceli PIN ve 14 BPH vakasında immunohistokimyasal olarak CD24 ekspresyonunu inceleyerek bulgularımızın histopatolojik parametreler ve serum PSA seviyesi ile ilişkisini değerlendirdik. Bulgular: Prostat adenokarsinomu ve PIN materyallerinde CD24 ekspesyonu saptanırken benign prostat dokularında ekspresyon izlenmedi. 76 prostat adenokarsinomu olgusunun 48'inde (%63.2) CD24 immunoreaktivitesi saptandı. CD24 ekspresyonu prostat adenokarsinomu ve yüksek dereceli PIN gruplarında BPH grubu ie karşılaştırıldığında anlamlı şekilde yüksek bulundu (p=0,000, p=0,040 ). Prostat adenokarsinomunda sitoplazmik CD24 ekspresyonu Gleason skoru (p=0.000, r= 0.465) ve PSA seviyesi (p=0.022, r=0.263) ile anlamlı şekilde pozitif korele bulundu. Sonuçlar: Bulgularımız prostat adenokarsinomlarında pozitif CD24 ekspresyonunun yüksek Gleason skoru ve yüksek PSA seviyesi ile birlikteliğini gösterdi. CD24'ün prostat kanseri için önemli bir moleküler belirleyici olabileceği kanısındayız.
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