MUC1 Expression by Immunohistochemistry Is Associated with Adverse Pathologic Features in Prostate Cancer: A Multi-Institutional Study

The uncertainties inherent in clinical measures of prostate cancer (CaP) aggressiveness endorse the investigation of clinically validated tissue biomarkers. MUC1 expression has been previously reported to independently predict aggressive localized prostate cancer. We used a large cohort to validate...

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Veröffentlicht in:PloS one 2016-11, Vol.11 (11), p.e0165236-e0165236
Hauptverfasser: Eminaga, Okyaz, Wei, Wei, Hawley, Sarah J, Auman, Heidi, Newcomb, Lisa F, Simko, Jeff, Hurtado-Coll, Antonio, Troyer, Dean A, Carroll, Peter R, Gleave, Martin E, Lin, Daniel W, Nelson, Peter S, Thompson, Ian M, True, Lawrence D, McKenney, Jesse K, Feng, Ziding, Fazli, Ladan, Brooks, James D
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container_issue 11
container_start_page e0165236
container_title PloS one
container_volume 11
creator Eminaga, Okyaz
Wei, Wei
Hawley, Sarah J
Auman, Heidi
Newcomb, Lisa F
Simko, Jeff
Hurtado-Coll, Antonio
Troyer, Dean A
Carroll, Peter R
Gleave, Martin E
Lin, Daniel W
Nelson, Peter S
Thompson, Ian M
True, Lawrence D
McKenney, Jesse K
Feng, Ziding
Fazli, Ladan
Brooks, James D
description The uncertainties inherent in clinical measures of prostate cancer (CaP) aggressiveness endorse the investigation of clinically validated tissue biomarkers. MUC1 expression has been previously reported to independently predict aggressive localized prostate cancer. We used a large cohort to validate whether MUC1 protein levels measured by immunohistochemistry (IHC) predict aggressive cancer, recurrence and survival outcomes after radical prostatectomy independent of clinical and pathological parameters. MUC1 IHC was performed on a multi-institutional tissue microarray (TMA) resource including 1,326 men with a median follow-up of 5 years. Associations with clinical and pathological parameters were tested by the Chi-square test and the Wilcoxon rank sum test. Relationships with outcome were assessed with univariable and multivariable Cox proportional hazard models and the Log-rank test. The presence of MUC1 expression was significantly associated with extracapsular extension and higher Gleason score, but not with seminal vesicle invasion, age, positive surgical margins or pre-operative serum PSA levels. In univariable analyses, positive MUC1 staining was significantly associated with a worse recurrence free survival (RFS) (HR: 1.24, CI 1.03-1.49, P = 0.02), although not with disease specific survival (DSS, P>0.5). On multivariable analyses, the presence of positive surgical margins, extracapsular extension, seminal vesicle invasion, as well as higher pre-operative PSA and increasing Gleason score were independently associated with RFS, while MUC1 expression was not. Positive MUC1 expression was not independently associated with disease specific survival (DSS), but was weakly associated with overall survival (OS). In our large, rigorously designed validation cohort, MUC1 protein expression was associated with adverse pathological features, although it was not an independent predictor of outcome after radical prostatectomy.
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MUC1 expression has been previously reported to independently predict aggressive localized prostate cancer. We used a large cohort to validate whether MUC1 protein levels measured by immunohistochemistry (IHC) predict aggressive cancer, recurrence and survival outcomes after radical prostatectomy independent of clinical and pathological parameters. MUC1 IHC was performed on a multi-institutional tissue microarray (TMA) resource including 1,326 men with a median follow-up of 5 years. Associations with clinical and pathological parameters were tested by the Chi-square test and the Wilcoxon rank sum test. Relationships with outcome were assessed with univariable and multivariable Cox proportional hazard models and the Log-rank test. The presence of MUC1 expression was significantly associated with extracapsular extension and higher Gleason score, but not with seminal vesicle invasion, age, positive surgical margins or pre-operative serum PSA levels. In univariable analyses, positive MUC1 staining was significantly associated with a worse recurrence free survival (RFS) (HR: 1.24, CI 1.03-1.49, P = 0.02), although not with disease specific survival (DSS, P&gt;0.5). On multivariable analyses, the presence of positive surgical margins, extracapsular extension, seminal vesicle invasion, as well as higher pre-operative PSA and increasing Gleason score were independently associated with RFS, while MUC1 expression was not. Positive MUC1 expression was not independently associated with disease specific survival (DSS), but was weakly associated with overall survival (OS). In our large, rigorously designed validation cohort, MUC1 protein expression was associated with adverse pathological features, although it was not an independent predictor of outcome after radical prostatectomy.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0165236</identifier><identifier>PMID: 27846218</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Androgens ; Biology and Life Sciences ; Biomarkers ; Cancer ; Cancer research ; Cancer surgery ; Disease-Free Survival ; Humans ; Immunohistochemistry ; Male ; Medical prognosis ; Medicine and Health Sciences ; Metastasis ; Middle Aged ; Mucin-1 - metabolism ; Mucins ; Multivariate Analysis ; Parameters ; Pathology ; Prognosis ; Proportional Hazards Models ; Prostate cancer ; Prostatectomy ; Prostatic Neoplasms - metabolism ; Prostatic Neoplasms - pathology ; Prostatic Neoplasms - surgery ; Research and Analysis Methods ; Seminal vesicle ; Statistical models ; Statistical tests ; Surgery ; Survival ; Treatment Outcome ; Urological surgery ; Urology</subject><ispartof>PloS one, 2016-11, Vol.11 (11), p.e0165236-e0165236</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Eminaga et al. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eminaga, Okyaz</au><au>Wei, Wei</au><au>Hawley, Sarah J</au><au>Auman, Heidi</au><au>Newcomb, Lisa F</au><au>Simko, Jeff</au><au>Hurtado-Coll, Antonio</au><au>Troyer, Dean A</au><au>Carroll, Peter R</au><au>Gleave, Martin E</au><au>Lin, Daniel W</au><au>Nelson, Peter S</au><au>Thompson, Ian M</au><au>True, Lawrence D</au><au>McKenney, Jesse K</au><au>Feng, Ziding</au><au>Fazli, Ladan</au><au>Brooks, James D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MUC1 Expression by Immunohistochemistry Is Associated with Adverse Pathologic Features in Prostate Cancer: A Multi-Institutional Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-11-15</date><risdate>2016</risdate><volume>11</volume><issue>11</issue><spage>e0165236</spage><epage>e0165236</epage><pages>e0165236-e0165236</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The uncertainties inherent in clinical measures of prostate cancer (CaP) aggressiveness endorse the investigation of clinically validated tissue biomarkers. MUC1 expression has been previously reported to independently predict aggressive localized prostate cancer. We used a large cohort to validate whether MUC1 protein levels measured by immunohistochemistry (IHC) predict aggressive cancer, recurrence and survival outcomes after radical prostatectomy independent of clinical and pathological parameters. MUC1 IHC was performed on a multi-institutional tissue microarray (TMA) resource including 1,326 men with a median follow-up of 5 years. Associations with clinical and pathological parameters were tested by the Chi-square test and the Wilcoxon rank sum test. Relationships with outcome were assessed with univariable and multivariable Cox proportional hazard models and the Log-rank test. The presence of MUC1 expression was significantly associated with extracapsular extension and higher Gleason score, but not with seminal vesicle invasion, age, positive surgical margins or pre-operative serum PSA levels. In univariable analyses, positive MUC1 staining was significantly associated with a worse recurrence free survival (RFS) (HR: 1.24, CI 1.03-1.49, P = 0.02), although not with disease specific survival (DSS, P&gt;0.5). On multivariable analyses, the presence of positive surgical margins, extracapsular extension, seminal vesicle invasion, as well as higher pre-operative PSA and increasing Gleason score were independently associated with RFS, while MUC1 expression was not. Positive MUC1 expression was not independently associated with disease specific survival (DSS), but was weakly associated with overall survival (OS). In our large, rigorously designed validation cohort, MUC1 protein expression was associated with adverse pathological features, although it was not an independent predictor of outcome after radical prostatectomy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27846218</pmid><doi>10.1371/journal.pone.0165236</doi><tpages>e0165236</tpages><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Adult
Aged
Aged, 80 and over
Androgens
Biology and Life Sciences
Biomarkers
Cancer
Cancer research
Cancer surgery
Disease-Free Survival
Humans
Immunohistochemistry
Male
Medical prognosis
Medicine and Health Sciences
Metastasis
Middle Aged
Mucin-1 - metabolism
Mucins
Multivariate Analysis
Parameters
Pathology
Prognosis
Proportional Hazards Models
Prostate cancer
Prostatectomy
Prostatic Neoplasms - metabolism
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Research and Analysis Methods
Seminal vesicle
Statistical models
Statistical tests
Surgery
Survival
Treatment Outcome
Urological surgery
Urology
title MUC1 Expression by Immunohistochemistry Is Associated with Adverse Pathologic Features in Prostate Cancer: A Multi-Institutional Study
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