Molecular evidence supporting the precursor nature of atypical adenomatous hyperplasia of the prostate.

Abstract:

:Atypical adenomatous hyperplasia (AAH) of the prostate is characterized by lobular proliferation of closely packed small acini. It is hypothesized that AAH is a precursor lesion for low-grade prostate cancer arising from the transition zone. Telomere dysfunction is common during malignant transformation of epithelia. In this study, we investigate telomere shortening in AAH (n = 93), high-grade prostatic intraepithelial neoplasia (HGPIN) ( n = 68), and prostatic adenocarcinoma (PCA) ( n = 70) using quantitative fluorescence in situ hybridization. Twenty percent (19 of 93) of AAH specimens, 68% (46 of 68) of HGPIN, and 83% (58 of 70) of PCA showed significant telomere shortening. Thirty-two percent of AAH lesions had α-methylacyl-CoA racemase (AMACR) expression, a sensitive and specific marker for HGPIN and PCA. AMACR expression in AAH was seen more frequently in AAH foci with telomere shortening or coexisting PCA. Our findings indicate that a subset of AAH lesions have telomere shortening and AMACR expression, suggesting that these foci may be precursors for PCA.

journal_name

Mol Carcinog

journal_title

Molecular carcinogenesis

authors

Cheng L,Montironi R,Davidson DD,Wang M,Lopez-Beltran A,Zhang S

doi

10.1002/mc.23009

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

1272-1278

issue

7

eissn

0899-1987

issn

1098-2744

journal_volume

58

pub_type

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