Relative concentrations of hK2/PSA mRNA in benign and malignant prostatic tissue

Susanna Lintula1, Jakob Stenman, Anders Bjartell

  • 1Department of Clinical Chemistry, Helsinki University Central Hospital, Helsinki, Finland. susanna.lintula@hus.fi

The Prostate
|December 16, 2004
PubMed
Abstract

Insights

The ratio of human kallikrein 2 (hK2) mRNA to prostate-specific antigen (PSA) mRNA is higher in cancerous prostate tissue than in benign tissue. This finding utilizes a novel quantitative reverse transcription-polymerase chain reaction (RT-PCR) method.

Area of Science:

  • Molecular Biology
  • Genetics
  • Oncology

Background:

  • Prostate-specific antigen (PSA/KLK3) and human kallikrein 2 (hK2/KLK2) are homologous genes within the human kallikrein gene family.
  • Both genes are prostate-specific and androgen-controlled, with similar regulatory mechanisms.
  • Altered relative expression of PSA and hK2 has been noted in prostate cancer.

Purpose of the Study:

  • To quantify the relative mRNA levels of PSA and hK2 in benign and malignant prostate tissues.
  • To investigate changes in the hK2/PSA mRNA ratio in relation to prostate cancer.
  • To evaluate a novel quantitative reverse transcription-polymerase chain reaction (RT-PCR) method for analyzing homologous gene expression.

Main Methods:

  • Quantitative reverse transcription-polymerase chain reaction (RT-PCR) was employed to determine relative PSA and hK2 mRNA levels.
  • A single-step RT-PCR reaction was used for simultaneous reverse transcription and amplification of both PSA and hK2 mRNA.
  • The hK2/PSA mRNA ratio was calculated for benign and malignant prostate tissue samples.

Main Results:

  • The hK2/PSA mRNA ratio exhibited minimal variation across samples, with a three-fold difference between the highest and lowest values.
  • A statistically significant increase in the hK2/PSA mRNA ratio was observed in WHO grade 2 prostate cancer compared to normal or benign prostatic hyperplasia (BPH) tissue (P = 0.032 and P = 0.035).
  • Similarly, WHO grade 3 prostate cancer showed a significantly higher hK2/PSA mRNA ratio compared to normal or BPH tissue (P = 0.006 for both).

Conclusions:

  • The developed quantitative RT-PCR technique enables precise measurement of relative mRNA levels for homologous genes.
  • The study demonstrates that the hK2/PSA mRNA ratio is elevated in cancerous prostate tissue compared to benign prostatic tissue.
  • This finding suggests that the hK2/PSA mRNA ratio could serve as a potential biomarker in prostate cancer diagnostics.

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