Expression of insulin-like growth factor-1 receptor in local and metastatic prostate cancer

Charles J Ryan1, Christopher M Haqq, Jeffrey Simko

  • 1Department of Medicine, UCSF Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA 94115, USA. ryanc@medicine.ucsf.edu <ryanc@medicine.ucsf.edu>

Urologic Oncology
|March 14, 2007
PubMed
Abstract

Insights

Insulin-like growth factor (IGF)-1 receptor is widely expressed in normal prostate tissue, prostate cancers, and metastases. These findings support targeting the IGF-1 receptor for prostate cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Urology

Background:

  • The insulin-like growth factor (IGF)-1 receptor is a target in prostate cancer clinical trials.
  • Conflicting data exist regarding IGF-1 receptor presence in human prostate tumors due to technical variations.

Purpose of the Study:

  • To determine the presence and pattern of IGF-1 receptor expression in normal prostate tissue, primary prostate tumors, and metastatic prostate cancer.
  • To correlate IGF-1 receptor expression with clinical and pathological parameters.

Main Methods:

  • Immunohistochemistry was employed to analyze frozen prostate specimens.
  • IGF-1 receptor expression was quantified on a scale of 0-3, with 2-3+ considered positive.
  • Correlation analysis was performed between receptor staining and clinicopathological features.

Main Results:

  • IGF-1 receptor was detected in normal prostate epithelium (6/6 patients) and adjacent normal epithelium (21/22 patients).
  • Expression was confirmed in primary tumors (28/28), androgen-independent recurrent tumors (3/5), and lymph node metastases (4/5).
  • Stromal staining surrounding tumor epithelium was significantly higher than near benign epithelium (P < 0.0001) and correlated with Gleason grade.

Conclusions:

  • This study demonstrates widespread IGF-1 receptor expression in normal prostate, prostate cancer, and metastases using frozen tissue.
  • The findings support the investigation of IGF-1 receptor as a viable therapeutic target for prostate cancer.