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Updated: Jul 14, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Bad expression influences time to androgen escape in prostate cancer
Katy Teo1, Lisa Gemmell, Rono Mukherjee
1University of Glasgow, Division of Cancer Sciences and Molecular Pathology, Glasgow, Strathclyde, UK.
Objective:
To assess the role of selected downstream Bcl-2 family members (Bad, Bax, Bcl-2 and Bcl-xL) in the development of androgen-independent prostate cancer (AIPC), as androgen-deprivation therapy is the treatment of choice in advanced prostate cancer, yet patients generally relapse and progress to an AI state within 18-24 months.
Patients, Materials And Methods:
The patient cohort was established by retrospectively selecting patients with prostate cancer who had an initial response to androgen-deprivation therapy, but subsequently relapsed with AIPC. In all, 58 patients with prostate cancer were included with matched androgen-dependent (AD) and AI prostate tumours available for immunohistochemical analysis; two independent observers using a weighted-histoscore method scored the staining. Changes in Bad, Bax, Bcl-2 and Bcl-xL expression during transition to AIPC were evaluated and then correlated to known clinical variables.
Results:
High Bad expression in AD tumours was associated with an increased time to biochemical relapse (P = 0.007) and a trend towards improved overall survival (P = 0.053). There were also trends towards a decrease in Bad (P = 0.068) and Bax (P = 0.055) expression with progression to AIPC. There were no significant results for Bcl-2 or Bcl-xL.
Conclusion:
There is evidence to suggest that Bad expression levels at diagnosis influence time to biochemical relapse and overall survival, and that levels of pro-apoptotic proteins Bad and Bax fall during AIPC development. Bad might therefore represent a possible positive prognostic marker and potential therapeutic target for AIPC in the future.
Insights
High Bad expression in prostate cancer predicts longer time to relapse and better survival. Pro-apoptotic proteins Bad and Bax decrease as cancer progresses to androgen-independent prostate cancer (AIPC).
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Androgen-deprivation therapy is standard for advanced prostate cancer.
- Patients often relapse, progressing to androgen-independent prostate cancer (AIPC).
- Bcl-2 family proteins regulate apoptosis and are implicated in cancer progression.
Purpose of the Study:
- To investigate the role of Bcl-2 family members (Bad, Bax, Bcl-2, Bcl-xL) in AIPC development.
- To correlate their expression with clinical outcomes.
Main Methods:
- Retrospective analysis of 58 prostate cancer patients.
- Immunohistochemical analysis of matched androgen-dependent (AD) and AIPC tumors.
- Weighted-histoscore method for staining evaluation.
Main Results:
- High Bad expression in AD tumors correlated with increased time to biochemical relapse (P=0.007) and a trend towards improved survival (P=0.053).
- Trends indicated decreased Bad (P=0.068) and Bax (P=0.055) expression during progression to AIPC.
- No significant associations were found for Bcl-2 or Bcl-xL.
Conclusions:
- Bad expression at diagnosis may serve as a prognostic marker for time to relapse and overall survival in prostate cancer.
- Decreased levels of pro-apoptotic proteins Bad and Bax are observed during AIPC development.
- Bad presents a potential therapeutic target for AIPC.
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