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Published on: November 15, 2013
Nuclear receptor DAX1 in human prostate cancer: a novel independent biological modulator
Yasuhiro Nakamura1, Takashi Suzuki, Yoichi Arai
1Department of Pathology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Abstract:
The orphan nuclear receptor DAX1 (dosage-sensitive sex reversal-AHC critical region on the X chromosome gene 1; NR0B1) has been known for its various roles in human development, specifically sex determination and steroidogenesis. Its expression has been reported in endocrine and sex steroid-dependent neoplasms such as human adrenocortical, pituitary, endometrial, and ovarian tumors. Prostate cancer is also sex steroid-dependent tumor in which androgens play important roles in the pathogenesis and development via androgen receptor (AR). DAX1 is also reported to repress AR activity in human prostate cancer cell line (LNCaP) but its biological roles have remained unclear in the human prostate cancer. The aim of this study is to examine the expression of DAX1 in human prostate cancer using immunohistochemistry in order to evaluate its possible biological and/or clinical significance. In this study, we examined the DAX1 immunoreactivity in human prostate cancer obtained from surgery (n = 40), and correlated the findings with clinicopathological features of the patients. Twenty-one cases were defined as positive cases for DAX1 immunoreactivity (53%). Immunoreactivity for DAX1 was inversely and significantly correlated with Gleason score (P<0.05). However, DAX1 immunoreactivity was not significantly correlated with the status of sex steroid receptors we examined. DAX1 immunoreactivity is considered a new biological modulator of human prostate cancer, but independent to the status of sex steroid receptors in human prostate cancer tissues.
Insights
DAX1 (NR0B1) expression in prostate cancer inversely correlates with Gleason score, suggesting it may be a novel biological modulator. Its role is independent of sex steroid receptor status.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- The orphan nuclear receptor DAX1 (NR0B1) is crucial for human development, including sex determination and steroidogenesis.
- DAX1 expression is observed in various endocrine and sex steroid-dependent tumors.
- Prostate cancer, driven by androgens and the androgen receptor (AR), is a sex steroid-dependent malignancy where DAX1's role is unclear.
Purpose of the Study:
- To investigate the expression of DAX1 in human prostate cancer tissues.
- To evaluate the potential biological and clinical significance of DAX1 expression in prostate cancer.
- To correlate DAX1 immunoreactivity with clinicopathological features.
Main Methods:
- Immunohistochemistry was used to examine DAX1 immunoreactivity in 40 human prostate cancer surgical specimens.
- DAX1 expression levels were correlated with patient clinicopathological features, including Gleason score and sex steroid receptor status.
Main Results:
- DAX1 immunoreactivity was detected in 53% (21/40) of the prostate cancer cases studied.
- A significant inverse correlation was found between DAX1 immunoreactivity and Gleason score (P<0.05).
- No significant correlation was observed between DAX1 immunoreactivity and the status of examined sex steroid receptors.
Conclusions:
- DAX1 may function as a novel biological modulator in human prostate cancer.
- The biological role of DAX1 in prostate cancer appears independent of sex steroid receptor status.
- Further research is warranted to elucidate the precise mechanisms and clinical implications of DAX1 in prostate cancer progression.
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