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Updated: May 30, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Immunoreactivity to caspase-3, caspase-7, caspase-8, and caspase-9 forms is frequently lost in human prostate tumors
Gonzalo Rodríguez-Berriguete1, Laura Galvis, Benito Fraile
1Department of Cell Biology and Genetics, University of Alcalá, 28871 Alcalá de Henares, Madrid, Spain. gonzalo.rodriguezb@uah.es
Abstract:
Caspases are essential initiators and executioners of apoptosis. Changes in their expression may contribute to the development of proliferative disorders such as cancer, by altering the death-proliferation homeostatic balance. The aim of this work was to analyze the expression of a broad panel of caspases at the epithelial level in human prostate tissues to assess possible prostatic disease-related alterations. We comparatively analyzed by immunohistochemistry the expression of pro-caspase-3, pro-caspase-8, pro-caspase-9, cleaved caspase-3, cleaved caspase-8, and caspase-7, in normal and pathologic (benign hyperplasic, premalignant [high-grade intraepithelial neoplasia], and cancerous [prostate cancer]) human prostate epithelium. Expression of caspases was correlated with clinicopathologic features, including preoperative prostate-specific antigen levels, Gleason scores, and biochemical progression. Percentage of positive samples for all the analyzed caspases decreased in prostate cancer versus normal prostate epithelium. The values obtained for benign prostatic hyperplasia and high-grade intraepithelial neoplasia more qualitatively resembled those of the prostate cancer group. Our results indicate that caspase expression in prostate malignant cells is reduced in a substantial number of patients and that such an alteration occurs in the premalignant stage. Loss of caspase expression could constitute a useful marker for prostate cancer diagnosis. Therapeutic approaches aimed to recover or enhance caspase expression might be effective against prostate cancer.
Insights
Caspase expression is reduced in prostate cancer and its precursor stages. This loss of caspase activity may serve as a diagnostic marker and a therapeutic target for prostate cancer.
Area of Science:
- Molecular Biology
- Oncology
- Cell Biology
Background:
- Caspases are crucial enzymes regulating apoptosis (programmed cell death).
- Altered caspase expression is implicated in cancer development by disrupting the balance between cell proliferation and death.
- Prostate cancer progression involves complex molecular changes affecting cell death pathways.
Purpose of the Study:
- To investigate alterations in caspase expression within human prostate tissues.
- To correlate caspase expression levels with different stages of prostate disease, including normal, benign hyperplasia, high-grade intraepithelial neoplasia, and prostate cancer.
- To assess the potential of caspase expression as a biomarker for prostate cancer diagnosis and progression.
Main Methods:
- Immunohistochemistry was employed to analyze the expression of key caspases (pro-caspase-3, pro-caspase-8, pro-caspase-9, cleaved caspase-3, cleaved caspase-8, and caspase-7).
- Expression levels were examined in epithelial cells from normal prostate tissue and various pathological conditions (benign prostatic hyperplasia, high-grade intraepithelial neoplasia, prostate cancer).
- Caspase expression data were correlated with clinicopathological parameters such as PSA levels, Gleason scores, and biochemical recurrence.
Main Results:
- A significant decrease in the percentage of positive samples for all analyzed caspases was observed in prostate cancer compared to normal prostate epithelium.
- Benign prostatic hyperplasia and high-grade intraepithelial neoplasia tissues showed caspase expression patterns qualitatively similar to those in prostate cancer.
- Reduced caspase expression was evident even at the premalignant stage (high-grade intraepithelial neoplasia).
Conclusions:
- Caspase expression is substantially reduced in prostate malignant cells, indicating an early event in tumorigenesis.
- The loss of caspase expression in prostate tissues may serve as a valuable diagnostic marker for prostate cancer.
- Therapeutic strategies aimed at restoring or enhancing caspase activity could offer a novel approach for treating prostate cancer.
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