Key result
Elevated Periostin (POSTN) expression and plasma levels were associated with worse baseline prognostic features and shorter disease-free and overall survival in patients with prostate cancer.
Why the study?
Periostin is an extracellular matrix protein associated with tumor progression and shorter survival in prostate cancer, prompting an integrative analysis of its role across primary and advanced disease.
Does Periostin (POSTN) expression correlate with clinical features and survival in patients with prostate cancer?
Observational (n=48)
Does Periostin (POSTN) expression correlate with clinical features and survival in patients with prostate cancer?
Periostin (POSTN) expression is associated with poor clinical features and worse outcomes in patients with primary and advanced prostate cancer.
POSTN may inform mCRPC prognosis; leaves open clinical utility pending prospective validation.
Periostin (POSTN) is an extracellular matrix protein associated with tumor progression and shorter survival in prostate cancer (PCa). Here, we performed an integrative analysis of POSTN's role in patients with PCa. Clinical and POSTN data from large-scale datasets were analyzed. POSTN cutoffs were identified with X-Tile, and STRING was used for protein-protein interaction analysis. In a cohort of 48 patients with metastatic castration-resistant prostate cancer (mCRPC), we used the AdnaTest platform to isolate circulating tumor cells and extract POSTN mRNA. Plasma samples were also tested for POSTN protein expression by dot blot assay. Data from large-scale datasets did not reveal any association between POSTN genetic alterations and outcome. In primary tumors, we found a significant correlation between POSTN mRNA overexpression, worse baseline prognostic features, and shorter disease-free survival. POSTN was overexpressed in mCRPC and correlated with aggressive features. In our cohort of mCRPC patients, we found a positive correlation between POSTN plasma levels and androgen-receptor variant 7 positivity and an association with shorter overall survival. Our integrative analysis shows that POSTN is associated with poor clinical features and worse outcome in patients with PCa. Further studies are warranted to uncover the function of POSTN in PCa progression and to validate the prognostic significance of POSTN in mCRPC.
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Cattrini et al. (2020) conducted an observational in Prostate cancer (n=48). Periostin (POSTN) expression was evaluated on Disease-free survival and overall survival. Elevated Periostin (POSTN) expression and plasma levels were associated with worse baseline prognostic features and shorter disease-free and overall survival in patients with prostate cancer.
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