Key result
Prostate cancer tissues showed dramatically decreased ACE activity and increased immunoreactive ACE protein/ACE activity and ZPHL/HHL ratios compared to most benign prostate hyperplasia tissues.
Why the study?
Substitution of prostate epithelial cells by tumor cells decreases ACE production, prompting detailed characterization of ACE status in benign prostate hyperplasia and prostate cancer using ACE phenotyping.
Can ACE phenotyping of prostate tissues differentiate between benign prostate hyperplasia and prostate cancer?
Observational
Yes
Can ACE phenotyping of prostate tissues differentiate between benign prostate hyperplasia and prostate cancer?
ACE phenotyping of prostate tissues may serve as a novel biomarker approach for the early diagnosis of prostate cancer and its differentiation from benign prostate hyperplasia.
ACE phenotyping detects distinct changes in prostate cancer tissues; leaves open its value for early detection pending prospective validation.
// Sergei M. Danilov 1 , 2 , 3 , Alexey V. Kadrev 3 , Olga V. Kurilova 3 , Victoria E. Tikhomirova 4 , Olga V. Kryukova 4 , Vadim N. Mamedov 5 , David M. Kamalov 3 , Natalia V. Danilova 3 , Dmitry A. Okhobotov 3 , 5 , Nurshat M. Gayfullin 3 , 5 , Valery V. Evdokimov 6 , Boris J. Alekseev 6 , Olga A. Kost 4 , Larisa M. Samokhodskaya 3 and Armais A. Kamalov 3 , 5 1 Department of Medicine, Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, IL, Chicago, USA 2 Department of Medicine, University of Arizona, Tucson, AZ, USA 3 Medical Research and Educational Center, Lomonosov Moscow State University, Moscow, Russia 4 Department of Chemistry, Lomonosov Moscow State University, Moscow, Russia 5 Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow, Russia 6 Lopatkin Research Institute of Urology and Interventional Radiology, Moscow, Russia Correspondence to: Sergei M. Danilov, email: danilov@uic.edu Keywords: angiotensin I-converting enzyme; prostate cancer; benign prostate hyperplasia; CD143; monoclonal antibodies Abbreviations: ACE: angiotensin-converting enzyme; mAbs: monoclonal antibodies; ZPHL: carbobenzoxy-L-phenylalanyl-L-histidyl-L-leucine; HHL: hippuryl-L-histidyl-L-leucine; PBS: phosphate buffered saline Received: May 29, 2019 Accepted: August 27, 2019 Published: October 29, 2019 ABSTRACT Epithelial cells of prostate express significant level of ACE and, as a result, seminal fluid has 50-fold more ACE than plasma. The substitution of highly specialized prostate epithelial cells by tumor cells results in dramatic decrease in ACE production in prostate tissues. We performed detailed characterization of ACE status in prostate tissues from patients with benign prostate hyperplasia (BPH) and prostate cancer (PC) using new approach- ACE phenotyping, that includes evaluation of: 1) ACE activity with two substrates (HHL and ZPHL); 2) the ratio of the rates of their hydrolysis (ZPHL/HHL ratio); 3) the ratio of immunoreactive ACE protein to ACE activity; 4) the pattern of mAbs binding to different epitopes on ACE – ACE conformational fingerprint - to reveal conformational changes in prostate ACE due to prostate pathology. ACE activity dramatically decreased and the ratio of immunoreactive ACE protein to ACE activity increased in PC tissues. The catalytic parameter, ZPHL/HHL ratio, increased in prostate tissues from all patients with PC, but was did not change for most |BPH patients. Nevertheless, prostate tissues of several patients diagnosed with BPH based on histology, also demonstrated decreased ACE activity and increased immunoreactive ACE protein/ACE activity and ZPHL/HHL ratios, that could be considered as more early indicators of prostate cancer development than routine histology. Thus, ACE phenotyping of prostate biopsies has a potential to be an effective approach for early diagnostics of prostate cancer or at least for differential diagnostics of BPH and PC.
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Danilov et al. (2019) conducted an observational in Prostate cancer and benign prostate hyperplasia. Prostate cancer vs. Benign prostate hyperplasia was evaluated on ACE activity, ZPHL/HHL ratio, and immunoreactive ACE protein to ACE activity ratio. Prostate cancer tissues showed dramatically decreased ACE activity and increased immunoreactive ACE protein/ACE activity and ZPHL/HHL ratios compared to most benign prostate hyperplasia tissues.
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