RT info:eu-repo/semantics/article T1 Prognostic value of inhibitors of apoptosis proteins (IAPs) and caspases in prostate cancer: caspase-3 forms and XIAP predict biochemical progression after radical prostatectomy A1 Rodríguez Berriguete, Gonzalo A1 Ortega Núñez, Miguel Ángel A1 Torrealba Abache, Norelia Rosa A1 Martínez Onsurbe, María del Pilar A1 Olmedilla Arregui, Gabriel A1 Paniagua Gómez-Álvarez, Ricardo A1 Guil Cid, Manuel Esteban A1 Fraile Laiz, Benito A1 Royuela García, María del Mar K1 Apoptosis K1 Caspases K1 Biochemical progression K1 Inhibitors of apoptosis proteins K1 Prostate cancer K1 Biología K1 Biology K1 Genética K1 Genetics K1 Ciencia K1 Science K1 Aged K1 Biomarkers, Tumor K1 Caspase 3 K1 Cohort Studies K1 Disease Progression K1 Follow-Up Studies K1 Humans K1 Inhibitor of Apoptosis Proteins K1 Male K1 Middle Aged K1 Predictive Value of Tests K1 Prognosis K1 Prostatectomy K1 Prostatic Neoplasms K1 X-Linked Inhibitor of Apoptosis Protein AB Background: The expression status of apoptotic regulators, such as caspases and inhibitors of apoptosis proteins (IAPs), could reflect the aggressiveness of tumors and, therefore, could be useful as prognostic markers. We explored the associations between tumor expression of caspases and IAPs and clinicopathological features of prostate cancer – clinical and pathological T stage, Gleason score, preoperative serum PSA levels, perineural invasion, lymph node involvement, surgical margin status and overall survival – and evaluated its capability to predict biochemicalprogression after radical prostatectomy.Methods: Protein expression of caspases (procaspase-8, cleaved caspase-8, procaspase-3, cleaved caspase-3,caspase-7 and procaspase-9) and IAPs (cIAP1/2, cIAP2, NAIP, Survivin and XIAP) was analyzed by immunohistochemistryin radical prostatectomy samples from 84 prostate cancer patients. Spearman’s test, Kaplan-Meier curves, and univariateand multivariate Cox proportional hazard regression analysis were performed.Results: cIAP1/2, cIAP2, Survivin, procaspase-8, cleaved caspase-8, procaspase-3 and caspase-7 expression correlatedwith at least one clinicopathological feature of the disease. Patients negative for XIAP, procaspase-3 or cleavedcaspase-3 had a significantly worse prognosis. Of note, XIAP, procaspase-3 and cleaved caspase-3 were predictorsof biochemical progression independent of Gleason score and pathological T stage.Conclusions: Our results indicate that alterations in the expression of IAPs and caspases contribute to themalignant behavior of prostate tumors and suggest that tumor expression of XIAP, procaspase-3 and cleavedcaspase-3 may help to identify prostate cancer patients at risk of progression. PB BioMed Central YR 2015 FD 2015 LK http://hdl.handle.net/10017/32720 UL http://hdl.handle.net/10017/32720 LA eng DS MINDS@UW RD 30-nov-2023