PMID- 12603425 OWN - NLM STAT- MEDLINE DCOM- 20030428 LR - 20220321 IS - 1464-4096 (Print) IS - 1464-4096 (Linking) VI - 91 IP - 4 DP - 2003 Mar TI - Loss of CD38 correlates with simultaneous up-regulation of human leukocyte antigen-DR in benign prostatic glands, but not in fetal or androgen-ablated glands, and is strongly related to gland atrophy. PG - 409-16 AB - OBJECTIVE: To determine whether CD38 loss in benign and malignant prostatic disease is related to human leukocyte antigen (HLA)-DR up-regulation, by assessing the histopathology of the prostate and the effect of androgen deprivation. MATERIALS AND METHODS: Serial sections of frozen fetal (eight), infant (six), normal adult (10), benign hyperplastic (BPH, 24), and primary (10) and hormone-treated (11) carcinomatous human prostatic tissues were analysed by immunohistology for anti-CD38 and HLA-DR antigens. RESULTS: In BPH samples there was a significant correlation between CD38 loss (mean 21% of acini) and HLA-DR up-regulation (mean 20%; P < 0.001). Moreover, 76% of all CD38-negative acini in BPH had HLA-DR up-regulation in the same prostate epithelial cells, predominantly in atrophic and cystic glands, and in cells with retained secretions (74%). In contrast to the uniform expression in normal adult prostate, CD38 was negative or partly expressed in fetal acini (mean 19%) and almost completely negative in acini of the early infant period (mean 0.7%). In contrast to BPH, cancer cells did not selectively up-regulate HLA-DR when CD38 was lost. In patients with cancer treated by androgen deprivation, cancer cells were CD38-negative. CONCLUSIONS: The absence of CD38 and presence of HLA-DR expression in prostatic epithelium is consistent in BPH and tissue surrounding tumour, and strongly related to gland atrophy. This is particularly interesting as HLA-DR triggering can induce apoptosis of cells, whereas CD38 prevents it. A permissive role for androgens to maintain full CD38 expression in epithelial cells is suggested. FAU - Kramer, G AU - Kramer G AD - Department of Urology, University of Vienna, Austria. gero_kramer@hotmail.com FAU - Steiner, G E AU - Steiner GE FAU - Sokol, P AU - Sokol P FAU - Mallone, R AU - Mallone R FAU - Amann, G AU - Amann G FAU - Marberger, M AU - Marberger M LA - eng PT - Journal Article PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - 0 (Androgens) RN - 0 (Antigens, CD) RN - 0 (HLA Antigens) RN - 0 (Membrane Glycoproteins) RN - EC 3.2.2.5 (ADP-ribosyl Cyclase) RN - EC 3.2.2.5 (CD38 protein, human) RN - EC 3.2.2.6 (ADP-ribosyl Cyclase 1) SB - IM MH - ADP-ribosyl Cyclase/*metabolism MH - ADP-ribosyl Cyclase 1 MH - Adolescent MH - Adult MH - Androgens/metabolism MH - Antigens, CD/*metabolism MH - Atrophy/metabolism MH - Child MH - Child, Preschool MH - HLA Antigens/*metabolism MH - Humans MH - Immunoblotting MH - Infant MH - Infant, Newborn MH - Male MH - Membrane Glycoproteins MH - Prostate/*embryology/pathology MH - Prostatic Hyperplasia/*immunology MH - Prostatitis/metabolism MH - Up-Regulation EDAT- 2003/02/27 04:00 MHDA- 2003/04/29 05:00 CRDT- 2003/02/27 04:00 PHST- 2003/02/27 04:00 [pubmed] PHST- 2003/04/29 05:00 [medline] PHST- 2003/02/27 04:00 [entrez] AID - 4091 [pii] AID - 10.1046/j.1464-410x.2003.04091.x [doi] PST - ppublish SO - BJU Int. 2003 Mar;91(4):409-16. doi: 10.1046/j.1464-410x.2003.04091.x.