PMID- 21173791 OWN - NLM STAT- MEDLINE DCOM- 20110606 LR - 20151119 IS - 1476-5608 (Electronic) IS - 1365-7852 (Linking) VI - 14 IP - 1 DP - 2011 Mar TI - Prognostic value of connexin43 expression in patients with clinically localized prostate cancer. PG - 90-5 LID - 10.1038/pcan.2010.51 [doi] AB - Connexins (Cxs) are a family of transmembrane proteins that build cell-to-cell channels in gap junctions. Gap junctions composed of Cxs have an essential role in intercellular communication, adhesion and cell differentiation. Several studies investigated the role of connexin43 (Cx43) in different carcinomas; however, none investigated its prognostic role in prostate cancer. Cx43 expression and relationship with established prognostic features were assessed in a cohort of 102 patients treated with radical prostatectomy for clinically localized prostate adenocarcinoma. Cx43 expression in prostate cancer was significantly associated with established features indicative of worse prognosis, such as follow-up time (P < 0.001) and preoperative PSA (P < 0.007). Patients with lower Cx43 expressions in tumours have shorter follow-up time, which indicated shorter disease-free survival and higher preoperative PSA values. Furthermore, tumours with positive surgical margins (P < 0.001) showed significantly lower Cx43 expression compared with tumours without this feature. In univariate (P < 0.001) and multivariate (P = 0.014) analyses, decreased Cx43 expression was found to be a significant predictor of biochemical recurrence free-survival. Study results show the association of decreased Cx43 expression with prostate cancer progression. Moreover, Cx43 could serve as an additional prognostic marker and used together with traditional prognostic markers might help in further stratifying the risk of disease progression in patients with prostate cancer. FAU - Benko, G AU - Benko G AD - Department of Urology, Varazdin General Hospital, Varazdin, Croatia. FAU - Spajic, B AU - Spajic B FAU - Demirovic, A AU - Demirovic A FAU - Stimac, G AU - Stimac G FAU - Kru Sbreve Lin, B AU - Kru Sbreve Lin B FAU - Tomas, D AU - Tomas D LA - eng PT - Journal Article DEP - 20101221 PL - England TA - Prostate Cancer Prostatic Dis JT - Prostate cancer and prostatic diseases JID - 9815755 RN - 0 (Biomarkers, Tumor) RN - 0 (Connexin 43) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Adenocarcinoma/*metabolism/pathology/surgery MH - Aged MH - Biomarkers, Tumor/*metabolism MH - Connexin 43/*metabolism MH - Disease Progression MH - Disease-Free Survival MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Prostate-Specific Antigen/blood MH - Prostatectomy MH - Prostatic Neoplasms/*metabolism/pathology/surgery MH - Time Factors EDAT- 2010/12/22 06:00 MHDA- 2011/06/07 06:00 CRDT- 2010/12/22 06:00 PHST- 2010/12/22 06:00 [entrez] PHST- 2010/12/22 06:00 [pubmed] PHST- 2011/06/07 06:00 [medline] AID - pcan201051 [pii] AID - 10.1038/pcan.2010.51 [doi] PST - ppublish SO - Prostate Cancer Prostatic Dis. 2011 Mar;14(1):90-5. doi: 10.1038/pcan.2010.51. Epub 2010 Dec 21.