Article Text
Abstract
Aims To determine the profile of COX-2 gene expression in patients with prostate cancer attended at the ABC University Health Center outpatient clinic and correlate the results with patients’ anatomopathological examinations. Prostate cancer is the sixth most common type of cancer worldwide and the second in Brazil. COX-2 expression is associated with an unfavourable prognosis.
Methods 15.0 mL of peripheral blood were collected from 24 patients and 25 healthy men. RNA extraction was performed using the QIAamp RNA Blood Mini Kit. Complementary DNA synthesis was performed using SuperScript II RNAse Reverse Transcriptase. Quantitative real-time PCR was performed with specific COX-2 oligonucleotides and the endogenous GAPDH gene.
Results The mean age of the patients was 69 years old. The Gleason scoring system showed 37.5% of patients with Gleason 6 (slow growth, low risk), 45.8% with Gleason 7 (intermediate risk) and 16.7% with Gleason 8 or 9 (risk of high-grade cancer). The median COX-2 expression in the study group was 0.97, while in the control group it was 0.11 (p<0.045).
Conclusions Patients with prostate cancer showed higher COX-2 expression at diagnosis compared with the control group. Since COX-2 detection associated with prostate-specific antigen dosage shows promise as a biomarker for diagnosis and prognosis in patients with prostate cancer, further research is required to confirm these findings.
- prostate
- biomarkers
- tumour
- prostaglandins
- blood proteins
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Footnotes
Handling editor Runjan Chetty.
Contributors VSP collected, analysed and organised the data on the qRT-PCR finding. BdCAA, JW and FF contributed equally to the collection and organisation of clinical data and to the writing and editing of the manuscript. FG organised the data on the qRT-PCR findings and clinical data, and wrote and edited the manuscript, and is the guarantor .
Funding This study was financed in part by the Coordination for the Improvement of Higher Education Personnel (PROAP AUXP CAPES n. 1175/2019).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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