Originally published as JHC exPRESS on October 18, 2005. doi:10.1369/jhc.5A6672.2005
Volume 54 (2): 223-229, 2006 Copyright ©The Histochemical Society, Inc. Ornithine Decarboxylase (ODC) Expression Pattern in Human Prostate Tissues and ODC Transgenic Mice
Department of Medicine (LY,RS,QD) and Department of Pathology (PR), University of Sydney, Sydney, Australia; Westmead Millennium Institute, Westmead, Australia (WA); ANZAC Research Institute, Concord, Australia (CA); and Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, Australia (PR) Correspondence to: Lei Young, Rm. 371, Blackburn Bld. D06, Western Ave., University of Sydney, NSW 2006, Australia. E-mail: lyoung{at}ozex.biz
Ornithine decarboxylase (ODC) is the key enzyme in the polyamine synthesis pathway and is overexpressed in a variety of cancers. We have performed a detailed immunostaining analysis of the expression of ODC in normal, benign prostatic hyperplasia (BPH), and cancerous prostate tissues. We conclude that ODC is overexpressed in both BPH and neoplastic tissues and that ODC overexpression appears to be an early event in prostate carcinogenesis. The extent of overexpression decreases as cancer progresses. Interestingly, ODC overexpression was also detected in patients who underwent androgen ablation therapy, suggesting ODC overexpression may contribute to the androgen-independent survival of prostate cancer cells. ODC is perinuclear localized in BPH samples but is diffusely cytoplasmic in cancer samples. Having shown ODC overexpression in human prostate cancer, we developed prostate-specific ODC transgenic mice to further investigate whether ODC overexpression alone is a causal factor in prostate carcinogenesis. RT-PCR and immunostaining confirmed that ODC was overexpressed in a subset of prostate epithelial cells. Although minor nucleoli enlargements in some tissues were detected, gross morphological changes were not observed in transgenic prostates. Therefore, overexpression of ODC alone in this subset of prostate epithelial cells is not sufficient to induce prostate carcinogenesis. (J Histochem Cytochem 54:223229, 2006)
Key Words: prostate cancer benign prostatic hyperplasia ornithine decarboxylase immunostaining transgenic
ORNITHINE DECARBOXYLASE (ODC) is the key enzyme in polyamine biosynthesis. Activation of ODC and consequently increased concentrations of polyamines are related to tumor promotion and progression (Pegg 1988 -difluoromethylornithine (DFMO) (O'Brien et al. 1997
However, although it is clear that ODC overexpression is associated with cancer development, a definitive causal role of ODC overexpression in carcinogenesis has only been shown in NIH/3T3 fibroblast cells (Moshier et al. 1993
ODC activity is also increased in prostatic cancer tissues and their respective secretory fluids (Mohan et al. 1999; Bettuzzi et al. 2000; Rhodes et al. 2002
Patients and Specimens Normal organ donor human prostatic tissues were obtained from the New South Wales (NSW) Red Cross. BPH and prostate cancer biopsy tissues were obtained from the Royal Prince Alfred Hospital (RPAH), Sydney, Australia). Whole organ donor prostate glands were dissected by a urological surgeon into transitional/central and peripheral zones using urethra and ejaculatory ducts as landmarks. The study was approved by the RPAH Human Ethics Committee. Paired ventral mouse prostates were collected from Ketalar-overdosed mice via surgical exploration of the abdominal cavity and dissection. Fresh tissues were fixed in 4% buffered formaldehyde, pH 7, and embedded in paraffin.
IHC on Human Prostatic Tissue Tissue slides were antigen retrieved in 500 ml of Tris EDTA (10 mM Tris Base, 1 mM EDTA solution, 0.05% Tween 20, pH 9.0) and microwave treated twice for 10 min each at medium high in a 650-W microwave oven. The mouse anti-human ODC monoclonal antibody (ODC-29, mouse ascites fluid) was obtained from Accurate Chemicals (Westbury, NY), and immunoreactivity was visualized by indirect peroxidase staining with Vectastain ABC kit (Vector Laboratories; Burlingame, CA), following manufacturer's instructions. Following immunodetection, a pathologist attributed a relative stain intensity to the section. The relative stain intensity could be anywhere from 0 to 3 (3 being the most intense). The relative stain intensity is a measure of difference between the normal and abnormal cells in each section. Therefore, the comparison of ODC levels between cancer and normal, BPH and normal, and PIN and normal was made from tissues found within the one section, thus minimizing the need for inter-patient comparisons.
Transgene Construction and Preparation of Transgenic Mice
Confirmation of Transgene Expression by RT-PCR
Confirmation of Transgene Expression by IHC
ODC Expression Pattern in Normal, BPH, PIN, and Cancer Tissues ODC protein expression was examined by IHC in normal, BPH, PIN, and cancer tissues of human prostates (Figure 1 ; Table 1). Cytoplasmic immunoreactivity was detected in the secretory epithelial cells and endothelial cells in normal prostates (n=7) and was distributed evenly within the cells. No expression was detected in basal epithelial cells, fibroblasts, or smooth muscle cells. There was no significant difference between expression patterns of the peripheral zone and transitional/central zone of the normal prostates (Figure 1A). In BPH samples (n=7), strong perinuclear staining was detected mainly at the basal side of the secretory epithelial cells. Compared with adjacent normal tissue, ODC expression in BPH secretory epithelial cells is stronger, and the cellular location is also unique (Figure 1B).
High-grade PIN has been shown to be linked to prostate cancer (Ashida et al. 2004 All prostate cancer tissue analyzed (with the exception of one specimen) showed an increase in ODC expression between the cancerous and adjacent normal tissue, and immunoreactivity was strongest at the apical side of the epithelial cells (Figure 1D). Although this was true for both androgen-dependent and androgen-ablated sections, ODC expression was markedly higher in the non-androgen-ablated sections. Analysis (Student's t-test) between sections having a relative stain intensity of 1, 2, or 3 showed that there was no statistical correlation between Gleason score and relative stain intensity.
Confirmation of Presence of Transgene mRNA in the Mouse Prostate
Protein Levels of the ODC Transgene in the Mouse Prostate To evaluate the expression level of ODC protein in the transgenic mouse prostates, we performed IHC staining on the ventral lobes of both transgenic and non-transgenic prostates between 12 and 33 weeks of age. Ventral lobes are selected because previous reports have shown that the minimal Pb promoter is more active in these lobes (Greenberg et al. 1994
In the present work we examined in detail the protein expression pattern of ODC in normal, BPH, and prostatic cancer tissues and clearly revealed overexpression of ODC at protein level in both BPH and cancer samples. Interestingly, apart from the changes at the protein level, BPH samples showed perinuclear localization patterns distinct from normal and cancer samples. In keratinocytes, ODC localization has been shown to correlate with changes in the cytoskeleton network. In normal human epidermal keratinocytes, ODC exhibited perinuclear expression patterns, which became diffusely cytoplasmic after cytoskeleton disruption by TPA, cytochalasin B/D, or DFMO (Pomidor et al. 1995 ODC overexpression was detected as early as in PIN, suggesting ODC could be involved in the early stages of the carcinogenesis process and could be involved in promoting the progression of PIN to invasive cancer. Overexpression of ODC can be detected in all cancer tissues examined, and although the staining patterns were heterogeneous, the increase of ODC can be concluded to be an early event in prostate carcinogenesis.
To investigate the role of ODC overexpression in prostatic cancer, we developed a prostate-specific ODC transgenic mouse model. Immunostaining results suggest that ODC was achieved at least in a subset of the prostate epithelial cells. The reason that overexpression of ODC was not achieved in all the prostate epithelial cells may be due to the tight posttranslational regulation of ODC by ODC antizyme (Murakami et al. 1992
Despite that overexpression of ODC was achieved in a subset of the transgenic prostate epithelial cells, cell transformation was not observed, which means that overexpression of ODC alone in this subset of cells could not serve as a causal factor in prostate carcinogenesis. However, a conclusion on the role of ODC in prostate cancer cannot be made without the overexpression of ODC in all of the transgenic prostate epithelial cells, which requires the escape from antizyme regulation. It should be noted that in the only transgenic ODC model that developed skin tumors after chemical carcinogen initiation, the ODC transgene is a C-terminal truncated copy (Megosh et al. 1995
Received for publication February 28, 2005; accepted September 20, 2005
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