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Prognostic Value of Prostaglandin-endoperoxide Synthase 2 Polymorphisms in Prostate Cancer Recurrence after Radical Prostatectomy
Authors:Cheng-Hsueh Lee  Jiunn-Bey Pao  Te-Ling Lu  Hong-Zin Lee  Yung-Chin Lee  Chia-Chu Liu  Chao-Yuan Huang  Victor C. Lin  Chia-Cheng Yu  Hsin-Ling Yin  Shu-Pin Huang  Bo-Ying Bao
Abstract:Backgroud: Increasing evidence suggests the involvement of chronic inflammation in the progression of prostate cancer, and prostaglandin-endoperoxide synthase 2 (PTGS2), also known as cyclooxygenase-2, catalyzes the rate-limiting steps of the pathway. We hypothesized that genetic variants of PTGS2 can influence the outcome of prostate cancer patients.Methods: We genotyped five haplotype-tagging single-nucleotide polymorphisms (SNPs) to detect common genetic variations across the PTGS2 region in 458 prostate cancer patients treated with radical prostatectomy.Results: One SNP, rs4648302, was associated with disease recurrence. Five-year recurrence-free survival rate increased according to the number of variant alleles inherited (55.6%, 70.7%, and 100.0% for patients with different genotypes; P = 0.037), and the effect was maintained in multivariable analysis. Public dataset analyses also suggested that PTGS2 expression was correlated with prostate cancer prognosis.Conclusion: Our results indicated that PTGS2 could be a potential prognostic marker to improve the prediction of disease recurrence in prostate cancer patients.
Keywords:biochemical recurrence   prostate cancer   radical prostatectomy   single-nucleotide polymorphism   PTGS2   inflammation.
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